The 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!
Posted in Patient Safety Posted October 20, 2014
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.
Posted in Culture of Safety, EMS, EMS PSO, Events, Patient Safety Culture, PSES, PSO, PSO case law, PSWP, Sponsor/vendor Posted October 14, 2014
The 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.
Posted in Alerts, PSO Posted October 7, 2014
The Center for Patient Safety has released a PSO alert regarding the potential for confusion when administering Midazolam or Morphine.
As a Patient Safety Organization (PSO), the Center for Patient Safety collects incident, near miss, and unsafe condition information on multiple types of healthcare related cases, including EMS medication events.
Recently, there has been a trend of medication errors pertaining to the administration of the incorrect medication involving Morphine and Midazolam. Specifically, confusing the two medications and administering the wrong medication.
Possible reasons for the error:
- Similar names of medication
- Similar packaging or container
- Similar route of delivery
- Medications were locked together
- No cross check process in place or time out taken before administration
Read the full alert and view recommendations and helpful resources.