During 2009, the National Patient Safety Goals underwent an extensive review process. As a result, The Joint Commission has revised the NPSGs. The changes were made partly in response to concerns from the field about the resources needed to comply with NPSGs that have become more specific and detailed over time. The revisions include clarifying and streamlining certain elements of performance, as well as deleting some requirements and moving others to the standards. The changes to the NPSGs reflect The Joint Commission’s continuing efforts to focus the NPSGs on those topics that are of highest priority to patient safety and quality care. Decreasing the number of NPSGs allows organizations to focus their efforts on the most important issues. Moving a requirement to the standards means that it is no longer necessary to “spotlight” the issue in the NPSGs. The improvements are similar to the Standards Improvement Initiative (SII), which the standards have undergone, and the goal of the improvements is to clarify language and ensure relevancy to the settings in which they apply. 2011 NPSG # 8: Accurately and completely reconcile medications across the continuum of care.