Improving Your Office Testing Process: A Toolkit for Rapid-Cycle Patient Safety and Quality Improvement

This toolkit provides information and resources to help physicians’ offices, clinics, and other
ambulatory care facilities assess and improve the testing process in their offices.

Group Primary Care Visits Improve Outcomes for Patients With Chronic Conditions

This featured profile is available on the Agency for Healthcare Research and Quality’s Health
Care Innovations Exchange Web site. An independent practice association in Northern California
offers 60- to 90-minute group appointments for patients with chronic conditions such as diabetes,
hypertension, and chronic obstructive pulmonary disease, as well as menopause, prenatal care,
and pre-colonoscopy. These group appointments can enhance physician productivity, as they
allow physicians to provide followup care and counseling to a greater number of patients (up to
15 patients are seen in an hour during the group visit, compared to 4 patients who can be seen
each hour via regular appointments). A study conducted by the independent practice association
found that diabetes patients receiving group care had better outcomes than those receiving usual
care, including being more likely to meet


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.