Measuring the level of safety is fundamental to improvement. This worksheet provides a selection of both outcome and process measures associated with high-alert medications and may be used for documenting facility-specific measures. This worksheet may be adapted, and measures may be added as needed per facility policy and procedure.

Specific instructions for use are included in the assessment, which may be downloaded for electronic entry or printed for handwritten entry. The assessment is a PDF and requires Adobe Reader to view and/or use the electronic entry feature.