Table 2.

Scoring system.

Scoring system
1	There has been no implementation activity for this item.
2	This item has been discussed and considered, but it has not been implemented yet. There may be a document, but there has been no implementation and only some staff awareness-raising.
3	The item has been partially implemented in the facility or implemented only in some areas, or for some patients and/or staff.
4	The item has been fully implemented throughout the facility for all patients, drugs, and/or staff.

N.A.: not applicable. This item cannot be considered in the local context.

Note: Scores 3 and 4 can only be selected if there has been real implementation. Unapplied procedures or guidelines are not enough.