Seven components of a friendly medical error reporting environment

September 6, 2013    |   By: Calevir

Henry Ford Health System shares seven components of a friendly medical error reporting environment:   leadership support, appropriate infrastructure, anonymous reporting, error disclosure to patients and families, communication, just culture, and continual improvement of its patient safety culture.   Their successes were recognized in 2011 when they received the Malcolm Baldrige National Quality Award and the John M. Eisenberg Patient Safety and Quality Award.   Read more.


BLOG:

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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RESOURCES:

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.