Patient Safety Primer: Teamwork Training

Providing safe health care depends on highly trained individuals with disparate roles and
responsibilities acting together in the best interests of the patient. The Agency for Healthcare
Research and Quality’s Patient Safety Network explains this topic further and provides links for
more information on what is new in teamwork training.

Clinical Emergency: Are You Ready in Any Setting?

The Pennsylvania Patient Safety Authority is charged with taking steps to reduce and eliminate
medical errors by identifying problems and recommending solutions that promote patient safety
in various health care settings. This article discusses the issues associated with the location of
clinical emergencies and strategies for facilities to achieve rapid response preparedness.


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.