Patient Safety: A Practical Approach from CPS Experts

The Center for Patient Safety works with providers across the care continuum to implement practical and creative solutions to improve patient safety. Join us as we share our expertise on topics like the patient safety culture assessment, culture strategies, improvement best practices, PSOs, and more. We’ll share tips and science to give you a boost in your improvement efforts.

To register, Click Here.

Leadership, Louder than Words: C-Suite Ambassadors of Patient Safety

Committed c-suite leadership to inspire a shared vision is the most critical element in a successful patient safety program. This non-delegable responsibility sets the example by supporting an open and transparent environment, fostering a patient safety culture among all caregivers.

Learn how senior leaders use these steps to provide and support a safer care venue for all patients:

  • Assessing the Culture
  • Integrating patient safety into your strategic plan
  • Supporting your patient safety plan
  • Improving your care processes
  • Sustaining the gains with redesign and high reliability

Thursday, February 16 from 12-1 pm (Central)

To Register, Click Here.

Survey on Patient Safety – Hospitals Webinar

Culture impacts everything we do.  And it’s no different in health care organizations.  The strongest cultures support employee engagement, promote open communication and the sharing of mistakes to foster improvement.

Learn about how the Center’s survey administrative survey can save you time and money and why measuring your culture is so important to improve patient safety.

January 19th, 2017  Registration URL:

The Center for Patient Safety is hosting a webinar to share information and answer questions on how taking the Survey on Patient Safety can help you improve patient safety:

Benefits of CPS Safety Culture Survey Services:

  • Deepest feedback reports in the industry!
  • Comprehensive reports at the organization and department-level!

SAVE TIME & MONEY! Save 30+ hours of administrative time.  You’ll need about 2 hours for the entire process and we’ll take care of the rest!

  • ACCESSIBLE – online, anonymous survey with access via computer, smart-phone, tablet, etc
  • DATA ANALYSIS – data is analyzed for you
  • SUPPORT – we’ll talk with you about your results and guide you to your next steps

EMS Just Culture Training

The EMS Jucode-3-jc-classst Culture training courses are structured toward the providers of emergency medical services and focus on the challenges of the pre-hospital environment. Attendees learn the five skills of Just Culture, the unique differences between Human Error, At Risk Behavior and Reckless Behavior, and the duties owed by each of us to one another. Creating an open and learning culture applies to risk mitigation and error prevention. This course is a must have for those interested in creating a safer environment for our patients, our staff and the citizens in the communities we serve.

Ameristar Casino Resort Spa
One Ameristar Blvd.
St. Charles, MO 63301

For registration information visit –

CODE3 Conference

code3The CODE3 Conference will help you learn the newest developments and research concerning out-of-hospital medicine delivered in a rapid-fire, 20 minute presentation format.
If you are an out-of-hospital provider, regardless of licensure level, you should not miss this conference. It will introduce you to the latest advances in out-of-hospital medicine providing approximately 14 hours of continuing education credits provided in conjunction with our partners at Air Evac Lifeteam. You can obtain a broad award of credits in the following categories: operations, cardiovascular, stroke, trauma, critical care, and pediatrics.

Local and nationally known speakers have volunteered to come and introduce attendees to the evolving science of Emergency Medical Services.

The CODE3 Conference will be held October 13-14, 2016 at the Ameristar Casino Resort Spa.  Lunch is included in the cost of registration for the main conference. Parking is free.

Who Should Attend & Why?

If you are an EMT, a paramedic, or a nurse who is interested in the latest updates in out-of-hospital medicine, then this is the conference that you should attend!

The CODE3 Conference provides the greatest amount of information in the most efficient period of time. The newest developments and research in out of hospital medicine will be presented in a rapid-fire, 20 minute presentation format. This gives attendees what they need to know without bogging them down in scientific details.

We know that there are plenty of conferences out there that are simple refresher courses. This is not going to be that kind of conference. You won’t be able to get this information by re-reading your old textbook at home. Local and nationally known speakers have volunteered to come and introduce attendees to the evolving science of Emergency Medical Services in an engaging format.

Fear of Punitive Response to Hospital Errors

Hospitals are developing a culture of safety in which open discussion and reporting about adverse events, mistakes, disruptive behavior and unsafe conditions is applauded rather than punished. However, a February Agency for Healthcare Research and Quality survey showed that healthcare professionals working in hospitals believe hospitals are still more interested in a punitive system and enforcing hierarchy rather than creating a culture of safety and open communication. About 54 percent said that when adverse events are reported, “it feels like the person is being written up, not the problem,” and nearly 67 percent said they are concerned that mistakes are being held in their personnel files. Less than 50 percent believe they are free to question decisions or actions of superiors. The survey also indicates that 20 percent of hospitals have improved in terms of non-punitive response to errors, while 16 percent have worsened.

From  Fear of Punitive Response to Hospital Errors Lingers
American Medical News (02/20/12) O’Reilly, Kevin B.

Hospitals face fines for overdose, leaving sponge in patient

L.A. NOW – Southern California

The California Department of Public Health issued $850,000 in fines against 14 hospitals for medical errors that caused – or were likely to cause – serious injury or death to patients, officials announced Thursday.

Three of the hospitals – Henry Mayo Newhall Memorial Hospital, Los Angeles County-USC Medical Center and Torrance Memorial Medical Center – were in Los Angeles County.


MOCPS Hosts Table at Health Literacy Missouri – Sorrel King reinforces our mission

The MOCPS was pleased to host a table at the October 5th Health Literacy Missouri awards luncheon.   Keynote, Sorrel King, is always a pleasure to hear, although the story of her 18 month old daughter, Josie’s, death from failures in the health care system is heart wrenching.   (more…)

5 Current Trends in Patient Safety (from ASC Review)

Article from GE Healthcare Performance Solutions on current safety trends worth reading:   PSOs, Just Culture, review of policies and procedures, use of simulation, and reduction of variance.   PSOs is listed as the #1 trend, identified as the only way health care providers can share stories and learning without fear of litigation “because big improvements in safety are about learning.”

Read more

Patients and Caregivers are Victims of Medical Error

Kimberly Hiatt, a nurse involved in a medical error that resulted in the death of an 8 month old, committed suicide.   This important story highlights the many victims of medical error, the importance of a just culture, and the need for resources to help the second victim.

Read more.


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

Read More


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.