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The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited

Philip F Stahel1,2 email, Philip S Mehler3,4 email, Ted J Clarke5 email and Jeffrey Varnell5 email

Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado Denver, School of Medicine, 777 Bannock Street, Denver, CO 80204, USA

Department of Neurosurgery, Denver Health Medical Center, University of Colorado Denver, School of Medicine, 777 Bannock Street, Denver, CO 80204, USA

Department of Patient Safety and Quality, Denver Health Medical Center, University of Colorado Denver, School of Medicine, 777 Bannock Street, Denver, Denver, CO 80204, USA

Department of Internal Medicine, Denver Health Medical Center, University of Colorado Denver, School of Medicine, 777 Bannock Street, Denver, Denver, CO 80204, USA

Colorado Physician Insurance Company (COPIC), Headquarters, Denver, CO 80230, USA

author email corresponding author email

Patient Safety in Surgery 2009, 3:14doi:10.1186/1754-9493-3-14

Published: 1 July 2009

First paragraph (this article has no abstract)

The publication date of this editorial marks the 5th anniversary of the "Universal Protocol" which became a mandatory quality standard introduced by the Joint Commission on July 1, 2004 [1-3]. The Universal Protocol – designed to ensure correct patient identity, correct scheduled procedure, and correct surgical site – consists of the following three components:


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