AHRQ Offering Free TeamSTEPPS Master Trainer Courses

Free TeamSTEPPS master trainer courses will be offered at six regional training centers throughout the country starting this month – Roslyn Harbor, NY; Durham, NC; New Orleans, LA; Minneapolis, MN;   Denver, CO; Seattle, WA. Many standard trainings are offered as well as four advanced, special topic trainings on simulation, inter-professional education, and teaching TeamSTEPPS to patients and families. These advanced trainings are designed for individuals who already have a strong background in TeamSTEPPS and an interest in the special topic. All materials, training, and enrollment in the online user support network is free!


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.