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Employees Name: ____________________________ Job Title: _______________________

The above walked me through the Outcomes Board located in Blue PACU and accessed the unit scorecard on
OPIT.

Place a check to verify that each topic was addressed.

National Patient Safety Goals (NPSG)
Identifies 3 NPSGs and what he/she does to meet JCAHO compliance with these goals.
Surgical Care Improvement Project (SCIP) Measures
Identifies 2 SCIP Measures and what he/she does to meet to meet JCAHO compliance with
these measures.
Unit-Based Outcomes
Identifies 2 unit critical success factors and what he/she does to meet these goals.
Accessing Unit Scorecard on OPIT
Identifies scores for last quarter on unit critical success factors and whether unit is within goal.


Peers Name & Signature: ________________________________________

Job Title: ____________________ Date: ______________
















Validators Name & Signature: _____________________________________
Job Title: _____________________ Date: ___________
PACU Joint Commission Compliance
Outcomes Board PEER REVIEW