Patient Safety Blog

Joint Commission Sentinel Event Alert #59

The Joint Commission’s timely Sentinel Event Alert #59 relative to physical and verbal violence against health care workers reminds me of the #MeToo movement.  For too long providers have tolerated and ignored the inappropriate and sometimes harmful actions by patients, visitors and sometimes co-workers.  Everyone knows it’s often challenging to provide high quality, safe care in today’s health[...]

CPS Safety Watch/Alert - Respiratory Compromise

Respiratory Compromise is a state in which there is a high likelihood of decompensation into respiratory insufficiency, respiratory failure or death, but in which specific interventions (enhanced monitoring and/or therapies) might prevent or mitigate decompensation.

IHI Offers Free Teleconference

Heads up!  The University of Chicago completed a survey of over 2500 adults regarding their experiences and perceptions of medical error.  Results:  1 in 5 Americans reported a medical error in their own care and one third reported an error involving those for whom they care.  The good news:  almost half of those who experienced a medical error spoke up about it.  IHI is offering a FREE[...]

CPS Participates in Primaris Podcast to Launch PSAW 2018!

The podcast has just been released. Listen to the discussion on why Patient Safety Awareness Week is such a valuable time for patients and providers. Alex Christgen, Executive Director, and Lee Varner, Patient Safety Director, share their thoughts and provide tips to enhance the understanding of patient safety and why it is more important than ever to engage patients in their care.

Press Release: Center Promotes Patient Safety Awareness Week March 11-17th

The Center for Patient Safety (CPS) acknowledges the continuous focus on safe care across the continuum of healthcare. To support year-round efforts of healthcare providers, professionals and consumers, CPS will set aside time to highlight important patient safety issues, spread awareness and provide resources, during Patient Safety Awareness Week (PSAW).

Free Teleconference

The Center for Patient Safety’s mission is to help health care providers improve their culture.  Along those lines, IHI is offering a free teleconference on Thursday, March 8 at 1:00 pm Central Time, when two leading experts will address the importance of mindfulness as it relates to patient safety.  No cost, but registration is required.  The presenters also recently shared a free white[...]

AHRQ Posts Medical Office Toolkit for Tests

Some of the best-known safety speedbumps for physician practices lie in the patient testing area.  Orders have to be developed and communicated, results communicated from the lab to the office and then to the patient or other providers.  The provider who ordered the test has to see the results and react appropriately.  Documentation of this process needs to be complete and accurate.  AHRQ has[...]

Patient Safety Awareness Week is March 11-17, 2018

Patient Safety Awareness Week (PSAW), an initiative from the National Patient Safety Foundation (NPSF) and the Institute for Healthcare Improvement, is designed to raise patient safety awareness among healthcare providers and consumers. This year, PSAW is March 11-17. It’s a great time to celebrate successes and re-focus on patient safety opportunities in your organization. The Center encourages[...]

Patient Access to Care Notes

Heads up!  Copying and pasting in your electronic health record (EHR) might make your documentation process easier, but it can result in big issues downstream as other care providers take action based on inaccurate information.  AHRQ recently published an article by Dr. Shannon Dean from the University of Wisconsin School of Medicine which outlines the concerns and some potential “fixes”.  I like[...]

Patient Safety Awareness Week 2018