Posted in AHRQ, Patient Safety, Prevention Posted July 10, 2014
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.
Posted in Center Info, Falls, Prevention Posted August 15, 2012
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.
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.
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.
Posted in AHRQ, Preventable Errors, Prevention Posted September 29, 2011
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.
Posted in Becky Miller, Falls, Prevention Posted September 23, 2011
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
Posted in Patient Safety, Prevention, Quality of Care Posted September 15, 2011
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.
Posted in Patient Safety, Prevention Posted September 15, 2011
Australia is proposing methods to address violent patients in their hospital EDs. One suggestion is a card system, similar to the one in place in the United Kingdom, that could help to reduce the number of violent acts towards Emergency Department staff and other patients.