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.”

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MOCPS Participating in Missouri EMS Conference and Expo!

The EMS PSO Project continues to expand! MOCPS is co-presenting a session at the Missouri EMS Conference and Expo on July 28th in Branson, Missouri, with Jason White of the Missouri Ambulance Association.   This presentation will focus on the history of the Missouri EMS PSO Project, where we are today, and where we hope to see it five years from now!

National PSO Program – Focus of AHRQ Podcast


Hear Dr. Bill Munier, Director of the Center for QI and Patient Safety at AHRQ, discussing the national PSO program, and its importance to improving safe care.

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.

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The National Quality Forum Releases 2011 Serious Reportable Event (SRE) Update

The NQF has released “Serious Reportable Events in Healthcare – 2011 Update: A Consensus Report”, including updates to 25 SREs, and adding four new SREs.

New SREs are events resulting in death or serious injury related to the loss of biological specimens, failure to communicate test results, neonates associated with labor or delivery in a low risk pregnancy, and metallic objects in MRI areas. Updates also address SREs in settings other than hospitals, including outpatient/office-based surgery centers, skilled facilities and office-based practices.

13 Missouri Hospitals Join Initiative to Improve Communication and Teamwork

As part of MOCPS’ People, Priorities & Learning Together initiative, 13 Missouri hospitals have joined CUSP Teamwork & Communication Tools, launched this month, to increase patient safety at the bedside by improving communication and hand-offs at the bedside!

This 6-month module builds upon The Basics of CUSP, our first module offered last fall to teach units how to implement the Comprehensive Unit-based Safety Program (CUSP). (more…)

Missouri Center for Patient Safety Announces New Website

Patient safety web site delivers a new level of communication, awareness and learning for MOCPS participants and the public.

Jefferson City, MO (PRWEB) June 09, 2011

The Missouri Center for Patient Safety (MOCPS) has introduced a new web site at https://www.centerforpatientsafety.org for use by health care providers and the general public to enable a greater focus on important patient safety related issues and services.

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Baker Covers HHS' new $1B Patient Safety Initiative

Back in April, HHS announced its new $1 billion Patient Safety Initiative to reduce preventable injuries that occur in hospitals.   At the same time the Center was celebrating Missouri’s Patient Safety Awareness Month.   Joining us in that effort was HHS Regional Director, Judy Baker (Region 7), along with four other experts, who participated in our April 20 Patient Safety tele-forum to address a number of Patient Safety issues including HHS’ new initiative funded by resources from the 2008 Patient Protection and Affordable Care Act. Listen to Judy now!

5 Years of Progress – 2010 – JUST RELEASED!

Pride in our work! We think it really shows in our recently published report: 5 Years of Progress-2010.

Safety improvement involves everyone who drives the delivery of health care, and many have established important partnerships with the Center.   Together, in just five years, we established the Center as a leader in PSO services, working with more than 180 providers to report medical mistakes, efficiently learn valuable information from those mistakes, and take actions aimed at prevention. (more…)

Hedrick Medical Center Celebrates Patient Safety Awareness Month

Chillicothe, Mo. – The Missouri Center for Patient Safety is sponsoring April as Patient Safety Awareness Month in Missouri. As an organization engaged in statewide initiatives with the MOCPS, Hedrick Medical Center wants Missourians to know about its continuing efforts to improve the safety of health care.
HMC Celebrates Patient Safety Awareness Month


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.