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.   These lessons include following evidenced based protocols, importance of a dedicated team overseeing central line insertions, value of participation in national and statewide collaborative, and the need for continued monitoring of infection rates and maintaining communication with staff about rates and goal achievement.

MOCPS Co-Hosts CUSP/Stop CLABSI Mid-Course Meeting in Topeka, Kansas

The Kansas Healthcare Collaborative, along with the Missouri Center for Patient Safety, co-hosted the Cohort 5 & 6 CUSP/Stop CLABSI Mid-Course meetings in Topeka, Kansas this week!   Over 30 teams from Kansas and Missouri were in attendance and participated in group work on overcoming project barriers and walked through the process of learning from a defect.

Several Missouri teams were recognized for completing 6 or more consecutive months without a CLABSI in 2011, and teams from Cohort 2 in the Greater Kansas City area were recognized for completing the two year project.   Congratulations to all the Missouri teams!

The Center's Patient Safety Tele-Forum with Host, Nick Haines from KCPT-TV

Nick Haines

The below Tele-Forum segments, hosted by KCPT’s Nick Haines, include patient safety experts, Judy Baker, Dr. Sean Berenholz, David Marx, Becky Miller and Diane Cousins, whose brief and information-packed discussions trigger a wide variety of potential news stories.

A consistent and key goal for the Center is patient safety awareness within the health care industry, for the media and the general public.   We intensify our awareness and educational efforts each year in the month of April to further increase the use of patient safety language and cultural practices professionally and publicly.

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More on MO hospitals participating in CUSP/Stop BSI Collaborative

An estimated 250,000 central line-associated blood stream infections (CLABSIs) occur in hospitals each year, and as many as 62,000 patients who get these infections die as a result. (more…)

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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.