MoRISS checklist domains, priority classification with examples of related items (full checklist—online supplemental appendix 1).
Safety domain | Priority classification | Example of related checking item |
1. Medication safety | Mandatory | Any out-of-date stock is appropriately disposed |
Essential | Evidence of monthly stock check and expiry date rotation | |
Advisory | Your usual supplies are available in sufficient quantities | |
2. House keeping | Mandatory | Clinical waste is disposed of in line with practice policy |
Essential | Laboratory specimens are handled and stored in line with practice policy | |
Advisory | There is a log of all significant items of clinical equipment. | |
3. Information systems | Mandatory | Password security policy is being followed (including remote access protocols). |
Essential | The practice business continuity plan is up-to-date. | |
Advisory | The back-up data are verified as accurate before disposal/shredding | |
4. Practice team | Mandatory | All clinicians are registered with a defence organisation. |
Essential | N/A | |
Advisory | N/A | |
5. Patient access and identification | Mandatory | Information for patients on how to access the practice urgently or in an emergency is widely available in different formats (eg, posters, leaflets, booklet, website) |
Essential | Information has a patient ID process using two approved patient identifiers and the practice team can describe how it is applied. | |
Advisory | N/A | |
6. Health and safety | Mandatory | Public and employer’s liability insurance are up-to-date and displayed. |
Essential | N/A | |
Advisory | Access to training in handling threatening behaviour is available to all staff. |
MoRISS, Monitoring Risk and Improving System Safety ; N/A, not applicable.