Notables from CPS March 13th Conference!

March 16, 2015    |   By: Calevir

Thanks to all Conference attendees, Speakers, Sponsors, Vendors and Poster Presenters contributing to a successful 9th Annual Conference Friday, March 13th!   A few notable thoughts from the Conference:   “Compassion heals the places you can’t touch”, Allison Massari; “The challenge continues to reduce harm, but we know we’re making a difference”, Christine Goeschel; “There is a lot more than can be done to share learning from serious events”, Patient Safety Commissioner Panel; “Diagnostic errors need to be identified and addressed”; Dr. Mark Graber.


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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