Our History

The Institute of Medicine’s 1999 landmark report, To Err Is Human, reported as many as 98,000 deaths occur annually due to errors in hospitals with potentially many more deaths due to errors occurring in other health care settings.

The IOM’s report resulted in an international focus on quality improvement and patient safety further encouraged by the IOM’s March, 2001 report, “Crossing the Quality Chasm.”

In 2003, responding to these reports and to growing concerns about medical malpractice rates in Missouri, Governor Bob Holden formed a 16-member Missouri Commission on Patient Safety.

In July 2004, this Commission called for the creation of a “new private Missouri Center for Patient Safety…to act as a leadership vehicle for patient safety improvements and be a resource for health care organizations, professionals and consumers.” This center was to advocate for error reduction, assist in sharing information, identify best practices, develop curricula for professionals and disseminate consumer education materials. It also recommended that such a center serve as a Patient Safety Organization (PSO) should federal legislation be passed defining requirements for such organizations.

Responding to the Commission’s recommendation, the Missouri Hospital Association (MHA), Missouri State Medical Association (MSMA) and Primaris agreed to establish such an organization.

In January 2005, the Missouri Center for Patient Safety (MOCPS) was officially established as a new not-for-profit organization in the state of Missouri.

In July 2005, federal legislation followed in the form of the federal Patient Safety and Quality Improvement Act of 2005. Providing a structure for state-based PSOs, the legislation provides protection for physicians and health care providers that voluntarily and confidentially report adverse event data and information to designated PSOs.

In December 2005, MOCPS became operational with the hiring of Becky Miller as Executive Director.

During our first full three years of operation, MOCPS continued to gain recognition and participation in our work to improve the safety of health care provided in Missouri, bringing together health care providers, state agencies, insurers and others with a vested interest in improving patient safety to share, learn, and facilitate improvement. The year 2008 culminated with the Center certifying with the federal Agency for Healthcare Research and Quality as a Patient Safety Organization (PSO) to operate within the provisions of the Patient Safety and Quality Improvement act of 2005. As a PSO, the Center began to further support a culture that encourages the reporting, analysis, sharing, learning and prevention of medical errors.

MOCPS has successfully implemented regional projects – Early Center projects that continue to have an impact today are the Missouri Just Culture Collaborative, and Banding Together – for patient safety, projects that were each one of the first in the nation to take culture training statewide and to decrease the potential for error related to the use of colored wristbands across the state. Additionally, the Center has and continues to lead healthcare acquired infection prevention collaboratives and expand upon our own unique enhancement to the Comprehensive Unit-based Safety Program (CUSP), developed by Johns Hopkins, to improve bedside teamwork and communication.  Again, our CUSP work has expanded statewide and nationally as a component of the On the CUSP/Stop HAI initiatives and continues today.

Beginning in 2012, the MOCPS reframed itself as the Center for Patient Safety (CPS) broadening its vision and mission nationally. As the CPS, the Center is enhancing its PSO, culture, education and other resources and services.

As the CPS, our focus areas are PSO services and culture improvement resources with a focus on valuable education and training.

We at the CPS are excited about continuing to lend our voice and offer our services and resources to healthcare providers and consumers, continuing our successful efforts to improve healthcare quality and safety and reduce patient harm.

Jun
10
Wed
2015
1:00 pm Benefits of AHRQ Patient Safety ...
Benefits of AHRQ Patient Safety ...
Jun 10 @ 1:00 pm – 2:00 pm
Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories from Hospital PSO Members
Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories from Hospital PSO Members Wednesday, June 10, 2015 1 – 2 pm CST REGISTER! This free Webcast from the Agency for Healthcare Research and Quality (AHRQ) will highlight the AHRQ Patient … Continue reading
Jun
22
Mon
2015
9:00 am Just Culture Managers Training C... @ Central Jackson County Fire Protection District Education Center
Just Culture Managers Training C... @ Central Jackson County Fire Protection District Education Center
Jun 22 @ 9:00 am – 4:00 pm
Register! registration 0830-0900 June 22, 2015   (this training was previously scheduled for May 27) 9:00 a.m. to 4:00 p.m. Central Jackson County Fire Protection District Education Center 4715 W 40 Highway, Blue Springs, MO Mark Alexander will be leading the … Continue reading
Jun
30
Tue
2015
12:00 pm SESSION #2 Quality Management in...
SESSION #2 Quality Management in...
Jun 30 @ 12:00 pm – 1:00 pm
For EMS Leaders and Providers: Center for Patient Safety Presents- EMS Quality and Patient Safety Learning Webinar Series in 2015 The Center for Patient Safety has the opportunity to meet and listen to EMS leaders and providers from around the … Continue reading
Sep
3
Thu
2015
12:00 pm Session #3: Second Victim: Carin...
Session #3: Second Victim: Carin...
Sep 3 @ 12:00 pm – 1:00 pm
For EMS Leaders and Providers: Center for Patient Safety Presents- EMS Quality and Patient Safety Learning Webinar Series in 2015 The Center for Patient Safety has the opportunity to meet and listen to EMS leaders and providers from around the … Continue reading
Sep
24
Thu
2015
7:30 am Second Victim Train-the-Trainer ... @ Mid-America Transplant Services
Second Victim Train-the-Trainer ... @ Mid-America Transplant Services
Sep 24 @ 7:30 am – 3:00 pm
Second Victim Train-the-Trainer Workshop - Limited Space, Register Early! @ Mid-America Transplant Services
Second Victim Train-the-Trainer Workshop Thursday, September 24, 2015 St. Louis, MO Cost: $399 per person and $350 for additional attendees from the same facility Max attendance is 40 people. WORKSHOP SUMMARY: When patients suffer an unexpected clinical event, healthcare clinicians … Continue reading

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