August 12, 2011 | By: Calevir
Almost 8,000 total sentinel events have been reported to TJC since 1995. The majority of reports were submitted by hospitals (64%), 62% of the total reports resulted in patient death, and the most prevalent types of events reported through this voluntary reporting system are wrong-patient, wrong-site, or wrong-procedure, and unintended retention of a foreign body. Leadership, human factors and communication were identified as the most frequently identified root cause of such events.
Most health care providers adjust well to the multitude of demands encountered during an unexpected or traumatic clinical event. Providers often have strong emotional defenses that carry them through and l
Culture impacts everything we do. And it’s no different in health care organizations. The strongest cultures support employee engagement, promote open communication and the sharing of mistakes to fos
CPS has long believed that Just Culture principles of accountability are a great way to address issues highlighted Safety Culture Survey results. It focuses on system response, strong investigation and a
Sometimes health care providers do not recognize the ever-growing opioid problem as one they should address. Think again! Read Health Affair’s blog with suggested resources that providers and the com
The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.