Looking for a great gift idea that keeps giving?

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Your tax-deductable donation to the Center for Patient Safety supports ongoing patient safety education and resources to thousands of healthcare providers across the country. Make a donation and support safer care today!

The Center for Patient Safety values partnerships with organizations and individuals who want to support improvement in healthcare quality and patient safety. Because the Center is a not-for-profit organization, donations are tax-deductible.

There are three ways to join the effort to spread safety culture throughout the healthcare community: individual donation, organizational sponsorship levels, and/or supporters can sponsor an event or initiative.

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Insulin Pens: Are your patients safe?

    Posted in Improvement Methods, Patient Safety    |    Comments Off

A success story from CoxHealth, Springfield, Missouri

Insulin pens were designed for convenience to permit a single person to administer multiple self-injections, using a new needle each time. Many hospitals began using the pens because of their convenience and accuracy. However, reports from several hospitals indicated that the pens were being reused, placing thousands of patients at risk. An alert from the Center for Disease Control in 2009 warned that the pens should be used on a single patient only and are not to be shared between patients. Despite this alert, inappropriate use in hospitals continues, indicating that some healthcare personnel do not adhere to safe practices and may be unaware of the risks to patients.
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Wipe Out CAUTI!

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A success story from Golden Valley Memorial Hospital, Clinton, Missouri

Indwelling urinary catheters lead to both infectious and non-infectious complications. Despite these potential harms, various studies have reported that initial catheterization was inappropriate 21% to 50% of the time and that continued catheter use was inappropriate almost half of the days that patients are catheterized.

Four years ago Golden Valley Memorial Hospital (GVMH) took on elimination of catheter-associated urinary tract infections (CAUTI) as their rate was as high as 4.9/1000 catheter days with a catheter prevalence rate that averaged between 25-30% organization-wide and up to 39% in the ICU. While their initial CAUTI improvement team made some progress, they were unable to achieve their goal of zero infections. Determined to be successful as a member of the HRET-Hospital Engagement Network (HEN), GVMH realigned their team and joined the CUSP initiative to eliminate CAUTI’s lead by the Center for Patient Safety.

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Happy Holidays from the Center Staff!

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2014 Holiday Card_sThe Center for Patient Safety wishes you and your family a safe, healthy and happy Holiday Season!


CPS Releases PSONews: Winter Edition

    Posted in Patient Safety Conference, PSO    |    Comments Off

The latest newsletter from the Center for Patient Safety PSO contains the latest highlights on Safety Alerts, Success Stories from real hospitals, information on Patient Safety Awareness Week 2015, and much more!

PSONewsWinter2014PSO Alert: Morphine v Midazolam.1
Safety Watch: Emergent Situations.2
Joint Commission Alert.3
Health IT Safety Webinar.3
Insulin Pens.4
EMS Corner.5
LTC Corner.5
Patient Safety Awareness Week.8-9
PSO Data Update.10-11

Read this newsletter or download any of our archived newsletters.

About Patient Safety Organizations (PSOs): Did You Know?

    Posted in Patient Safety, PSES, PSO, PSO case law, PSQIA, PSWP    |    Comments Off

Now that Patient Safety Organizations (PSOs) have been in existence for more than five years, the federal Patient Safety and Quality Improvement Act (PSQIA) is better understood, and knowledge about the Act has increased. Still, there are a number of questions we commonly receive at the Center for Patient Safety.  Here are the top 10 questions, answered by the Center’s Patient Safety Specialist, Eunice Halverson at ehalverson@mocps.org:

Why should a health care provider join a PSO?
PSOs are independent, external experts who can collect, analyze and aggregate patient safety work product to develop insights into the underlying causes of patient safety events. Communications with PSOs are protected to allay fears of increased liability or fear of sanctions. With this federal protection, healthcare providers can share information with other participants, via the PSO, and learn from each other to ultimately improve patient care. More information is available from the AHRQ on working with a PSO.

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Taking the Bite Out of Flu for LTC

    Posted in Patient Safety    |    Comments Off

Flu is upon us early, and even though the vaccine is not completely effective, fifty percent protection beats none. Not only can the flu vaccine protect residents, but it can also reduce the disruption from staff sick days.  Long Term Living magazine talks about how unfortunately, long-term care staff are far less likely to be vaccinated than staff in other healthcare situations.
The CDC has developed a toolkit specifically for LTC employers to help encourage the vaccination of their workforce.  It is available on the CDC website.

AHRQ Medical Office Survey on Patient Safety Culture – Success Stories

    Posted in AHRQ, Patient Safety Culture, Patient Safety Survey    |    Comments Off

To prevent adverse events from occurring, the Agency for Healthcare Research and Quality (AHRQ) recommends you measure your patient safety culture.  AHRQ’s patient safety culture surveys provide feedback on your organization’s communication, teamwork, patient safety, leadership, and staff engagement.  The results can be used to measure your current culture and provide insight into the most effective methods to improve the patient safety culture at your healthcare organization.  The survey is available for medical offices, LTC, hospitals, and pharmacies.

AHRQ recently hosted a webinar, discussing the results of the 2014 Medical Office User Comparative Database Report.  On the webinar, survey users also shared how they have successfully applied the survey results to improve patient safety culture at their medical offices.  View the recording.

For more information about the Medical Office Survey on Patient Safety Culture, visit AHRQ or learn more about the Center for Patient Safety’s survey services.

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