About the Center for Patient Safety


The Center for Patient Safety (CPS), established in 2005, is an independent, not-for-profit organization dedicated to reducing preventable harm.

At CPS, our focus is on learning what medical errors occur, why they occur and how to prevent patient harm. We emphasize the importance of culture in promoting safe systems of care.


Reducing preventable harm.


A healthcare environment safe for all patients and providers.


  • Patient Safety Culture: The Center focuses on culture, system and process changes.
  • Integrity: Methods and activities employed or promoted by the Center are non-punitive in nature.
  • Excellence: The Center focuses to achieve continuous improvements in patient safety and health care quality.
  • Advocacy:  The Center advocates for the implementation of proven patient safety initiatives.

WHO WE SERVE CPS works with organizations in nearly every state.

The Center works with organizations in nearly every state to improve patient safety across the continuum of care – see who!




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.