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Reporting, Investigating and Just Culture- The Road to High Reliability Webinar Series

March 18 @ 1:00 pm - 2:00 pm

“They did what?” Is that your response when a clinical error occurs?  Learn how to stop blaming and shaming people and instead create an organizational culture that learns from its mistakes. Shape your culture to create trust and shared accountability so staff will self-report mistakes. Learn how the right response to human errors and risky behaviors can improve processes, so mistakes don’t repeat themselves. Kathy Wire will provide an overview of the importance of reporting and investigating and just culture; followed by Mark Alexander, who will offer first-hand experience of implementing culture change at an EMS organization.

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Details

Date:
March 18
Time:
1:00 pm - 2:00 pm

Organizer

Center for Patient Safety
Email:
aterrell@centerforpatientsafety.org

BLOG:

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

CPS Safety Alert/Watch – Culture can Improve the Control of Multi-Drug Resistant Organisms:

ISSUE:A number of events reported to CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status.Examples include:~Patient with s

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RESOURCES:

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.