November 7, 2011 | By: Calevir
MHA Staff Contact: Sharon Burnett
A report from the U.S. Department of Health and Human Services’ Office of Inspector General finds state survey agencies need to improve their tracking of serious hospital errors, including suicide and other adverse events. OIG recommends that the Centers for Medicare & Medicaid Services require all immediate jeopardy complaint surveys to evaluate compliance with the quality assessment and performance improvement Conditions of Participation. OIG also suggests that CMS ensure state agencies monitor hospitals’ corrective actions for sustained improvements, amend guidance on disclosure to explain the nature of complaints to hospitals and improve communication with accreditors.
A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour
The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis
Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with
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.