Patient Safety. Thank you for joining our partnership. Make sure your healthcare providers know who you are

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UCLA is dedicated to your personal well being. Accordingly, we have implemented key safety procedures Thank you for joining our partnership and practices to reduce the possibility If anything seems unsafe about your care or care environment, or if you identify something that we can improve, please let your nurse know or contact Involve yourself in your care us at the following: Ronald Reagan UCLA Medical Center (310) 794-1276 in Safety Program alerts you to the common risks inherent in all hospitals and other healthcare (310) 267-9113 x79113 settings, as well as simple tips to UCLA Medical Plaza: 100, 200 or 300 Buildings Patient Safety of safety errors. UCLA s Partnership x41276 avoid or minimize those risks. Resnick Neuropsychiatric Hospital at UCLA Know your healthcare professionals Ombudsperson All hospital employees doctors, nurses, medical residents and staff must have photo identification prominently displayed. Know who is in charge of your care and the name of your team leader. This is particularly important when many people are involved in your treatment or when you have many health problems. Make sure your healthcare providers know who you are Your medical team may already know you, but they should routinely check your patient identification band or otherwise reconfirm your identity before examination or treatment. (310) 267-9092 x79092 To fully maximize the effectiveness Santa Monica-UCLA Medical Center and Orthopaedic Hospital (310) 319-4670 www.safer.healthcare.ucla.edu x94670 of these safeguards, we encourage you to partner with your healthcare team by following a few simple practices.

UCLA is dedicated to your personal well being. Accordingly, we have implemented key safety procedures Thank you for joining our partnership and practices to reduce the possibility If anything seems unsafe about your care or care environment, or if you identify something that we can improve, please let your nurse know or contact Involve yourself in your care us at the following: Ronald Reagan UCLA Medical Center (310) 794-1276 in Safety Program alerts you to the common risks inherent in all hospitals and other healthcare (310) 267-9113 x79113 settings, as well as simple tips to UCLA Medical Plaza: 100, 200 or 300 Buildings Patient Safety of safety errors. UCLA s Partnership x41276 avoid or minimize those risks. Resnick Neuropsychiatric Hospital at UCLA Know your healthcare professionals Ombudsperson All hospital employees doctors, nurses, medical residents and staff must have photo identification prominently displayed. Know who is in charge of your care and the name of your team leader. This is particularly important when many people are involved in your treatment or when you have many health problems. Make sure your healthcare providers know who you are Your medical team may already know you, but they should routinely check your patient identification band or otherwise reconfirm your identity before examination or treatment. (310) 267-9092 x79092 To fully maximize the effectiveness Santa Monica-UCLA Medical Center and Orthopaedic Hospital (310) 319-4670 www.safer.healthcare.ucla.edu x94670 of these safeguards, we encourage you to partner with your healthcare team by following a few simple practices.

UCLA is dedicated to your personal well being. Accordingly, we have implemented key safety procedures Thank you for joining our partnership and practices to reduce the possibility If anything seems unsafe about your care or care environment, or if you identify something that we can improve, please let your nurse know or contact Involve yourself in your care us at the following: Ronald Reagan UCLA Medical Center (310) 794-1276 in Safety Program alerts you to the common risks inherent in all hospitals and other healthcare (310) 267-9113 x79113 settings, as well as simple tips to UCLA Medical Plaza: 100, 200 or 300 Buildings Patient Safety of safety errors. UCLA s Partnership x41276 avoid or minimize those risks. Resnick Neuropsychiatric Hospital at UCLA Know your healthcare professionals Ombudsperson All hospital employees doctors, nurses, medical residents and staff must have photo identification prominently displayed. Know who is in charge of your care and the name of your team leader. This is particularly important when many people are involved in your treatment or when you have many health problems. Make sure your healthcare providers know who you are Your medical team may already know you, but they should routinely check your patient identification band or otherwise reconfirm your identity before examination or treatment. (310) 267-9092 x79092 To fully maximize the effectiveness Santa Monica-UCLA Medical Center and Orthopaedic Hospital (310) 319-4670 www.safer.healthcare.ucla.edu x94670 of these safeguards, we encourage you to partner with your healthcare team by following a few simple practices.

Assign an advocate Ask a family member or trusted friend to serve as your advocate to protect your best interests, especially when you may be distracted by the stress of illness. Tell your advocate your wishes regarding life support and resuscitation. Stay informed Always ask for test results. Do not assume no news is good news. Make sure you understand what the results mean for your care. If you need surgery, make sure that you and your doctor(s) agree on the planned procedure and the course of your care.

Recognize your medications If the medications you are given do not look familiar, speak up and alert your doctor, nurse or pharmacist. Most likely, the medications will be the same, but it is good practice to double-check. Keep and bring a list of all the medications you take including over-thecounter medicines with you to the hospital and to your doctors appointments. Clean hands save lives Speak up if your healthcare providers fail to clean their hands with either soap and water or a waterless cleaner before treating you. They will appreciate the reminder.

Advance directives An advance directive is a written statement that expresses your wishes for medical treatment and indicates who you would want to make decisions for you in the event that you are unable to make decisions for yourself. If you have an advance directive or Physician Orders for Life-Sustaining Treatment (POLST), we would like to obtain a copy from you so that our healthcare team can understand your wishes. We will place the advance directive or POLST in your medical record to direct future care. Should you make revisions, please provide an updated copy to us for inclusion in your medical record. Should a medical emergency occur in the outpatient setting, unless we have a copy of your advance directive or POLST indicating otherwise, we will initiate full emergency resuscitation measures and efficiently transport you to the hospital to be adequately evaluated and treated. Please inquire if you would like information on how to obtain an advance directive or POLST.

Grievance filing If you have a complaint, we encourage you to contact our representatives, who are available to assist you in any way in working through your situation. Otherwise, you may file a complaint with either of these two agencies regardless of whether you choose to use the hospital s grievance process. The Joint Commission Fax complaint: (630) 792-5636 Email complaint: complaint@jointcommission.org You may also write to: Office of Quality Monitoring The Joint Commission One Renaissance Boulevard Oakbrook Terrace, IL 60181 The California Department of Public Health Department of Public Health/ Los Angeles District Office 3400 Aerojet Avenue, Suite 323 El Monte, CA 91731 (626) 569-3724 or toll free (800) 228-1019

UCLA is dedicated to your personal well being. Accordingly, we have implemented key safety procedures Thank you for joining our partnership and practices to reduce the possibility If anything seems unsafe about your care or care environment, or if you identify something that we can improve, please let your nurse know or contact Involve yourself in your care us at the following: Ronald Reagan UCLA Medical Center (310) 794-1276 in Safety Program alerts you to the common risks inherent in all hospitals and other healthcare (310) 267-9113 x79113 settings, as well as simple tips to UCLA Medical Plaza: 100, 200 or 300 Buildings Patient Safety of safety errors. UCLA s Partnership x41276 avoid or minimize those risks. Resnick Neuropsychiatric Hospital at UCLA Know your healthcare professionals Ombudsperson All hospital employees doctors, nurses, medical residents and staff must have photo identification prominently displayed. Know who is in charge of your care and the name of your team leader. This is particularly important when many people are involved in your treatment or when you have many health problems. Make sure your healthcare providers know who you are Your medical team may already know you, but they should routinely check your patient identification band or otherwise reconfirm your identity before examination or treatment. (310) 267-9092 x79092 To fully maximize the effectiveness Santa Monica-UCLA Medical Center and Orthopaedic Hospital (310) 319-4670 www.safer.healthcare.ucla.edu x94670 of these safeguards, we encourage you to partner with your healthcare team by following a few simple practices.