Kimberly O’Brien shares a recent experience: The 2011 Chicagoland Patient Safety Summit kicked off on September 15th with a heartbreaking story from an Indiana family who recently lost Michelle – their beloved daughter, sister, wife and mother – to a medical error at a Chicago-based hospital. There wasn’t a dry eye in the room of over 150 providers and other patient safety advocates as Michelle’s family recounted the painful details of the days and hours leading up to Michelle’s premature and preventable death.
Safe Health Care
13 Missouri Hospitals Target Increased Patient Safety with the Missouri Center for Patient Safety’s CUSP Teamwork & Communications Tools
Jefferson City, Missouri – July 21, 2011 — As part of the Missouri Center for Patient Safety’s initiative, People, Priorities & Learning Together, 13 Missouri hospitals have joined CUSP Teamwork & Communication Tools, launched in June, 2011, to increase patient safety and eliminate medical errors by improving communication and coordination of care at the bedside.
Hear Dr. Bill Munier, Director of the Center for QI and Patient Safety at AHRQ, discussing the national PSO program, and its importance to improving safe care.
The NQF has released “Serious Reportable Events in Healthcare – 2011 Update: A Consensus Report”, including updates to 25 SREs, and adding four new SREs.
New SREs are events resulting in death or serious injury related to the loss of biological specimens, failure to communicate test results, neonates associated with labor or delivery in a low risk pregnancy, and metallic objects in MRI areas. Updates also address SREs in settings other than hospitals, including outpatient/office-based surgery centers, skilled facilities and office-based practices.
Advice Columns from Dr. Carolyn Clancy
AHRQ Director Carolyn Clancy, M.D., has prepared brief, easy-to-understand advice columns for consumers to help navigate the health care system. They will address important issues such as how to recognize high-quality health care, how to be an informed health care consumer, and how to choose a hospital, doctor, and health plan. Check back regularly for new columns.
Safety Culture Creates Better Care for Patients
By Carolyn M. Clancy, M.D.
May 3, 2011
The more we know about safety, the better.
That’s why a landmark report on medical errors from the Institute of Medicine remains as important today as it did when it came out 10 years ago. Called “To Err is Human,” the report urged hospitals to develop a “culture of safety” to reduce risks and improve care for patients. Read more.
As a federally designated Patient Safety Organization (PSO), MOCPS is part of a national program which will have reduced preventable adverse events by 3% within the first five years of operations of PSOs, according to estimates from the federal Department of Health and Human Services, saving $435 million in national health care costs.