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Leadership (LD) Standards

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Element of Performance

Leaders implement an organizationwide patient safety program as follows:
  • One or more qualified individuals or an interdisciplinary group manage the safety program.

  • All departments, programs, and services within the hospital participate in the safety program.

  • The scope of the safety program includes the full range of safety issues, from potential or no-harm errors (sometimes referred to as close calls [“near misses”] or good catches) to hazardous conditions and sentinel events.


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