EMS Quality & Patient Safety – Free Learning Series

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EMS 2015 Webinar SeriesFor EMS Leaders and Providers

The Center for Patient Safety has the opportunity to meet and listen to EMS leaders and providers from around the country. Frequently we are asked “what is patient safety and how do we improve it”? We believe patient safety is composed of many areas and can’t be defined by one part. Therefore, the goal of this series of free webinars is to offer you information and content that will address some of these areas. These include, human factors, quality, risk and culture to name a few, as well as other new and innovative areas.

If you have the desire to learn and would like to improve what you do as an EMS professional, please join us. Each webinar will focus on topics designed to enlighten and educate as well as encourage participants to take a proactive approach to reducing patient harm.

Upcoming sessions and registration information:

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PSO’s as Standard Operating Procedures

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Dr. Jay Reich, EMS Medical Director for the Kansas City Fire Department, presented last week at the EMS State of the Sciences Conference, also known as “The Gathering of Eagles”.  The conference is a unique, and highly respected, conference in EMS.  Each year, the conference offers opportunities to learn about the latest science and advances in EMS, including current research, data and industry innovations.  Those selected to present at the conference are EMS medical directors from the largest EMS systems in the United States.  In addition, other leading experts from around the world present relative information to advance the practice of EMS.

Dr. Reich’s presentation titled “PSOs as SOPs! Getting Patient Safety Organization Buy-In for EMS CQI” shared how participating with a PSO can protect the quality and safety work in EMS, as well as support the EMS medical director.  Since Patient Safety Organizations (PSOs) are fairly new to EMS, Reich outlined some of the benefits of PSO participation, such as, information and key examples of how Kansas City Fire Department is implementing efforts towards greater patient safety and quality improvement. His presentation focused on the ways a PSO supports the EMS shift to proactive efforts to prevent adverse events and unsafe conditions instead of reactive.

Dr. Reich’s full presentation can be found at the Gathering of Eagles website under 2015 presentations.

Center for Patient Safety Adds PSAW Tips

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ATTENTION hospitals, LTC, EMS, pharmacies, medical offices, home care, etc!

Patient Safety Week is less than 2 weeks away: March 8-14

The Center for Patient Safety has gathered several resources to assist with celebrating, learning more, and promoting patient safety:


FDA Issues Guidance on reprocessing ERCP Endoscopes, Best Practices for Practitioners and Patients

    Posted in FDA, Patient Safety    |    Comments Off

Between January 2013 through December 2014 the FDA has received reports of MDRs encompassing approximately 135 patients in the United States relating to possible microbial transmission from reprocessed duodenoscopes. Likely many other incidents have occurred that were not reported to the FDA. Review this Alert for more information and best practices for practitioners and patients.

Earn CPHQ CE with the Center on March 13th!

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Join the Center for Patient Safety on March 13th for our 9th Annual Patient Safety Conference.  We just received confirmation of approval of 5.25 CE hours toward CPHQ recertification from the National Association for Healthcare Quality.  Registration and more information.

Medication Reconciliation Still a Challenge? AHRQ Announces New Hospital Resource

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The AHRQ-funded Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) has produced a manual to help hospitals improve medication reconciliation practices to improve outcomes such as inpatient adverse drug events and readmission rates, which have significant patient safety and financial implications for hospitals. The manual describes a framework to assemble a team, adapt an implementation strategy and implement interventions aimed to improve med reconciliation.

Join us on March 13th for the Best Practices in Safe Care Panel – Sharing Successful Safety Programs

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We hope you will join us for updates and strategies for success of key safety practices that the Center has been involved in over the past decade. Come listen to and participate in discussions with these panelists at the Center’s 9th Annual Conference, March 13th! Visit our website for more information including registration.

  • Pat Posa will return for the Conference to share updates on successes of the CUSP program, challenges and potential for ongoing safety improvement
  • Rachel Wells, CoxHealth, will share successes in using the HSOPS safety assessments and system-wide implementation of Just Culture
  • Laura Hirshinger, MU Health Care will provide exciting updates on their Second Victim Program, including key learnings and growth into the future
  • Leslie Porth, MHA will discuss the importance of transparency, its debate and importance moving into the future for health care quality and safety improvement

Come Hear a Safety Commissioners Panel – Varying Perspectives on Safe Care – Then and Now

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We are excited to host a Panel of former Patient Safety Commissioners at the Center’s March 13th Annual Conference!  Each of the following panelists will share their perspective on the Commission’s work and safety over the past decade and needs for the future.

  • Kat Nelson, MHA, Mercy, Commission Co-Chair
  • Stephen Smith, MD , Anesthesiologist, Center for Patient Safety Board Member
  • Lori Scheidt – State of Missouri Board of Nursing
  • Pam Marshall, R.Ph, Walgreens and State of Missouri Board of Pharmacy Member
  • Sue Kendig, JD, MSN, FAANP– Health Policy Advantage, Center for Patient Safety Board Member

Information and registration is available on our website.

Sharing Lessons Learned – Abbreviations in Patient Communications

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Rules for abbreviation use generally focus on medication safety—identifying visual and textual ambiguities that may confuse other medical professionals. The ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations includes items like IU that could appear like IV or 10; and DPT, which could stand for Demerol-Phenergan-Thorazine or diphtheria-pertussis-tetanus.  Read more  Courtesy of CHPSO.

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