ONC Releases Patient Safety Action Plan, PSOs Included

July 3, 2013    |   By: Calevir

The Office of the National Coordinator released its final Patient Safety Action & Surveillance Plan on July 1, including plans to work with Patient Safety Organizations (PSOs) to assess and improve the safety of Health Information Technology (HIT).   The plan provides for improving the quality and safety of care using Health Information Technology (HIT) while also addressing risks imposed by HIT.   The plan calls for streamlining reporting of HIT events and hazards consistently through PSOs using the AHRQ developed Common Data Formats as well as use of certification for EHR technology, establishing federal priorities and support for research and development of best practices.


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.