Registration for the Third Annual EMS Patient Safety and PSO Conference is now open!

Are you an EMS provider who cares about patient safety and creating a culture of safety – this conference is for you!

Join us in Columbia, Missouri on Tuesday, May 15th, at the Stoney Creek Inn where you will learn about communication; balancing response times and safety; view the EMS Just Culture staff training materials; and   participate in hands-on work with policies and procedures for submitting information to a PSO.

Register Today!

 

Find the Invisible Gorilla at the April Patient Safety Conference, Sponsored by MOCPS!

Please join us for another great patient safety conference experience Tuesday, April 17, 2012 at the Stoney Creek Inn in Columbia, Missouri!   Register Today!

This year, Dan Simons, PhD, author of The Invisible Gorilla and Professor of Psychology at Beckman Institute of the University of Illinois will present:   How our intuitions Deceive Us – Human Factors at Play.

“The Invisible Gorilla just might teach us to be more humble, understanding, and forgiving” (The New York Times)

More about Dan Simons: (more…)

Joplin's St. Johns Hospital to be Keynote Panel at MOCPS Conference in April

Friends, we at MOCPS are excited to have you join us in April for another great patient safety conference experience Tuesday, April 17, 2012 at the Stoney Creek Inn in Columbia, Missouri!   This year’s Conquering Chaos – The Humanity and Science of Safe Care brings national and state experts together to network and learn strategies to meet the ever increasing challenges of providing safe care!

Our Keynote Panel from St. Johns in Joplin will present The Joplin experience: maintaining the focus – safety during chaos.

Panelists from St. Johns will share their insights, tips and lessons learned in maintaining the safety of their patients and staff, and navigating the regulatory maze during the deadly May 2011 tornado.

Additional Conference Objectives:

• Examine successful disaster preparedness strategies, challenges, and learning to maintain patient and staff safety during and after disasters
• Describe the impact of human factors on patient care
• Discuss the importance of teamwork and communication in providing safe care
• Examine how proven successful safety practices can be replicated
• Discuss with industry leaders safety-of-care issues, applicable to any healthcare setting

Register Today!

Learning Hospital Preparedness for Tornado Activity

Recent tornadoes like the EF-2 which ripped through Branson, Missouri, at 130 mph and others affecting several other states in the Midwest caused millions of dollars in damage, lives lost and even hospitals damaged.   And that was in February.

Harrisburg (IL) Medical Center, located about 100 miles southeast of St. Louis, was struck by a powerful tornado that damaged the facility, luckily not before the hospital was able to move patients to safety in interior areas.

It is imperative that we learn lessons from our colleagues who have experienced such tragedies.   Join MOCPS at the Conquering Chaos conference with our Keynote Panel from St. Johns in Joplin – the Joplin experience: maintaining the focus – safety during chaos — Tuesday, April 17, 2012   at Stoney Creek Inn 2601 South Providence Road, Columbia, Missouri.

Conference Objectives: (more…)

Missouri Center for Patient Safety Announces New Board of Directors Member, Dr. Rose Porter

Dr. Rose Porter joins MOCPS in support of its work helping all Missourians receive the safest care.

Jefferson City, MO. – March 6, 2012 – The Missouri Center for Patient Safety, MOCPS, an independent, nonprofit located in Jefferson City, announced Dr. Rose Porter, Emeritus, is a new member of its board of directors.

The board of directors governs MOCPS operations, including its function as a federally-designated Patient Safety Organization (PSO) and as a leader in providing solutions and resources to improve patient safety and the quality of health care delivery.

Dr. Porter replaces Dr. Julian Sebastian, previous dean of the University of Missouri – St. Louis College of Nursing. (more…)

Next Survey on Patient Safety Culture Begins April 2nd!

Are you ready for AHRQ’s Survey on Patient Safety culture at your location?   Submit your interest form for the April 2nd survey cycle by Thursday, March 8th!

Did you know?   The patient safety culture survey provides feedback on your organization’s communication, teamwork, patient safety, leadership, and staff engagement?   The results can be used to improve your current culture and improve patient satisfaction, reduce liability exposure, improve staff satisfaction, reduce staff turnover, reduce liability insurance, and much more! (more…)

MOCPS Co-Hosts CUSP/Stop CLABSI Mid-Course Meeting in Topeka, Kansas

The Kansas Healthcare Collaborative, along with the Missouri Center for Patient Safety, co-hosted the Cohort 5 & 6 CUSP/Stop CLABSI Mid-Course meetings in Topeka, Kansas this week!   Over 30 teams from Kansas and Missouri were in attendance and participated in group work on overcoming project barriers and walked through the process of learning from a defect.

Several Missouri teams were recognized for completing 6 or more consecutive months without a CLABSI in 2011, and teams from Cohort 2 in the Greater Kansas City area were recognized for completing the two year project.   Congratulations to all the Missouri teams!

Sponsor and Vendor Opportunities For Patient Safety Conference!

Conquering Chaos – the Humanity and Science of Safe Care, the 2012 Missouri Center for Patient Safety Conference will be on Tuesday, April 17, 2011 at the Stoney Creek Inn in Columbia, Missouri!

We welcome your support for safe health care through a Sponsorship and/or hosting a Vendor Booth!

Attendance is expected to be over 250. Historically, attendees include executives, senior managers, patient safety officers, and clinicians, and others with a vested interest in improving the safety of care – health plans, employers, attorneys, insurers, policymakers and regulators. (more…)

MOCPS and the MAA Participate in the American Ambulance Association Convention This Week

The MOCPS and the Missouri Ambulance Association (MAA) were selected for a poster presentation at the American Ambulance Association’s Annual Convention and Trade Show in Las Vegas this week!   The poster, titled “Confidentiality Protection for your QI Work With a Patient Safety Organization”, showcases the Missouri EMS PSO Project, and its progress to date!   MOCPS, MAA, and Outcome Engineering are also sponsoring a joint vendor booth to promote the Just Culture message and the new EMS training materials which all three organizations contributed to developing.

OIG Report Calls For Improved Tracking Of Serious Adverse Events In Hospitals

MHA Staff Contact:  Sharon Burnett

A  report from the U.S. Department of Health and Human Services’ Office of Inspector General finds state survey agencies need to improve their tracking of serious hospital errors, including suicide and other adverse events. OIG recommends that the Centers for Medicare & Medicaid Services require all immediate jeopardy complaint surveys to evaluate compliance with the quality assessment and performance improvement Conditions of Participation. OIG also suggests that CMS ensure state agencies monitor hospitals’ corrective actions for sustained improvements, amend guidance on disclosure to explain the nature of complaints to hospitals and improve communication with accreditors.

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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.