Center Info

Center Releases 2013 Annual Report

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The Center for Patient Safety has recently released the 2013 Annual Report. In addition, the Center has provided a 2013 PSO Report that highlights and summarizes the data found in the Patient Safety Organization (PSO) database.

We hope you will see the value in the work that is being done by the Center in collaboration with many healthcare providers across the nation to improve the safety of healthcare delivery and the reduction of patient harm.

Click on a report to download:

2013 Annual Report   2013 PSO Report

CPS Announces Eighth Annual Patient Safety Conference in 2014

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Just Released! PSONews Summer Edition

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The Center for Patient Safety’s latest issue of PSONews

View/Download the Summer 2013 Edition

View online at Issuu

The Center’s Summer Edition of PSONews contains the following articles and more:

  • PSOs Collaborate  …P1
  • Show Instead of Tell …P2
  • Patient Safety Culture Survey…P3
  • Second Victims…P4
  • Webinar Series …P6
  • Center Tidbits …P7
  • A Fall Free Culture …P8
  • PSO Data Snapshot…P10
  • PSO Calendar …P12

For additional information on the Center’s PSO activities, please sign up for email updates, or for the most up-to-date news, follow us on Twitter @PtSafetyExpert.

ACA and PSO Participation?

    Posted in Accountable Care, Center Info, Patient Safety, Patient Safety Evaluation System, PSO    |    Comments Off

The AHA has cautioned hospitals about regulations that have not yet been issued for provisions within the federal health reform law  (ACA) requiring hospitals with more than 50 beds to work with Patient Safety Organizations (PSOs) by January 2015. This is true; we are still waiting for these regulations, among many others to implement the ACA. However, hospitals are encouraged to continue to identify PSOs that can meet their needs because it will take some time to select a PSO, contract for services and become familiar with the advantages of PSO participation. These advantages are much more than meeting ACA provisions, PSO participation can increase internal reporting and knowledge about adverse events and near misses and allow healthcare providers to collaborate to proactively learn about and take action to prevent the cause of medical error, ultimately resulting in reduced harm and attributable cost.

Contact the Center for more information about PSO participation.

NOW AVAILABLE: Spring Edition of PSONews!

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The Spring 2013 PSONews edition includes articles on the AHA recommendation for hospitals to join PSOs now rather than wait for the January 1, 2015 requirement.  Timely articles also cover National Drug Shortages, the Center’s Annual PSO Day, the Survey on Patient Safety, and much more…

• It’s a New Day!
• Center Remains National Leader
• Good Catch!
• Annual PSO Day
• Medication Errors in EMS
• PSO Data Snapshot
• PSO Calendar and Tidbits

NOTE:  Some links within the newsletter are password protected for Center PSO participants-only.

QUESTIONS?  If you have questions about PSO services, please do not hesitate to contact any of our dedicated staff members, or if you have a specific healthcare field to address, contact a PSO team member below:

Hospital & ASC PSO participation and implementation: Eunice Halverson,
EMS PSO participation and implementation: Carol Hafley,
LTC PSO participation and implementation: Kathy Wire,
PSO data system, Survey on Patient Safety Culture, technical support: Alex Christgen,

The Second Victim Experience: Train-the-Trainer Workshop in June

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The Second Victim Experience:  Train-the-Trainer Workshop
Presented by Sue Scott, RN, MSN and Laura Hirschinger, RN, MSN

The Center for Patient Safety is pleased to offer this unique workshop on June 11, 2013 to learn and teach the skills to support staff members and physicians who are impacted by adverse and/or unexpected clinical outcomes. Participants will gain insights into the “second victim” experience as well as supportive interventions from faculty who developed and implemented the University of Missouri Health System’s successful “second victim” program. Participants will also acquire the knowledge, skills and techniques necessary to implement a “second victim” program for peers at their organizations.

Space is limited to 40 participants and will be made available on first come first serve basis. 


  • To discuss the ‘second victim’ phenomenon
  • To describe the various stages of second victim recovery
  • To identify and reflect on several second victim events
  • To recognize high risk clinical events which could expose clinicians to the ‘second victim’ phenomenon
  • To identify various interventional strategies to support clinicians experiencing the ‘second victim’ phenomenon
  • To identify and practice ways to initiate a crucial conversation with a second victim
  • To describe the various steps necessary to deploy a support team

DATE: June 11, 2013
TIME:  8:00 AM to 4:00 PM (registration and continental breakfast 7:30-8:00 AM)
FEE: $375 per person (continental breakfast, lunch, and snacks included)


March 2013 is Patient Safety Awareness Month!

    Posted in Center Info, Patient Safety Awareness Month    |    Comments Off

Consider these tips to maintain awareness for safe care 7/24/365!

Tip 1 – Check out resources available at

Tip 2 – Register for one, two, or all of the Center’s interactive Webinar sessions throughout March!

Tip 3 – Register to download the Center’s Patient Safety Awareness Month Toolkit and post reminders throughout your facility about the importance of, and focus on, safe care!

Tip 4 – Schedule open sessions for your colleagues to join you for the Webinars – have a celebration of your safety successes, have a safety committee meeting or other meeting during the Webinar time, offer a “brown bag” luncheon, etc.

Tip 5 – Use recordings provided from the Webinars for ongoing learning with others at your facility that were unable to participate with you to celebrate safe care!  (Recordings will be made available to those registered for the session(s).)

7th Annual Conference Bringing National Speakers!

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National Speakers – Important Topics!

Join us in March 2013 as we recognize Patient Safety Awareness Month with a series of five “live & interactive” virtual conference sessions, each centered on important safety topics and presented by national speakers. You choose your combination of 90-minute sessions throughout the month of March, or attend them all!

We’re excited to offer this new and virtual format so you can share the experience with colleagues! Although we’ve altered our format from past conferences, we’ve not swayed from our commitment to providing high quality presenters for important safety topics. One registration now allows an unlimited number of participants at any one location to attend these valuable sessions, so plan ahead and invite others to join! Visit our conference web page to learn more about the conference session speakers and topics.

A downloadable Patient Safety Awareness Recognition Toolkit containing tips and resources to help you easily and successfully celebrate safe care at your organization is also available.  The Toolkit includes ideas for celebrating Patient Safety Awareness Month at your organization and customizable templates for banners, posters, tent cards and buttons to help you spread the word about your organization’s focus on safe care!  Register Today!

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