CPS Safety Watch/Alert: Meningitis from Steroid Injection Medication

Meningitis from steroid injection medication continues to be a concern with 205 cases in 14 states, resulting in 15 deaths thus far.  The medications were distributed to 23 states. The CDC provides the details and the latest information:  http://www.cdc.gov/HAI/outbreaks/meningitis.html

Multistate Fungal Meningitis Outbreak Investigation.” Centers for Disease Control and Prevention; dated 15 Oct, 2012. Web.  http://www.cdc.gov/HAI/outbreaks/meningitis.html

 

Joint Commission Issues New Sentinel Event Watch/Alert: Opioid Use

The Joint Commission has issued a new sentinel event alert: Safe Use of Opioids in Hospitals.   Although hospital patients may need the strong pain relief that only opioids can provide, a Sentinel Event Alert issued yesterday by The Joint Commission urges hospitals to take specific steps to prevent serious complications or even deaths from opioid use.   MORE

CPS Safety Watch/Alert: Fatigue Impacts Patient Safety

The link between health care worker fatigue and patient safety is not unfamiliar. But have you assessed your organization to mitigate health-care worker fatigue-related risks? The Joint Commission suggests the following: a review of the work shift schedule with staff involvement; an assessment of high-risk processes and procedures (such as patient hand-offs); education on sleep hygiene (getting enough sleep and practicing good sleep habits that can impact sleep); and promotion of a safe culture through open communication about fatigue concerns as well as a focus on teamwork to support staff working extended hours. The result of these efforts can protect your patients from harm.

Read more about what you can do in Issue 48 of the The Joint Commission Sentinel Event Alert.

For more information, check out our links to several Communication & Teamwork Toolkits!

Interested in finding out what your safety culture is? Check out the Survey on Patient Safety Culture!

Voluntary Recall by H&P Industries

The FDA has initiated the recall of all lots of Povidone Iodine Swabsticks, Povidone Iodine Prep Solutions, Povidone Iodine Scrub Solutions, and Povidone Iodine Prep Gel.   To determine if you are using any of these items and information on return arrangements, check the full press release.

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The #1 topic they didn’t teach you in Paramedic School: Culture:

I have been working with the Center for Patient Safety (CPS) for about four months, and I’m learning something new every day.  As a Paramedic, patient safety has always been a high priority, but I didn

ISMP Update on Top Medication Safety Issues from 2018 – Webinar:

Medication mistakes are one of the most common errors reported to the Center’s PSO.  ISMP is offering a free webinar on November 15 at noon Central Time to discuss the top medication safety issues as we

Recognizing Fall Prevention Week:

Fall Prevention Awareness Week started Saturday, September 22 and runs until Friday, September 28. Stopfalls.org has excellent resources and tools to support ongoing efforts including flyers, posters, fact

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