Judy Baker, MHA DHHS

HHS’ new $1 Billion Patient Safety Initiative announced April 12

The news is about the medical errors in health care that are NOT occurring as a result of patient safety improvement efforts.    Efforts to reduce medical errors are to be applauded.   Read more below.

The values and principles inherent in health care, and the initiatives undertaken to improve health care are  incredibly important to saving lives and the bottom line, which currently shows medical errors costing an estimated $5 billion a year in the US.

Partnering for Patients, a new DHHS initiative, launched in April, will invest up to $1 billion into patient safety initiatives with an initial focus on two objectives:

  1. Reduce hospital acquired conditions by 40% by 2013 causing a reduction of 1.8 million fewer negative outcomes and saving sixty thousand lives.
  2. Reduce preventable complications during a patient’s transition from one care setting to another, reducing hospital re-admissions by 20% by 2013, allowing 1.6 million patients to recover without a return to the hospital.

The Missouri Center for Patient Safety (MOCPS) has signed up in support of the Partnering for Patients initiative.


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.