Suffering from alarm fatigue?

The American Association of Critical-Care Nurses has published seven expected practices to manage the ever-growing number of patient alarms.   “Since 1983, the average number of alarms in an ICU has increased from six to 40, despite the fact that humans have difficulty learning more than six different alarm sounds.”   The vision of the Center for Patient Safety is to provide a health care environment safe for all patients and healthcare providers, in all processes, all the time.   Make sure your patients are safe by helping nursing staff manage the numerous alarms.   Read the full article.

National Time Out Day

National Time Out Day raises awareness of the need to conduct a time out for every  patient, every time.   National Time Out Day began in 2004 as an awareness campaign by the Association of periOperative Registered Nurses (AORN) and is supported by The Joint Commission, the World Health Organization (WHO), and the Council on Surgical and Perioperative Safety (CSPS) for its ability to increase awareness of safe practices for patients undergoing surgical procedures.   This year, the AORN encourages evaluation of your time out procedure and how it fits into your broader patient safety efforts.   Missouri Center for Patient Safety recognizes  time outs  as a best practice  for reducing  surgical errors.

Discovery Channel: Patient safety documentary available online

The Discovery Channel premiered Surfing the Healthcare Tsunami: Bring Your Best Board, the second in a series of patient-safety documentaries developed by the Texas Medical Institute of Technology’s (TMIT) Safety Leaders program. If you missed in when it aired last Saturday, you can watch it online now, or check out the preview:

HHS Partnering to Heal Video

Partnering to Heal is a computer-based, video-simulation training program on infection control practices for clinicians, health professional students, and patient advocates.

The training highlights effective communication about infection control practices and ideas for creating a “culture of safety” in healthcare institutions to keep patients from getting sicker. Users assume the identity of   five main characters and make decisions about preventing healthcare-associated infections (HAIs).

This resource is also located on our Toolkits page under Healthcare-Aquired Infections.

Free Health Literacy Missouri Webinars in March!

Health Literacy Missouri is offering its two most popular trainings free to Missouri-based non-profits in a special March webinar series, March 13 and March 27, 1 p.m. to 2:30 p.m. CST.

March 13 — Clear: Understanding

Do you ever have to communicate important health information? Our trainers empower you with cutting-edge, proven strategies to talk with your clients so they have the information they need to make good health decisions. You’ll leave this webinar understanding why health literacy is important to you, and how you can use a few simple tools to improve your clients’ lives.   Register here


March 27 — Clear: Materials

Health materials are hard to write – and read. Though one in five American adults reads at a 5th grade level or below, most health information is written at the 12th grade level and above. Our trainers, among the best plain language experts in the country, will show you reliable strategies to improve your forms, marketing pieces and patient information documents.   Register here



ASHRM Webinar – Have a Heart: Caring for our Own

Tuesday, February 14, 2012, 1 – 2 p.m.   CT Will provide insights into the second victim experience, interventions for supporting colleagues in distress and lessons learned from the University of Missouri.

With Guest Speaker, Susan Scott, RN, MSN

When a patient suffers from an unexpected clinical event, healthcare clinicians often become the “second victim,” feel as though they have failed the patient and frequently second guessing their clinical skills, knowledge base and career choice.

Understanding the second victim experience and recognizing that supportive interventions can promote a healthy recovery during this vulnerable period is critical.

Guest Speaker, Susan Scott, serves as Patient Safety Officer for University of Missouri Health Care. With more than 30 years of nursing experience, Scott’s Patient Safety research include understanding the second victim phenomenon to help interdisciplinary professionals in the aftermath of unanticipated clinical outcomes.

Register Now!


What new technologies should you be watching this year?

See ECRI Institute’s 2012 C-Suite Watch List for our Top Picks.Description: Description:

CT radiation reduction technologies, proton beam therapy, heart valve implants, personalized cancer vaccines, cardiac developments, and much more made ECRI Institute’sTop 10 C-Suite Watch List: Hospital Technology Issues for 2012.

“The price tag for these technologies is going up…and hospitals need to be very selective about where they spend their money,” advised Robert Bense, ECRI Institute Clinical Manager.

Download the free 32-page report

HLM offers free health literacy trainings

Health Literacy Missouri’s  Clear Health Communication Training Series helps you find solutions for your organization’s health literacy challenges. As a non-profit organization helping people across the state, they understand the unique issues Missourians face. They have the resources, knowledge and expertise to prepare you to address health literacy issues head on.   For a limited time, they are offering trainings and workshops at no cost to community organizations across Missouri. To see if your group is eligible, please visit their website or call 314.361.9400.

Register Now for Webinar on Venous Thromboembolism on October 5

HHS’ Partnership for Patients has teamed up with the National Quality Forum to launch a series of free patient safety Webinars, the eighth of which focuses on avoiding venous thromboembolism and catheter associated urinary tract infections, is scheduled for October 5. Featured speakers include Bill Geerts, M.D., Former Chair, American College of Chest Physicians Guidelines on Prevention of Venous Thromboembolism and Sanjay Saint, M.D.,Director, Veteran’s Affairs/University of Michigan Patient Safety Enhancement Program. The session will discuss the Partnership for Patients goal for hospitals to reduce 50% of preventable VTEs by 2013. Select to register for the October 5, 1:00 – 2:30 p.m., EDT, Webinar.


Sorrel King, author of Josie's Story, coming to St. Louis, Tuesday, Oct. 4, 7 pm

Sorrel King, esteemed patient safety advocate and author of Josie’s Story, is coming to St. Louis!   She will be reading from Josie’s Story and signing copies of the book at a public event on Tuesday, October 4 at 7 pm.

Public Reading and Book Signing:
Left Bank Books
399 N. Euclid Avenue
St. Louis, MO   63108
Tuesday, October 4, 7 pm


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.