Posted in Patient Safety, Sponsor/vendor Posted December 17, 2014
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.
Posted in Uncategorized Posted December 17, 2014
The Center for Patient Safety wishes you and your family a safe, healthy and happy Holiday Season!
Posted in Patient Safety Conference, PSO Posted December 16, 2014
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!
PSO Alert: Morphine v Midazolam.1
Safety Watch: Emergent Situations.2
Joint Commission Alert.3
Health IT Safety Webinar.3
Patient Safety Awareness Week.8-9
PSO Data Update.10-11
Read this newsletter or download any of our archived newsletters.
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.
Posted in Alerts, EMS, EMS PSO Posted October 28, 2014
This 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.
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.
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!