CPS Safety Alert/Watch – Culture can Improve the Control of Multi-Drug Resistant Organisms

July 8, 2019    |   By: Tina Hilmas, RN, BSN, CPPS

ISSUE:
A number of events reported to CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status.
Examples include:
~Patient with suspected TB transferred to floor without making staff aware.
~Patient transferred to ICU from ED without sharing information that patient was positive for MRSA.
~Patient directly admitted without informing receiving personnel that swab testing for influenza had come back positive.

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BLOG:

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

CPS Safety Alert/Watch – Culture can Improve the Control of Multi-Drug Resistant Organisms:

ISSUE:A number of events reported to CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status.Examples include:~Patient with s

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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.