Author Archives Alex Christgen, BSBA

CPS Releases Annual PSO Report

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

The Center for Patient Safety has released the 2014 PSO Report, containing findings reported by healthcare providers.

The data contained in the report is from the Center for Patient Safety’s PSO database. Licensed healthcare providers may participate in a PSO in order to share information, learn from the sharing, gain federal protection to support open reporting and ultimately reduce mistakes and patient harm. PSO participation is voluntary and organizations may choose to submit most or all adverse events or they may choose to submit only the more severe adverse events to share lessons learned. The event types and their severities, along with additional information, contained in the report are deidentified as required by the PSQIA.

The goal of the report is to present an overview of the findings within all of the events reported to the Center’s PSO, to learn how and why events are occurring, and inform providers and others about how to prevent future occurrences.

General CPS findings include: Read More

CPS Safety Culture Survey – Look at the Subcultures

    Posted in Patient Safety    |    Comments Off

CPS focuses solely on patient safety, including Just Culture and CUSP training, and therefore, the survey is a clear connection between the services provided by the Center.  These programs positively impact the safety and the quality of healthcare organizations across the country and support a culture that encourages reporting of adverse events.

The Center has administered tens of thousands of culture surveys for hundreds of hospitals, medical offices, home care and nursing homes since 2010, utilizing the Survey on Patient Safety Culture (SOPS) measurement and diagnostic tool created by the Agency for Healthcare Research & Quality (AHRQ).

The greatest differentiator in the service offered by CPS is the comprehensive feedback reports at the unit level.  Each unit within an organization has a subculture (or co-culture) that exists, and while it still contributes to the overall culture, the subculture results can reveal unit-level concerns or best practices.

“We love the Center’s patient safety culture survey feedback reports. The department level reports give a level of granularity we were lacking with previous surveys.”

Find out more about CPS survey administration.

National CPS PSO Services

    Posted in Patient Safety    |    Comments Off

Patient Safety Organizations (PSOs) promote the reporting of adverse events, allowing healthcare organizations to reduce medical errors and patient harm; learn more about what errors occur, why they occur and how to prevent them; and network with others on sensitive patient safety topics. Healthcare organizations can submit event information to the PSO where patient safety experts analyze the events across hundreds of healthcare organizations across the country, monitoring trends, issuing alerts, and sharing ways to prevent future harm.

The Center for Patient Safety is one of the largest and most active PSOs in the country, working with hospitals, EMS services, medical offices and long-term care facilities.

Blue states indicate where CPS is providing Patient Safety Organization (PSO) Services:

CPS releases 2014 Annual Report

    Posted in Uncategorized    |    Comments Off

2014 Annual ReportThe Center for Patient Safety (CPS) is pleased to share highlights of 2014 and expectations in 2015 in the latest annual report. We encourage you to take a look and see how you can join our journey to safer care in 2015!

Download PDF or View on Issuu

A Message from Becky Miller, Executive Director for the Center

    Posted in Becky Miller, Center Info, Patient Safety    |    Comments Off

PSOs as a Risk Management and Compliance Tool

    Posted in EMS, EMS PSO, Mobile Integrated Healthcare    |    Comments Off

Allison Bloom recently wrote an important article about Mobile Integrated Healthcare (MIH) that was featured in EMS Insider.  If you are providing this care or exploring MIH then you should read Allison’s article and learn more about how participating with a Patient Safety Organization (PSO) can help you.

AHRQ Web M&M Released

    Posted in AHRQ    |    Comments Off

The Agency for Healthcare Research and Quality (AHRQ) has released their latest issue of the Web Morbity & Mortality cases and commentaries.  For more information, visit AHRQs website using the links found in the case summaries:

Spotlight Case: Monitoring Fetal Health
A woman who had an uncomplicated pregnancy and normal labor with no apparent signs of distress delivered a cyanotic, flaccid infant requiring extensive resuscitation. Although fetal heart rate tracings had shown signs of moderate-to-severe fetal distress for 90 minutes prior to delivery, clinicians did not notice the abnormalities on the remote centralized monitor, which displayed 16 windows, each for a different patient. The commentary by Mark W. Scerbo, PhD, of Old Dominion University, and Alfred Z. Abuhamad, MD, of Eastern Virginia Medical School, provides an overview of fetal heart rate monitoring, the risks and benefits of this complex process, and factors that influence its safety such as staff training and safety culture. (CME/CEU credit available.)

Read More

PSO 101: Introduction to PSOs

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

January 21 @ 11 Central  – Free webinar

Questions and Answers signpostConfused about Patient Safety Organizations (PSOs)?  You’re not alone!

Join the experts at the Center for Patient Safety as they describe the basics of the Patient Safety and Quality Improvement Act (PSQIA) and provide an introduction to the terminology and concepts of PSO participation.  Applications to EMS, LTC, medical offices, and hospitals will be presented.  Q&A available during webinar.  Register

Switch to our mobile site