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September 2020

Second Victim Experience

September 10 @ 8:30 am - 3:00 pm
Mid-America Transplant, 1110 Highlands Plaza Dr E #100,
St. Louis, MO 63110 United States
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Dr. Susan Scott, Co-developer Second Victim Program Led by progam co-developer, Dr. Susan Scott, this full day session provides insights into the experiences as well as interventions of support, and it provides instruction for each participant to return to their organization with the knowledge, skills, and techniques necessary to support and train their peers. CPS supports the Second Victim Program as another component on the path to culture improvement. While we often focus on the impact on family members of…

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October 2020

Second Victim Program- The Road to High Reliability Webinar Series

October 21 @ 1:00 pm - 2:00 pm

Health care workers involved in an unanticipated patient event, a medical error, or a patient-related injury can become traumatized by the incident. Frequently these individuals feel personally responsible for the outcome experienced by the patient. In some cases, clinicians feel that they have failed the patient. They also second guess their clinical skills and knowledge base, wondering if they should even work in health care. Dr. Susan Scott provides an overview of how you can develop and implement a peer-to-peer…

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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.