Which organization compiled a list of do not use abbreviations for facilities accredited by their organization?

  • This list is part of the Information Management standards.
  • The list applies to all orders, preprinted forms, and medication-related documentation. Medication-related documentation can be either handwritten or electronic.

Official "Do Not Use" List

Do Not UsePotential ProblemUse Instead
U, u (unit) Mistaken for "0" (zero), the number "4" (four) or "cc" Write "unit"
IU (International Unit) Mistaken for IV (intravenous) or the number 10 (ten) Write "International Unit"
Q.D., QD, q.d., qd (daily)

Q.O.D., QOD, q.o.d, qod (every other day)

Mistaken for each other

Period after the Q mistaken for "I" and the "O" mistaken for "I

Write "daily"

Write "every other day"

Trailing zero (X.0 mg)*
Lack of leading zero (.X mg)
Decimal point is missed Write X mg
Write 0.X mg
MS

MSO4 and MgSO4

Can mean morphine sulfate or magnesium sulfate
Confused for one another
Write "morphine sulfate"
Write "magnesium sulfate"

*Exception:  A “trailing zero” may be used only where required to demonstrate the level of precision of the value being reported, such as for laboratory results, imaging studies that report size of lesions, or catheter/tube sizes. It may not be used in medication orders or other medication-related documentation.

Development of the "Do Not Use" List

In 2001, The Joint Commission issued a Sentinel Event Alert on the subject of medical abbreviations. A year later, its Board of Commissioners approved a National Patient Safety Goal requiring accredited organizations to develop and implement a list of abbreviations not to use. In 2004, The Joint Commission created its “Do Not Use” List to meet that goal. In 2010, NPSG.02.02.01 was integrated into the Information Management standards as elements of performance 2 and 3 under IM.02.02.01. In 2021, a FAQ was developed to address the key concepts organizations need to understand regarding the use of terminology, definitions, abbreviations, acronyms, symbols and dose designations. 

For More Information

  • Complete the Standards Online Question Submission Form.
  • Contact the Standards Interpretation Group at 630-792-5900.

Who oversees Do not use abbreviations list?

Stemming from concern about errors regarding the interpretation of abbreviations that have been used in the past, the Joint Commission has developed a list of Official “DO NOT USE” abbreviations, which should never be used in clinical settings.

What organization creates recommendations for medical abbreviation use?

The Joint Commission has regularly issued updates and regulations on the safe use of medical abbreviations and in fact, has also published a short list of dangerous medical abbreviations and dose expressions that should never be used.

Which abbreviation is on the TJC do not use list?

The 'Do Not Use' abbreviation list includes: QD, QOD, MS04, MgSO4, U, IU, trailing zeros, and naked decimal points (table 1).

Why would a healthcare professional use an abbreviation on the Do Not Use list?

49 different types of unapproved abbreviations were used for drug names. Conclusions: A 'Do Not Use' list is effective in reducing error-prone abbreviations. Reinforcements of the 'Do Not Use' list further improves prescriber adherence.