Fall Newsletter Just Released

September 8, 2015    |   By: Calevir


We hope you enjoy the latest newsletter from the Center for Patient Safety PSO!  Articles include:

  • Aligning Culture with the Strategic Plan, A success story from SSM Health.1
  • CPS Culture Stats.2
  • Culture Measurement as Key Improvement Tool, A success story from Cox Health.3
  • LTC & EMS Updates.4-5
  • Pointers for Implementing Change.6
  • PSO Legal Update.6
  • Patient Safety Insider.8
  • PSO Data Update.10-11
  • Upcoming Events.12
  • CPS Speakers: On the Circuit.12

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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.