Opportunity for Long Term Care Facilities!

    Posted in LTC, Patient Safety    |    Comments Off

National Collaborative to Reduce Infections, Focus on CAUTI!

The Center for Patient Safety and Missouri Hospital Association are partnering to bring national faculty and resources to Missouri nursing homes to work collaboratively on reducing infections with a focus on eliminating CAUTI!  Sign-up for this opportunity TODAY!! There is no cost for participating in this collaborative!

Read additional information about the project, including an overview of the project, team leaders responsibilities.

If you are interested in signing up to participate, complete the AHRQ Safety Program for Long-Term Care: CAUTI Online Registration Form.

If you have any questions, please contact Kathy Wire at the Center for Patient Safety at kwire@mocps.org or Jessica Rowden at the Missouri Hospital Association at jrowden@mail.mhanet.com.

EMS PSO Data Entry Webinar a Success

    Posted in Patient Safety    |    Comments Off

The Center recently hosted an EMS data entry webinar to assist new participants in entering events.  Established and new participants were able to use this webinar  to focus on how to use special features of the Verge platform, as well as how to enter events into ShareSuite.  We hope it gave insight on how to enter some of the events that new participants might need help with.  Alex Christgen describes the Verge platform as “a robust tool that offers many opportunities above and beyond adverse reporting”.   One of the many features is that ShareSuite participants can run reports and start to understand trends or explore areas for quality improvement.  Recent updates on the reporting fields have shortened the time necessary to enter an event.

Did you know the Center supports reporting on the following?

  • Medication Errors
  • Airway Management issues
  • Equipment/Device/Supply issues
  • Ambulance Crash
  • Other Miscellaneous Events
  • STEMI/Stroke Quality Indicators

Center releases Summer edition of PSO Newsletter

    Posted in EMS PSO, Patient Safety    |    Comments Off

The latest PSONews-Summer Edition includes:

  • PSO data summary
  • EMS PSO & LTC PSO Updates
  • Legal Environment Updates
  • Good Catch
  • And much more!

AHRQ webinar to present Medical Office Survey Highlights

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

The 2014 Medical Office User Comparative Database Report, released earlier this year, will be summarized by the Agency for Healthcare Research and Quality (AHRQ) via webinar on Tuesday, September 16, from 1-2pm EDT. Survey administration experiences and implemented improvement initiatives will be provided from the perspective of a system with more than 200 medical offices as well as a a federally qualified rural health center clinic. Register for this webinar.

The Center for Patient Safety (CPS) fully supports this diagnostic tool to measure your patient safety culture. If you are interested in administering the survey in your medical offices, let CPS provide you with an estimate., or learn more about CPS survey administration.

Read More

EMS Telemedicine is coming, are you interested?

    Posted in EMS, Patient Safety    |    Comments Off

Telemedicine is not new, in fact many hospitals have been using it for years to monitor or support other health facilities.  With the introduction of new technology as well as the mobility to support it, EMS Telemedicine is starting to grow.  Read more about the Alleghany pilot program.

Mixed results from Kentucky Supreme Court

    Posted in PSES, PSO, PSO case law, PSWP    |    Comments Off

The Kentucky Supreme Court has issued its anxiously awaited opinion in Tibbs, et al. v. Bunnell (2012-SC-000603-MR). The opinion is available online here. Earlier in the case, the Kentucky Court of Appeals ruled that only work reflecting “self-examining analysis,” could be protected PSWP, eliminating data or reports used as part of that analysis from protection. The hospital appealed, with support from the national PSO community. The Kentucky Supreme Court rejected that restriction based on the language of the law and final rule.  It went on to examine the definition of PSWP as applied to the information sought by the plaintiff, which included incident reports. Read More

Falls Prevention Awareness Day is Sept 23, 2014

    Posted in Falls, Patient Safety, Resident Safety, Toolkit    |    Comments Off

From the Center for Healthy Aging, National Council on Aging (NCOA):

Strong Today, Falls Free® Tomorrow

Falls Free Coalition Logo

Date: September 23, 2014

The 7th annual Falls Prevention Awareness Day will be observed on September 23, 2014—the first day of fall. This year’s theme, Strong Today, Falls Free® Tomorrow, seeks to raise awareness about how to prevent fall-related injuries among older adults.

The Falls Free® Initiative is a national effort led by NCOA to address the growing public health issue of falls and fall-related injuries and deaths in older adults.

Norway uses smaller ambulances with big focus on safety

    Posted in EMS, EMS PSO, Patient Safety    |    Comments Off

ambulance design3Ever wondered what an ambulance from another country might look like?  Ronald Rolfsen from Oslo University Hospital recently spoke about Ambulance Safety and Design at the Kansas EMS Conference.  In Norway, there is a tradition to use smaller ambulances compared to USA. The ambulances are designed with a focus on automobile safety, occupant safety, ergonomics, and user friendliness. At the head of the stretcher is a seat where the airway of the patient would be managed. If you look closely you will see that equipment and necessary tools are within reach. Rolfsen says it’s important to set design standards so crews can take care of the patient and remain secure with seat-belts. The pictures are from Oslo ambulance services new intensive care ambulance.  Thank you for the great presentation at KEMSA, Ronald Rolfsen!

Click “Read More” to see interior photos of a Norway ambulance. Read More

PSOs Are Watching New Florida Decison about PSWP

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

A Florida trial court order regarding the discovery of hospital incident reports is circulating in PSO circles.  (Charles v. Southern Baptist Hosp. et al., Duyal County, Case No. 15-2012-CA-002677.)  The order expresses a very restrictive view of PSWP (more below) and the hospital has expressed an intention to appeal the order.  As a trial court order in Florida, it has no value as precedent in any other jurisdiction, even within Florida.  However, the order will be part of the ongoing discussion about PSO protections, so CPS wants its stakeholders to understand it. The key facts:

  • Florida has very specific requirements for hospital risk management, including staff licensure and submission of certain incident reports to the state.  The statute also requires the hospital to gather information via incident reports that may not be reported to the state, but which is necessary to carry out the mandated activities.
  • The discovery request specifically asked for reports prepared pursuant to parts of the statute.
  • The court recognized the applicability of the Patient Safety Act and accepted that the hospital had a PSES and that the information was utilized appropriately in that context, and therefore would be protected PSWP except for the state risk management and reporting requirements.
  • The court found that the need to gather the information under state law and to report some of it precluded it from being protected PSWP. Read More

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