October 6, 2015 - 1:25 pm

Just Culture, the balance between Human and System accountability, is a hot topic in patient safety and reduction of errors in today’s medical industry.  The Center for Patient Safety (Center) fully supports the implementation of a Just Culture in healthcare organizations across the continuum of care.  The reporting of events is important and necessary to

September 25, 2014 - 3:45 pm

The Center for Patient Safety (CPS) recently exhibited at the Air Medical Transport Conference (AMTC) in Nashville, Tennessee.  This exciting opportunity allowed us to meet with industry leaders, experts, and providers in air medical services. The conference brought a wide group of these attendees to the exhibit hall with new and innovative equipment and technology. CPS

March 14, 2014 - 5:40 pm

One response to adverse events is the “crackdown” or, as David Marx from the Just Culture Community puts it, “getting whacked.”  The more productive response is to learn from the events and improve systems and staff performance.  In a call on March 13, CMS indicated that it plans to respond to the high number of

December 10, 2013 - 4:16 pm

The Agency for Healthcare Research and Quality’s “Web M & M” this month addresses the challenge of managing increasingly complex residents in skilled nursing facilities.  In addition to a general discussion, the article includes a table (Page 4) outlining some of the most significant issues, along with strategies and resources to address those.  Here is

June 29, 2012 - 2:57 pm

MOCPS was excited to learn of a new associate at Outcome Engenuity. Paul LeSage, from the Portland, Oregon area, has over 30 years in fire and EMS service as a flight paramedic, assistant chief, and expert in front-line emergency service operations. Paul brings his unique application of the Just Culture concepts to the EMS community.

On Tuesday, May 15, the Missouri Center for Patient Safety sponsored its 3rd annual EMS Patient Safety Conference. More than 60 EMS agencies from across the state of Missouri were represented in Columbia by EMS personnel, gathering to learn the latest information on patient safety topics specific to their field. Highlights of the day included

MOCPS’s Just Culture collaborative work was cited as a resource by the Certification Board for Professionals in Patient Safety. We are excited to learn a publication of the Center’s Just Culture work is being used as a resource for those seeking certification as a patient safety professional. The article, Influencing leadership perceptions of patient safety