13 Missouri Hospitals Target Increased Patient Safety with the Missouri Center for Patient Safety’s CUSP Teamwork & Communications Tools

Effective new strategies rally hospital unit team members to improve patient care and safety with a new level of practical collaboration citing “What you permit, you promote.”

Jefferson City, Missouri – July 21, 2011 — As part of the Missouri Center for Patient Safety’s initiative, People, Priorities & Learning Together, 13 Missouri hospitals have joined CUSP Teamwork & Communication Tools, launched in June, 2011, to increase patient safety and eliminate medical errors by improving communication and coordination of care at the bedside.

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National PSO Program – Focus of AHRQ Podcast

LISTEN IN!

Hear Dr. Bill Munier, Director of the Center for QI and Patient Safety at AHRQ, discussing the national PSO program, and its importance to improving safe care.

Patients and Caregivers are Victims of Medical Error

Kimberly Hiatt, a nurse involved in a medical error that resulted in the death of an 8 month old, committed suicide.   This important story highlights the many victims of medical error, the importance of a just culture, and the need for resources to help the second victim.

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The National Quality Forum Releases 2011 Serious Reportable Event (SRE) Update

The NQF has released “Serious Reportable Events in Healthcare – 2011 Update: A Consensus Report”, including updates to 25 SREs, and adding four new SREs.

New SREs are events resulting in death or serious injury related to the loss of biological specimens, failure to communicate test results, neonates associated with labor or delivery in a low risk pregnancy, and metallic objects in MRI areas. Updates also address SREs in settings other than hospitals, including outpatient/office-based surgery centers, skilled facilities and office-based practices.

13 Missouri Hospitals Join Initiative to Improve Communication and Teamwork

As part of MOCPS’ People, Priorities & Learning Together initiative, 13 Missouri hospitals have joined CUSP Teamwork & Communication Tools, launched this month, to increase patient safety at the bedside by improving communication and hand-offs at the bedside!

This 6-month module builds upon The Basics of CUSP, our first module offered last fall to teach units how to implement the Comprehensive Unit-based Safety Program (CUSP). (more…)

Missouri Center for Patient Safety Announces New Website

Patient safety web site delivers a new level of communication, awareness and learning for MOCPS participants and the public.

Jefferson City, MO (PRWEB) June 09, 2011

The Missouri Center for Patient Safety (MOCPS) has introduced a new web site at https://www.centerforpatientsafety.org for use by health care providers and the general public to enable a greater focus on important patient safety related issues and services.

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5 Years of Progress – 2010 – JUST RELEASED!

Pride in our work! We think it really shows in our recently published report: 5 Years of Progress-2010.

Safety improvement involves everyone who drives the delivery of health care, and many have established important partnerships with the Center.   Together, in just five years, we established the Center as a leader in PSO services, working with more than 180 providers to report medical mistakes, efficiently learn valuable information from those mistakes, and take actions aimed at prevention. (more…)

Navigating the Health Care System

Advice Columns from Dr. Carolyn Clancy

AHRQ Director Carolyn Clancy, M.D., has prepared brief, easy-to-understand advice columns for consumers to help navigate the health care system. They will address important issues such as how to recognize high-quality health care, how to be an informed health care consumer, and how to choose a hospital, doctor, and health plan. Check back regularly for new columns.

Safety Culture Creates Better Care for Patients

By Carolyn M. Clancy, M.D.

May 3, 2011

The more we know about safety, the better.

That’s why a landmark report on medical errors from the Institute of Medicine remains as important today as it did when it came out 10 years ago. Called “To Err is Human,” Exit Disclaimer the report urged hospitals to develop a “culture of safety” to reduce risks and improve care for patients.   Read more.

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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.