Table 1: Standards and Actions covered in the User Guide

Standard	Criterion	Item	Action
Clinical Governance	Governance, leadership and culture	Governance, leadership and culture	1.01 1.02
		Organisational leadership	1.05
		Clinical leadership	1.06
	Patient safety and quality systems	Policies and procedures	1.07
		Measurement and quality improvement	1.08
		Diversity and high-risk groups	1.15
	Clinical performance and effectiveness	Safety and quality training	1.20
	Clinical performance and effectiveness	Evidence-based care	1.27
Partnering with Consumers	Partnering with patients in their own care	Healthcare rights and informed consent	2.03
	Partnering with patients in their own care	Sharing decisions and planning care	2.07
	Health literacy	Communication that supports effective partnerships	2.08 2.10
Medication Safety	Continuity of medication management	Medication review	4.10
Medication Safety	Continuity of medication management	Information for patients	4.11
Comprehensive Care	Clinical governance and quality improvement to support comprehensive care	Designing systems to deliver comprehensive care	5.04
	Developing the comprehensive care plan	Screening of risk	5.10
	Developing the comprehensive care plan	Clinical assessment	5.11
Communicating for Safety	Minimising patient harm	Preventing delirium and managing cognitive impairment	5.29
	Clinical governance and quality improvement to support effective communication	Organisational processes to support effective communication	6.04
	Communication at clinical handover	Clinical handover	6.08
Recognising and Responding to Acute Deterioration	Detecting and recognising acute deterioration, and escalating care	Recognising acute deterioration	8.04 8.05