Patient Safety

National CPS PSO Services

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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 Recognizes Supporters at Annual Conference

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On March 13th, the Center recognized the following organizations and individuals for support since its inception in celebration of the Center’s 10th Anniversary:  Founding Members – Missouri Hospital Association, Missouri State Medical Association and Primaris; 10-year Board Members – Steve Bjelich, Dr. Edmond Cabbabe, Dr. Gordon Jones and Rick Royer; Long-term Platinum Sponsor – Healthcare Services Group and long-term Silver Sponsor – Missouri State Medical Foundation. Others recognized were Greensfelder, Hemker and Gale for their long-term sponsorship of the Center’s Conferences, Patient Safety Commissioners and other organizations and individuals that currently do or have sponsored the Center’s work.  We appreciate the support and commitment to safe care!

Notables from CPS March 13th Conference!

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Thanks to all Conference attendees, Speakers, Sponsors, Vendors and Poster Presenters contributing to a successful 9th Annual Conference Friday, March 13th!  A few notable thoughts from the Conference:  “Compassion heals the places you can’t touch”, Allison Massari; “The challenge continues to reduce harm, but we know we’re making a difference”, Christine Goeschel; “There is a lot more than can be done to share learning from serious events”, Patient Safety Commissioner Panel; “Diagnostic errors need to be identified and addressed”; Dr. Mark Graber.

A Message from Becky Miller, Executive Director for the Center

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FDA Issues Guidance on reprocessing ERCP Endoscopes, Best Practices for Practitioners and Patients

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Between January 2013 through December 2014 the FDA has received reports of MDRs encompassing approximately 135 patients in the United States relating to possible microbial transmission from reprocessed duodenoscopes. Likely many other incidents have occurred that were not reported to the FDA. Review this Alert for more information and best practices for practitioners and patients.

Earn CPHQ CE with the Center on March 13th!

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Join the Center for Patient Safety on March 13th for our 9th Annual Patient Safety Conference.  We just received confirmation of approval of 5.25 CE hours toward CPHQ recertification from the National Association for Healthcare Quality.  Registration and more information.

Medication Reconciliation Still a Challenge? AHRQ Announces New Hospital Resource

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The AHRQ-funded Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) has produced a manual to help hospitals improve medication reconciliation practices to improve outcomes such as inpatient adverse drug events and readmission rates, which have significant patient safety and financial implications for hospitals. The manual describes a framework to assemble a team, adapt an implementation strategy and implement interventions aimed to improve med reconciliation.

Join us on March 13th for the Best Practices in Safe Care Panel – Sharing Successful Safety Programs

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We hope you will join us for updates and strategies for success of key safety practices that the Center has been involved in over the past decade. Come listen to and participate in discussions with these panelists at the Center’s 9th Annual Conference, March 13th! Visit our website for more information including registration.

  • Pat Posa will return for the Conference to share updates on successes of the CUSP program, challenges and potential for ongoing safety improvement
  • Rachel Wells, CoxHealth, will share successes in using the HSOPS safety assessments and system-wide implementation of Just Culture
  • Laura Hirshinger, MU Health Care will provide exciting updates on their Second Victim Program, including key learnings and growth into the future
  • Leslie Porth, MHA will discuss the importance of transparency, its debate and importance moving into the future for health care quality and safety improvement

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