October 13, 2017 | By: Eunice Halverson, MA, CPPS
The Center for Patient Safety joins The Joint Commission in recognizing National Fire Prevention Week. Unfortunately, surgical fires continue to occur. Recent reports to the Center’s PSO include:
It’s never too late to remind staff and physicians about the factors that contribute to surgical fires and lace to reduce the risk of surgical fires. Together, we can make a safer environment!
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.