July 26, 2016 | By: Kathy Wire, JD, MBA, CPHRM, CPPS
Trigger tools help healthcare providers identify possible safety events and concerns by looking at conditions that often accompany those safety events. For example, by examining the administration of rescue drugs (the trigger), a provider may identify safety risk to residents/patients from poor glycemic control. While the proper use of trigger tools can be time consuming, they can shine light on many otherwise hidden concerns. The Institute for Healthcare Improvement (IHI) has developed a trigger tool for skilled nursing facilities, which is available at no charge here. IHI is also offering a virtual course starting August 10 for those interested in learning more about the tool and how it can support safety and quality learning. There is a fee. More information about the course and registration is available here.
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
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
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
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.