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.
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.