Posted in AHRQ Posted January 20, 2015
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.)
Posted in Events, PSES, PSO, PSO case law, PSQIA, PSWP Posted January 14, 2015
January 21 @ 11 Central – Free webinar
Confused 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
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.