2nd Victim Workshops Train 25 in Missouri!

October 2, 2012    |   By: Calevir

The Center was pleased to host two 2nd Victim Workshops in September. They were inspiring and helpful to remind us how important it is to support health professionals that are impacted by unexpected clinical events and errors, in addition to patients and families!   For more about the University of Missouri Health System’s 2nd Victims Program go to http://www.muhealth.org/body_foryouteam2ndvic.cfm?id=6833.

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PSO Case Law: Ungurian v. Beyzman, et al., 2020 PA Super 105:

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

Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

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

CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

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

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