Agency for Healthcare Research and Quality Reports
AHRQ Issues Healthcare Associated Infections Research Protocol
CDC Reports on Sepsis Hospitalizations and Cost – This report from the Centers for Disease Control and Prevention reveals sepsis and related hospitalizations more than doubled between 2000 and 2008, costing $14.6 billion in 2008.
Commonwealth Reports On Hospitals Reporting No CLABSIs in ICUs – This new report from the Commonwealth Fund offers lessons from hospitals that have not experienced any central line associated blood stream infections in their ICUs in 2009.
Crossing the Quality Chasm: A New Health System for the 21st Century – an urgent call for change to close the quality gap, recommending redesign of the American health care system
Governmental Accounting office (GAO) Patient Safety Reports
HCProInc: The Drive to Safety: HealthLeaders Intelligence Report – Results of this study reveals improving patient safety is a driving force in health care; ongoing challenges are communication and leadership structures to support safety.
Health Research & Educational Trust
Institute of Medicine – Quality and Safety Reports
Institute for Safe Medication Practices – QuarterlyWatch
IOM – To Err is Human: Building A Safer Health System – Landmark report laying out a comprehensive strategy to reduce preventable medical errors
Joint Commission Safety Reports
Kaiser Foundation – Report on Patient Satisfaction by State
Massachusetts Office of Health and Human Services
Minnesota Department of Health
Missouri Commission on Patient Safety
New York State Department of Health
Oregon Patient Safety Report Reveals Limited Improvement, Culture Change Needed – The report from the Oregon Patient Safety Commission reports findings from voluntary reports from 56 of the state’s 58 hospitals.
Patient Safety Classics – Resource from the Agency for Healthcare Research and Quality
Pennsylvania Patient Safety Authority Reports
Safe Practices for Better Healthcare
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
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
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
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.