Prevention

PSO’s as Standard Operating Procedures

    Posted in EMS, EMS PSO, Prevention, PSO    |    Comments Off

Dr. Jay Reich, EMS Medical Director for the Kansas City Fire Department, presented last week at the EMS State of the Sciences Conference, also known as “The Gathering of Eagles”.  The conference is a unique, and highly respected, conference in EMS.  Each year, the conference offers opportunities to learn about the latest science and advances in EMS, including current research, data and industry innovations.  Those selected to present at the conference are EMS medical directors from the largest EMS systems in the United States.  In addition, other leading experts from around the world present relative information to advance the practice of EMS.

Dr. Reich’s presentation titled “PSOs as SOPs! Getting Patient Safety Organization Buy-In for EMS CQI” shared how participating with a PSO can protect the quality and safety work in EMS, as well as support the EMS medical director.  Since Patient Safety Organizations (PSOs) are fairly new to EMS, Reich outlined some of the benefits of PSO participation, such as, information and key examples of how Kansas City Fire Department is implementing efforts towards greater patient safety and quality improvement. His presentation focused on the ways a PSO supports the EMS shift to proactive efforts to prevent adverse events and unsafe conditions instead of reactive.

Dr. Reich’s full presentation can be found at the Gathering of Eagles website under 2015 presentations.

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.

Fall Awareness Prevention Day Proclamation Signing

    Posted in Center Info, Falls, Prevention    |    Comments Off

CPS attended the presentation of the Falls Awareness Prevention Day proclamation today in the Governor’s Office in Jefferson City.  Ten members of the Show-Me Falls Free Missouri Coalition were in attendance.  This year, Falls Awareness Prevention Day will be recognized on Friday, September 21, with numerous activities occurring statewide to educate our communities on actions to take to prevent falls.  For more information, visit the Show Me Falls Free Missouri website.

Latest AHRQ Newsletter Notes Improved Patient Safety with Medical Team Training

    Posted in AHRQ, Culture of Safety, Patient Safety, Prevention    |    Comments Off

The November AHRQ newsletter has two examples about the positive influence of team training on medical workers and its effect on patient safety.   Dr. Robert Wachter, Editor of AHRQ WebM&M, spoke with Dr. Eduardo Salas, a professor of Psychology at the University of Central Florida who served in the Navy for 15 years, about applying lessons learned from military team work training to medical teams.  “Those who know about teamwork do better.” Read the interview and listen to a perspective piece online.

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Surgical Fire Prevention Toolkit from the FDA

    Posted in FDA, Patient Safety, Preventable Errors, Prevention    |    Comments Off

The Food and Drug Administration has launched the Preventing Surgical Fires Initiative.  Resources that are part of the initiative include a toolkit for organizations to use to reduce the risk of surgical fires including a fire safety video from the Anesthesia Patient Safety Foundation.  As part of the initiative, the Association of PeriOperative Registered Nurses is making the Fire Safety Toolkit available for download free of charge through November 13. 

20 Tips to Help Prevent Medical Errors – Patient Fact Sheet

    Posted in AHRQ, Preventable Errors, Prevention    |    Comments Off

Medical errors can occur anywhere in the health care system: In hospitals, clinics, surgery centers, doctors’ offices, nursing homes, pharmacies, and patients’ homes. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. These tips tell what you can do to get safer care.

 

20 Tips to Help Prevent Medical Errors

Patient Fact Sheet


Medical errors can occur anywhere in the health care system: In hospitals, clinics, surgery centers, doctors’ offices, nursing homes, pharmacies, and patients’ homes. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. These tips tell what you can do to get safer care.

Select for PDF version (300 KB). PDF Help.


One in seven Medicare patients in hospitals experience a medical error. But medical errors can occur anywhere in the health care system: In hospitals, clinics, surgery centers, doctors’ offices, nursing homes, pharmacies, and patients’ homes. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. They can happen during even the most routine tasks, such as when a hospital patient on a salt-free diet is given a high-salt meal.

Most errors result from problems created by today’s complex health care system. But errors also happen when doctors* and patients have problems communicating. These tips tell what you can do to get safer care.

What You Can Do to Stay Safe

The best way you can help to prevent errors is to be an active member of your health care team. That means taking part in every decision about your health care. Research shows that patients who are more involved with their care tend to get better results.

Falls are Leading Cause of Injury Deaths for 65+ Population

    Posted in Becky Miller, Falls, Prevention    |    Comments Off

Friday, September 23rd is the nationwide Falls Prevention Awareness Day. The Missouri Center for Patient Safety encourages everyone to consider the falling risks our loved ones may face, participate in local Falls Awareness Day activities, and take action.  The Missouri Department of Health and Senior Services website offers a listing of Falls Day activities throughout Missouri, as well as numerous resources to identify and reduce the risk of falling for elderly loved ones. Read More

Pharmacists Reduce Medication Discrepancies for the Elderly at Discharge

    Posted in Patient Safety, Prevention, Quality of Care    |    Comments Off

Research reveals a decrease in medication discrepancies may be possible if a pharmacist is included in the patient discharge planning with the internal medicine team.

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