Register Now – Limited Space! Second Victim Train-the-Trainer Workshop

Thursday, September 24, 2015
730am – 3pm
Mid-America Transplant Services
1110 Highlands Plaza Drive East
Suite 100
St. Louis, MO 63110

Hosted by:

CPS Logo

Registration fee $399, second from same organization $350.  Space is limited, so register early. Please note cancellations will not be accepted after August 1, although replacement for registered attendees is allowed by contacting the Center.



CPS releases 2014 Annual Report

2014 Annual ReportThe Center for Patient Safety (CPS) is pleased to share highlights of 2014 and expectations in 2015 in the latest annual report. We encourage you to take a look and see how you can join our journey to safer care in 2015!

Download PDF or View on Issuu

Center for Patient Safety Adds PSAW Tips

ATTENTION hospitals, LTC, EMS, pharmacies, medical offices, home care, etc!

Patient Safety Week is less than 2 weeks away: March 8-14

The Center for Patient Safety has gathered several resources to assist with celebrating, learning more, and promoting patient safety:


EMS Services Participating with a PSO can improve quality, safety, & financial performance

Written by Lee Varner, BS EMS, EMT-P
Mike Wallace,
EMS Captain, Central Jackson County Fire Protection District

Does this sound like your EMS service….

Your typical runs include calls for chest pain, shortness of breath, seizures, and even cardiac arrest.  You run these calls day in and day out.  You drop patients off at the hospital just in time to clear for another call.

At the end of the day, ask yourself these simple questions:

  • Do you look back at the calls to determine how well your providers performed from the perspective of protocol compliance or customer service?
  • Do you have performance benchmarks  established, for example time to 12 lead or aspirin administration on chest pain patients?
  • Do you know the percentage of survival for cardiac arrest patients in your community?
  • Do you have a mechanism in place that allows for the self-reporting of events as they relate to medication errors, equipment malfunctions, or near misses?

If you answered yes to all of these questions, great job!   However, some of you probably said no to most.


Happy Holidays from the Center Staff!

2014 Holiday Card_sThe Center for Patient Safety wishes you and your family a safe, healthy and happy Holiday Season!


IHI Open School Collaboration on New MOOC

As part of IHI’s overall plan to engage with those who share our passion for improvement, the IHI Open School is collaborating with the University of Florida on a new massive open online course (MOOC) called “Fixing Healthcare Delivery.” The course will be offered for free by Coursera, an education platform that partners with top universities and organizations worldwide to offer online courses. Starting September 1, the eight-week online course will cover five areas critical to improving the delivery of care: systems thinking; human factors design; teamwork; leadership; and mobilization. Lead faculty for the course is Dr. Fred Southwick, Professor of Medicine and former Chief of Infectious Diseases at the University of Florida, and Harvard Business School Advanced Leadership Fellow. The course features Open School videos and content, and is relevant for providers and patients alike.  Watch a video to learn more about the free course.

FREE Webinar: MERS-CoV-Implications for infection preventionists

May 28, 2014 12pm CST Register now!

APIC  and CDC are teaming up to provide this free webinar on infection control considerations for MERS-CoV.  Dr. Michael Bell  MD, Deputy Director, CDC’s Division of Healthcare Quality Promotion, will review infection prevention and preparedness strategies to help facilities know what to look for and what to do to protect healthcare providers and patients in their facilities.

Center announces Susan M Kendig as new Board Member

The Center for Patient Safety (CPS) is pleased to announce Susan M. Kendig, JD, MSN, WHNP-BC, FAANP, President of Health Policy Advantage, LLC and Past Board Chairperson for the National Association for Nurse Practitioners in Women’s Health has joined CPS’ Board of Directors.

“Susan is an attorney and nurse practitioner with more than 30 years of experience in the health care industry,” said Becky Miller, Executive Director, CPS. “She brings extraordinary expertise in responding to a rapidly changing health care environment and we are delighted that she is joining CPS’ board of directors.”


Fall Prevention Day is September 23, 2013

Join us as we recognize Fall Prevention Awareness Day coming up on September 23rd. Check back often for further information on Fall Prevention Day activities.

The Missouri Department of Health and Senior Services has created a great Falls Day Flash Mob Video in the Jefferson City Capital Mall – take a peek!

Florida Project Endorses Four Cornerstones for Improvement

The Tampa Bay Times and Fierce Healthcare reported that Florida hospitals have moved the needle for readmissions and surgical complications. What they learned should inspire providers at all levels and points of care.

Approximately 200 hospitals spent five years in a successful statewide effort to improve care. Readmissions dropped 15 percent over two years, as 105 hospitals prevented 1,500 patients from readmitting within 15 days and reduced costs by at least $25 million. And over 15 months, surgical complications fell 14.5 percent for 67 hospitals involved in the nation’s largest statewide surgical quality collaborative, which saved 89 lives, prevented 165 complications and saved more than $6.67 million, according to a report from the Florida Hospital Association.

The statewide quality initiatives also led to a 41 percent decline in bloodstream infections over two years, with 35 hospitals saving 37 lives, preventing 302 blood stream infections and cutting costs by $15.9 million.

But the really exciting part was the four factors they identified as the foundation for this improvement-all things that participation with the Center can bring. Here is how the report summarized them…



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.