Author Archives Alex Christgen, BSBA

CPS issues Safety Watch on EMS Stretchers

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

Safety WatchMultiple stretcher-related incidents have been reported to the Center’s Patient Safety Organization.  The areas of concern are from real events.  Read the full Safety Watch on EMS Stretchers.

Released 08.11.2014.

AHRQ and The Joint Commission e-learning module for LTC

    Posted in Patient Safety    |    Comments Off

The Agency for Healthcare Research and Quality (AHRQ) and The Joint Commission released an e-learning module last week aimed at reducing healthcare-associated infections (HAIs) in assisted living and nursing homes.  The tool is available to all long-term care facilities and includes resources and quizzes in an online format.   The objective of the tool is to provide principles to “prevent infections and achieve high safety performance over extended periods of time”.

Opportunity for Long Term Care Facilities!

    Posted in LTC, Patient Safety    |    Comments Off

National Collaborative to Reduce Infections, Focus on CAUTI!  SIGN UP BY AUGUST 29th!

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 is only available until August 29th!  There is no cost for participating in this collaborative!

To learn more about the project:

Register to participate on the national informational call on August 5th at 2 PM CST. Register for the call here!

For additional information, including an overview of the project, team leaders responsibilities and a downloadable Project Interest Form, go here.

If you have any questions, please contact Kathy Wire at the Center for Patient Safety at or Jessica Rowden at the Missouri Hospital Association at

PSOs connect to share legal overview with participants

    Posted in Patient Safety, PSO, PSO case law    |    Comments Off

On July 17, 2014, PSO Participants were invited to attend “PSO Participation and Protections – a Practical and Legal Perspective”, a webinar cohosted by the North Carolina Quality Center PSO and the Center for Patient Safety PSO.  Topic coverage included legal perspectives and PSOs presented by Michael R. Callahan. Mr. Callahan also reviewed case law and the North Carolina, Illinois and Missouri Statutes.  CPS PSO Participants can download materials and watch the recorded session.

Culture surveys are gaining ground

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

SOPS Rings_webCulture surveys are gaining ground and the results are encouraging.

Each year, we see more and more healthcare organizations come to the Center for Patient Safety for culture surveying services. Our services include response reports that analyze the culture at the organizational level as well as the unit level (where applicable).  This allows for analysis at the sub-culture level which undoubtedly exists within every unit and contributes to the organization’s overall culture. Each unit receives their own culture analysis that includes direct access to resources to assist unit managers and human resources implement improvements.  Additionally, survey administration from the Center includes two survey cycles in order to obtain a baseline and follow-up.  In 2013, the Center administered the AHRQ Survey on Patient Safety (SOPS) to thousands of healthcare staff in more than 60 hospitals and provided hundreds of unit-level response rate reports.

The Results

From 2012 to 2013, hospitals participating with the Center that were actively involved in patient safety efforts and implemented changes based on their baseline survey analysis saw positive changes. These changes related to improvements in teamwork, communication and implementation of a “just” culture. Overall, the Center for Patient Safety saw improvements that included: Read More

A Message from the Center’s Medical Director

    Posted in Center Info, Patient Safety, PSO    |    Comments Off

A message from Michael Handler, MD, Medical Director, Center for Patient Safety

From a physician’s perspective, organizations such as the Center for Patient Safety, including the role of a federally-designated Patient Safety Organization (PSO), are playing a key role in healthcare and can play an even greater role in the future.

I am proud to serve as the Center’s Medical Director supporting the Center’s work with health systems, hospitals, ambulance services, physician practices and nursing homes as well as its outreach to consumers.

As the healthcare landscape continues to change under the federal Affordable Care Act, implementation of Health Insurance Exchanges and the explosion of Accountable Care Organizations, the need for healthcare providers to work together across various settings is increasing exponentially. This work must focus on the assessment, evaluation and improvement of the quality and safety of healthcare delivery regardless of where that care is delivered. This is where organizations like the Center come into play!

Read More

2014 EMS Patient Safety Conference – SAVE THE DATE!

    Posted in EMS, EMS PSO, Sponsor/vendor    |    Comments Off

Logo2The 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.

We invite you to mark your calendar to save the date and join us!

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 available – Sign up today!

June 2014 AHRQ Web M&M Released

    Posted in AHRQ, Patient Safety, Prevention    |    Comments Off

The most recent release of the AHRQ Web M&M: morbidity & mortality rounds on the web, include the following cases and commentaries:

Review these cases and the commentaries provided for reasons these events occurred and tips and resources to prevent similar situations from occurring at your healthcare location.

Switch to our mobile site