Safety Watch – Expressed Breast Milk

Medication Reconciliation to Prevent Adverse Drug Events

Medication Safety Program

Medication Errors Related to Drugs

This link access the latest information from the Federal Drug Adminstration, Division of Medication Error Prevention and Analysis (DMEPA), including communications for drug products associated with medication errors.

Medication Errors: Don’t let them happen to you

This article from American Nurse Today provides information on the ten key elements of medication use issued by the Institute for Medication Practices (ISMP).

Medication Errors

Download this medication error primer from the Agency for Healthcare Research and Quality.


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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