Notice of 2008 Proposed Rulemaking

This document proposes regulations to implement certain aspects of the Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act).

Patient Safety Rule

The Patient Safety and Quality Improvement Rule (Patient Safety Rule) contains two parts. The first part (73 FR 70732-70796s proposed approach in the NPRMs final decision, and how the Department responded to those comments.

Patient Safety Quality Improvement Act

On July 29, 2005, the President signed the Patient Safety and Quality Improvement of Act (Patient Safety Act) into law. The goal of the Act was to improve patient safety by encouraging voluntary and confidential reporting of health care events that adversely affect patients

EMS: PS-10

This 2016 report from the Center for Patient Safety highlights the ten topics that will move patient safety forward in EMS.

AHRQ SOPS Information

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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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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.