AHRQ WebM&M November Issue Released

November 5, 2012    |   By: Calevir

The November issue highlights the following case topics with resources and evidence-based solutions:

  • Physical Exams – still an important diagnostic step
  • Transfusion Overload – guidelines for a restrictive transfusion strategy
  • Missed Pneumonia – accurately diagnosing patients with respiratory complaints
  • Electrocardiogram Results – protocols to ensure accurate ECG analysis and action

Read these articles with podcasts, interviews, and accompanying literature to gain additional insight.


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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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.