Table 2

TOI Identified in 10 or More of 15 Findings Letters from 2003 to 2009

Identified Leading Text of Interest (TOI)As ShownEssentially the SameDuplicates Within Essentially the Same GroupSimilar LanguageSimilar Concept
_____ shall ensure that their patients receive accurate, complete, and timely assessments and diagnoses, consistent with generally accepted professional standards, and that these assessments and diagnoses drive treatment interventions. More particularly, the _____ shall:491 set of 3
1 set of 2
Review and revise, as appropriate, psychiatric assessments of all patients, providing clinically justified current diagnoses for each patient, and removing all diagnoses that cannot be clinically justified. Modify treatment and medication regimens, as appropriate, considering factors such as the patient's response to treatment, significant developments in the patient's condition, and changing patient needs.461 set of 31
The _____ shall develop and implement an integrated treatment planning process consistent with generally accepted professional standards. More particularly, the _____ shall:481 set of 4
1 set of 2
Develop and implement policies and procedures regarding the development of individualized treatment plans consistent with generally accepted professional standards of care.471 set of 3
1 set of 2
Provide adequate and appropriate psychiatric and other mental health services, including adequate psychological services and behavioral management, in accordance with generally accepted professional standards.331 set of 34
2 duplicates
2 duplicates
Ensure that all psychotropic medications are:
  1. prescribed in therapeutic amounts;

  2. tailored to each patient's individual symptoms;

  3. monitored for efficacy against clearly-identified target variables and time frames;

  4. modified based on clinical rationales; and

  5. properly documented.

541 set of 311
Within the limitations of the court-imposed confinement and public safety, the State should pursue actively the appropriate discharge of patients and ensure that they are provided services in the most integrated, appropriate setting that is consistent with patients' needs. More particularly, _____ should:481 set of 3
1 set of 2
Provide its patients with a safe and humane environment and protect them from harm. At a minimum,752 sets of 2
_____ should ensure that seclusion and restraints are used in accordance with generally accepted professional standards. Absent exigent circumstances—i.e., when a patient poses an imminent risk of injury to himself or a third-party—any device or procedure that restricts, limits or directs a person's freedom of movement (including, but not limited to, chemical restraints, mechanical restraints, physical/manual restraints, or timeout procedures) should be used only after other less restrictive alternatives have been assessed and exhausted. More particularly, _____ should:433 (2 were duplicates)
Ensure that restraints:
  1. are used only when persons pose an immediate threat to themselves or others and after a hierarchy of less restrictive measures has been exhausted;

  2. are not used in the absence of, or as an alternative to, active treatment, as punishment, or for the convenience of staff;

  3. are not used as part of a behavioral intervention;

  4. are terminated as soon as the person is no longer an imminent danger to himself or others; and

  5. are used in a reliably documented manner.

362 sets of 213 (2 were duplicates)
_____ shall provide medical and nursing services to its patients consistent with generally accepted professional standards. Such services should result in patients of the _____ receiving the individualized services, supports, and therapeutic interventions, consistent with their treatment plans. More particularly, the _____shall:351 set of 22 (2 were duplicates)
Establish an effective infection control program to prevent the spread of infections or communicable diseases. More specifically, the _____ shall:
  1. actively collect data with regard to infections and communicable diseases

  2. analyze these data for trends;

  3. initiate inquiries regarding problematic trends;

  4. initiate necessary corrective action;

  5. monitor to ensure that appropriate remedies are achieved;

  6. integrate this information into the quality assurance review of the _____; and

  7. ensure that nursing staff implement the infection control program.

342 sets of 212
  • TOI, text of interest; the number indicates the number of findings letters in which the TOI was identified; as shown, the text was written exactly the same as the identified TOI; essentially the same, ≥50% overlap; similar language, <50% overlap; similar concept, paraphrased TOI; the duplicates are TOIs that were written exactly the same within a specific category (e.g., one set of two: within the specified category, two TOIs were written exactly the same in two separate findings letters; one set of three: within the specified category, three TOIs were written exactly the same in three separate findings letters.