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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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