(Stop, Think, Act and Review)

Did you know that taking a 1-2 second pause when you are performing routine tasks, multitasking, distracted or busy can reduce your risk of making an error? 

Here’s how:

Stop Pause for 1-2 seconds to focus on the task at hand
Think Visualize the act and think about what needs to be done
Act  Concentrate and complete the task
Review Check for the desired result

Verbal Orders

Verbal orders should ONLY be used in urgent or emergency situations, otherwise they should be avoided! If there is an urgent or emergency situation and a verbal order must be given/taken, the receiver should use Record and Read Back. This means the receiver enters the order into the electronic medical record and then reads back the order to verify order accuracy. 

Clear Communication

If you are unsure of something that someone said, or do not believe that you received the entire message, ask additional questions to confirm that you understand what is being communicated. 

You can use both Alpha and Numeric Clarifiers to ensure clear communication.


A = Alfa, B = Bravo, C = Charlie, D = Delta, etc.

Phonetic Terminology


When you use a number like 15 ( that’s - one, five) or 50 (that’s - five, zero).

(i.e.) "Can you please come clean room B (Bravo) 1242 (one, two, four, two)."

Patient Identification

Utilize two patient identifiers such as name, date of birth, or MRN when providing patient care to verify that the correct patient is getting the correct service or treatment.

Barcode scanning is used to confirm the correct patient information after staff has verified the patient’s identification using two patient identifiers.

Staff Identification

Remember to always wear your ID badge above your waist to ensure visibility for colleagues, patients and visitors. All patients should expect to see the staff caring for them to have their ID badge visible.

Security and Safety

Remind visitors and patients to stop at the security desk when they arrive so they can receive guidance regarding any registration that might be required or restrictions that might be in place in the area that they are visiting.

Medication Reconciliation

Help ensure that the patient’s medication list is correct at every visit. When a patient arrives, verify what medication the patient is currently taking and always compare those medications with any new medications that are being ordered. Provide the patient with an updated list of medications that they need to take and remind them to bring that medication list with them every time they go to the doctor.

Alarm Response

If you are walking by a room and an alarm is going off, please stop to ensure the patient is safe and call for help from staff who can help manage the alarm and the patient’s care.