2014 EMS Patient Safety Conference – Registration Available!

    Posted in EMS, EMS PSO, Patient Safety Conference, Sponsor/vendor    |    Comments Off

Logo2The Center is pleased to announce the date of our upcoming annual EMS Patient Safety Conference, scheduled for November 12, 2014.  This conference is expected to be bigger and better than previous years, bringing national EMS experts together to share strategies to improve patient safety, highlight successful practices and provide broad networking opportunities to share successes and challenges. 7 CEUs available for attendees.

We invite you to register to attend or visit our conference page for more information!

Conference highlights include:

  • David Williams, Institute for Healthcare Improvement Faculty will present Plan-Do-Study-Act
  • Tom Judge, Executive Director at Lifeflight of Maine will present Safety Culture and Management of risk
  • Michael Bachman from Wake County EMS in Raleigh, NC will present the Coordination of Patient Safety in Mobile Integrated Healthcare
  • And much more!

Limited sponsor/vendor opportunities are still available – Sign up today!

Safety Watch Issued: Cricothyrotomy

    Posted in Alerts, EMS, EMS PSO    |    Comments Off

Safety WatchThis Safety Watch is to advise you that having multiple different types of cricothyrotomy kits can lead to confusion during an airway emergency.  We believe standardizing your equipment including cricothyrotomy kits within an organization or within a region would help to reduce the likelihood of an adverse event.

Cricothyrotomy also commonly called a “cric” is an emergent procedure for establishing an immediate airway.  The procedure can be performed several ways with various commercially prepared kits or with specialty prepared equipment.  The skill requires the provider to access the cricothyroid membrane to establish an airway for oxygenation and ventilation.

Possible reasons for these events:

  • Access to different types of kits can lead to confusion during an airway emergency

View the full Safety Watch to see recommendations for mitigating risk.

Protecting, Improving and Preventing Errors in EMS

    Posted in EMS, EMS PSO, Federal Protections, PSO    |    Comments Off

That was the message shared with EMS professionals at ESO Solutions WAVE 2014 Conference in Austin, Texas. EMS leaders learned about protecting an organization’s safety and quality work as well as how they can safely learn from each other to prevent future events from occurring. The presentation, PSO 101, explains the Patient Safety Quality Improvement Act (PSQIA) for EMS professionals. A Patient Safety Organization (PSO) is a new concept for many in EMS.  If you would like more information or to schedule a presentation, please visit www.emspso.org, contact the Center for Patient Safety at info@mocps.org, or call 1.888.935.8272.

The CPS and TJC Agree – Safety is the Key to Learning

    Posted in Patient Safety    |    Comments Off

The Joint Commission is enhancing its focus on patient safety in hospitals, as evidenced by their October 20, 2014 announcement of a “first time event” – publishing a standards chapter on-line to ease access to key patient safety standards spread throughout their accreditation standards. Ana Pujols McKee, M.D., executive vice president and chief medical officer of the TJC states, “A solid foundation for patient safety is a safety culture. For leaders, our hope is they will study this chapter and use it as a tool to build or improve their safety culture program. Developing a culture of safety starts at the top of the chain of command, and then works its way through the layers of management and employees to build trust which is an essential ingredient for improvement. In order for improvement to take root and spread, leaders need to be engaged and know the current state of the culture in their organization.” The chapter is oriented toward leaders to establish a safety culture that leads to learning from patient safety events. Go to the Center’s website to learn more about the Center’s safety culture assessment and training services.

Center releases Fall 2014 EMS PSO Newsletter

    Posted in Culture of Safety, EMS, EMS PSO, Events, Patient Safety Culture, PSES, PSO, PSO case law, PSWP, Sponsor/vendor    |    Comments Off

Fall EMS 2014The latest newsletter from the Center for Patient Safety has been released. The Fall 2014 EMS PSONews contains information on the recently released PSO Safety Alert and EMS Safety Watch, articles on the legal environment to help maximize federal protections from the PSO, patient safety culture topics, and much more!  Download the newsletter or view on Issuu.

A Message from the AHA – Patient Safety Begins with YOU.

    Posted in CDC, Infection Control, Infection Prevention, Patient Safety    |    Comments Off

All of us have the power to think and act in ways that keep patients safe. That means that everyone must use every tool at our disposal to avoid infection. That includes following CDC recommendations to get an annual flu vaccine. Our responsibility for patient safety means that we all must employ appropriate infection control procedures, not just when an infectious disease such as Ebola is in the headlines, but every single day. It means that hospital leaders must be vigilant in keeping clinical and nonclinical staff updated on policies, procedures and protocols relating to infectious diseases. And it means putting all of this into practice through training and exercises. Please check the AHA website for updated Ebola preparedness resources.


ISMP LTC AdviseERR Addresses Distractions and Interruptions

    Posted in LTC, Patient Safety    |    Comments Off

CPS has given the ISMP’s LTC AdviseERR shout outs in the past.  We also talk a lot about distractions and interruptions as one of the most widespread causes of mistakes.  ISMP takes on the distraction issue in its latest issue of its long-term care medication safety newsletter, available here.  This issue speaks to the scope of the problem and has some great suggestions for controlling it.  Subscribe to the newsletter.

2015 Changes in Nursing Home Oversight and Consumer Reporting

    Posted in CMS, Patient Safety    |    Comments Off

Beginning in 2015, CMS will implement the following improvements to the Nursing Home Five-Star Quality Rating System:

• Beginning in January, focused survey inspections for a sample of nursing homes improve verification of staffing and quality measure information that is part of the Five-Star Quality Rating System.

• Implementing a quarterly electronic reporting system to audit payrolls to verify staffing information to improve accuracy and timeliness of data, and allow for the calculation of quality measures for staff turnover, retention, types of staffing, and staffing levels.

• Increasing the number and type of quality measures used in the Five-Star Quality Rating System.

• Strengthening requirements for states to maintain user-friendly websites and complete inspections of nursing homes in a timely and accurate manner.

• Improving the scoring methodology for calculation of facility quality measure ratings that are used for the Five-Star rating.

TeamSTEPPS Training Courses Posted, TeamSTEPPS in Primary Care

    Posted in Patient Safety, TeamSTEPPS    |    Comments Off

The Center gets many questions about TeamSTEPPS training.  Nationally, Master Training Course information for 2015 is now available!  Registration for TeamSTEPPS Master Training Course for Primary Care, adapting the core concepts of TeamSTEPPS for primary care office-based teams, is available at https://www.onlineregistrationcenter.com/primary-care.  Additionally, general Master Training Course registration for classes January through May is expected to be available in early November at http://www.teamsteppsportal.org/.

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