A new JCAHO rule called the “Universal Protocol for Preventing Wrong Site Surgery, Wrong Procedure and Wrong Person Surgery” goes into effect on July 1, 2004. The Protocol relates to patient and procedure identification, site marking, and “time-out” prior to the start of a surgical or invasive procedure. Although only JCAHO-accredited organizations are subject to the requirement, other facilities should be familiar with this important patient safety protocol. For more information on the new Universal Protocol, visit the website of the Joint Commission on Accreditation of Healthcare Organizations at www.jcaho.org.