Home Care Safety and Retention Series

Tina Hilmas, RN, BSN, MS, CPPS, Assistant Director, Center for Patient Safety, presented the first webinar in the Home Care Safety and Retention Series for ElevatingHome on Monday November, 12, 2018. In this first session, The Link Between Staff Retention and Culture, Tina presented statistics and projected data for home care personnel, described perceived versus stated reasons for turnover and its effect on quality of care, provided case examples of why culture is important, and presented how to evaluate your organization’s culture.

Using Just Culture To Improve Hospital Survey on Patient Safety Culture Results

On November 9, 2016, the Agency for Healthcare Research and Quality (AHRQ) hosted a webcast featuring Just Culture initiatives that helped improve scores on the Hospital Survey on Patient Safety Culture, particularly the Nonpunitive Response to Error composite. Topics discussed during the webcast included strategies used to implement Just Culture in a health care system and how these led to improved results on the survey

 

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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.