MISH Hospital and Clinics is a firm supporter of the Speak Up™ program, a national patient safety campaign developed by The Joint Commission* and the Centers for Medicare & Medicaid Services. Speak Up urges patients to help prevent health care errors by becoming active, involved and informed participants on their health care team. If you or your family has a safety concern, please Speak Up. The Speak Up program and MISH want to encourage patients to:

Speak up if you have questions or concerns. If you still don’t understand, ask again. It’s your body and you have a right to know.

Pay attention to the care you get. Always make sure you’re getting the right treatments and medicines by the right health care professionals. Don’t assume anything.

Educate yourself about your illness. Learn about the medical tests you get, and your treatment plan.

Ask a trusted family member or friend to be your advocate, advisor or supporter.

Know what medicines you take and why you take them. Medicine errors are the most common health care mistakes.

Use a hospital, clinic, or other type of health care organization that has been carefully checked out. For example, The Joint Commission visits hospitals to see if they are meeting The Joint Commission’s quality standards.

Participate in all decisions about your treatment. You are the center of the health care team.

Speak Up™ materials are intended for the public and have been put into a simplified (i.e., easy-to-read) format to reach a wider audience. They are not meant to be comprehensive statements of standards interpretation or other accreditation requirements, nor are they intended to represent evidence-based clinical practices or clinical practice guidelines.

* The Joint Commission, an independent, not-for-profit organization, is the nation’s oldest and largest standards-setting and accrediting body in health care.


Speak Up™ - VIDEO - Know Your Rights

Speak Up™ - VIDEO - About Your Care

Speak Up™ - VIDEO - About Your Pain

Speak Up™ - VIDEO - Antibiotics Know The Facts

Speak Up™ - VIDEO - Ask Your Advocate To Speak Up for You

Speak Up™ - VIDEO - At Home

Speak Up™ - VIDEO - At the Doctors Office

Speak Up™ - VIDEO - Avoid a Return Trip to the Hospital

Speak Up™ - VIDEO - Preparing For Surgery

Speak Up™ - VIDEO - Prevent Errors in Your Care

Speak Up™ - VIDEO - Prevent the Spread of Infection

Speak Up™ - VIDEO - Reduce the Risk of Falling

Speak Up™ - VIDEO - Take Medication Safely


Speak Up: Right ID, Right Care

Speak Up: About Your Care

Speak Up: Help Avoid Mistakes in Your Surgery

Speak Up: Anesthesia and Sedation

Speak Up: Antibiotics Know the Facts

Speak Up: Help avoid mistakes with your Medications

Speak Up: X-rays, MRIs and Other Medical Imaging Tests

Speak Up: 5 Things you can do to prevent infections


In healthcare, controlling the spread of infection is a team effort. Please review the provided materials below. Be informed, Be empowered and Be prepared:

Be informedPatient empowerment – Healthcare associated infections

Contagious Infections - Isolation PrecautionsBROCHURE - How to reduce the spread of contagious diseasePRESENTATION - How to reduce the spread of contagious disease

Long Term Access Lines – what you need to knowPRESENTATION – Line associated blood infections


Hand Hygiene is the single most important and easiest thing that all of us can do in the fight for infection control.

Patient Fact Sheet

Patient Brochure

Protect yourself


Please watch this video as part of your preparation for surgery or once you have been admitted to the hospital. This video summarizes our efforts in keeping you safe during your stay in the hospital. The goal of the video is to empower and educate you on how you can help us make your stay even safer.

VIDEO - What you want to know when being admitted


Each year, millions of older people—those 65 and older—fall. In fact, more than one out of four older people falls each year, but less than half tell their doctor. Falling once doubles your chances of falling again. Many falls do not cause injuries. But one out of five falls does cause a serious injury such as a broken bone or a head injury. These injuries can make it hard for a person to get around, do everyday activities, or live on their own. Many people who fall, even if they’re not injured, become afraid of falling. This fear may cause a person to cut down on their everyday activities. When a person is less active, they become weaker and this increases their chances of falling further.

Please review the materials provided below to help you better understand Falls and how to prevent them and ultimately get your life back:

STEADI - How to Stay Independent

STEADI - For Caregivers

STEADI - What you can do to prevent falls

STEADI - Home Fall Safety Checklist

STEADI - Chair Rise Exercise

STEADI - Postural Hypotension & Falls

Fact Sheet - Risk Factors for Falls

Fact Sheet - Medications Linked to Falls

Fact Sheet - Osteoporosis falls & fractures

Fact Sheet – Osteoarthritis

Fact Sheet - 6 Steps to Protect Your Older Loved One

Check List – Fall Safety Checklist

ANTICOAGULATION (blood thinning) :

Below is a guide to taking anticoagulation medication, and important information that you may need to know about your anticoagulation medication.

GENERAL: Stopping anticoagulants before surgery guide

WarfarinHANDOUT – General Coumadin Stop – Restart GuideHANDOUT – Vitamin K in the Diet and CoumadinHANDOUT – Needed Anticoagulation Information at your fingertipsTreatment with WarfarinDosing calendarVitamin K content of foodUSDA: Vitamin K Content of Selected FoodsLINK below to National Nutrient Database for Standard Reference (Vitamin K) USDA.

Bridging of patients on warfarin

Inpatient Bridging for Patients on Warfarin

Inpatient Bridging - Patient Instruction Form

Outpatient Bridging for Patients on Warfarin

Outpatient Bridging - Patient Instruction Form

Direct Oral Anticoagulants (DOACs)Patient Education Comparison

Apixaban (Eliquis)FDA Patient medication guideTreatment with apixaban

Betrixaban (Bevyxxa)FDA Patient medication guide

Dabigatran (Pradaxa)FDA Patient medication guideTreatment with dabigatran

Edoxaban (Savaysa)Patient medication guide

Enoxaprin (Lovenox)Treatment with enoxaparin

Rivaroxaban (Xarelto)FDA Patient medication guideTreatment with rivaroxaban

Direct Oral Anticoagulants (DOACs)DOAC Patient Education Comparison

Venous ThromboembolismPreventing Blood Clots: while you are in the hospitalTreating Blood Clots: deep vein thrombosis (DVT) and pulmonary embolism (PE) and how they are treated

OtherHow to give yourself a subcutaneous (SQ) injectionMedicines to avoid before surgeryHerbal products: what warfarin patients need to knowPreventing and treating nosebleedsWearing compression stockings When to call your anticoagulation clinicMemory aids in taking medicationsWhen to call your Anticoagulation Clinic

D DEPRESSION (Major Depressive Disorder) :

General Patient Information

National Suicide Prevention LifelineWebSite: 1-800-273-8255

Make a Safety Plan


General Patient Information

Substance abuse Resource Guide

Tobacco Abuse Resource Guide


Acute Pain ManagementKey terms in pain managementManaging acute painCommon medications used to manage pain

Chronic Pain Management

Management of chronic pain

Opioid Overdose :

Scope of the problem

General Safety Advice

5 essential steps for 1st responders

Useful resources

LINE CARE (long-term access lines)

PICC Line – Patient Line Care Instructions

Implanted Ports – Patient Information Booklet

Groshung Catheter – Patient Information Booklet