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Patient Safety experts share their observations of emerging challenges and evolving best practices; information about accreditation and safety issues affecting hospitals and their medical staffs in free monthly e-newsletters.

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2010

September

• Editor’s pick of the week: j-mail 2011, Patient Safety Monitor Alert, September 1, 2010
• Tubing misconnections come to the forefront, Patient Safety Monitor Alert, September 1, 2010
• From the Patient Safety Monitor Blog: TJC releases sentinel event stats, most challenging standards, Patient Safety Monitor Alert, September 1, 2010
• Connect with others in the patient safety field, Patient Safety Monitor Alert, September 1, 2010

August

• Patient Safety Monitor keeps users updated on regulations, Patient Safety Monitor Alert, August 25, 2010
• From the Patient Safety Monitor Blog: Joint Commission tailors "Speak Up" campaign, Patient Safety Monitor Alert, August 25, 2010
• Taser use in hospitals draws questions from some, Patient Safety Monitor Alert, August 25, 2010
• Editor’s Pick of the Week: Lean Healthcare book, Patient Safety Monitor Alert, August 25, 2010
• What’s that barrier protecting?, Patient Safety Quality Monthly, August 25, 2010
• Take advantage of Patient Safety Monitor’s Talk Group, Patient Safety Monitor Alert, August 18, 2010
• From the Patient Safety Monitor Blog: AHRQ updates State Snapshots with 2009 information, Patient Safety Monitor Alert, August 18, 2010
• Study: Placement of hand sanitizer in patient room affects clinician usage, Patient Safety Monitor Alert, August 18, 2010
• Editor’s Pick of the Week: Medication reconciliation webcast, Patient Safety Monitor Alert, August 18, 2010
• Check out the tools library on Patient Safety Monitor!, Patient Safety Monitor Alert, August 11, 2010
• From the Patient Safety Monitor Blog: Press Ganey Report finds ED wait times increase, Patient Safety Monitor Alert, August 11, 2010
• Study: Simulation in an actual hospital has benefits, can improve patient safety, Patient Safety Monitor Alert, August 11, 2010
• Editor's Pick of the Week: Quality Improvement for Nurse Managers book, Patient Safety Monitor Alert, August 11, 2010
• Latest issue of Briefings on Patient Safety available through Patient Safety Monitor, Patient Safety Monitor Alert, August 4, 2010
• From the Patient Safety Monitor Blog: Some medical students already taking patient safety courses, Patient Safety Monitor Alert, August 4, 2010
• AHA, NPSF announce latest class of Patient Safety Leadership Fellows, Patient Safety Monitor Alert, August 4, 2010
• Editor’s Pick of the Week: National Patient Safety Goals Q & A e-book, Patient Safety Monitor Alert, August 4, 2010

July

• Patient Safety Monitor keeps users updated on regulations, Patient Safety Monitor Alert, July 28, 2010
• From the Patient Safety Monitor Blog: Heart attack death rates are decreasing in U.S. hospitals, Patient Safety Monitor Alert, July 28, 2010
• Commonwealth Fund report: U.S. healthcare lags behind other countries on performance measures, Patient Safety Monitor Alert, July 28, 2010
• Editor’s Pick of the Week: Patient and family advisory council webcast, Patient Safety Monitor Alert, July 28, 2010
• Take advantage of Patient Safety Monitor’s Talk Group, Patient Safety Monitor Alert, July 21, 2010
• From the Patient Safety Monitor Blog: IHI's Bisognano says future holds more patient involvement in care, Patient Safety Monitor Alert, July 21, 2010
• AMA releases two quality- and patient safety-related reports, Patient Safety Monitor Alert, July 21, 2010
• AHRQ: One out of every eight visits to ED is from mental health and substance abuse patients, Patient Safety Monitor Alert, July 21, 2010
• Editor’s Pick of the Week: Patient and family advisory council webcast, Patient Safety Monitor Alert, July 21, 2010
• HHS announces Final Rule on Meaningful Use, Patient Safety Monitor Alert, July 14, 2010
• From the Patient Safety Monitor Blog: More hospitals using manufacturing methods to streamline processes, Patient Safety Monitor Alert, July 14, 2010
• APIC study: CLABSI still a problem in many hospitals, Patient Safety Monitor Alert, July 14, 2010
• Check out the tools library on Patient Safety Monitor!, Patient Safety Monitor Alert, July 14, 2010
• Editor’s Pick of the Week: Effective Process Management Book, Patient Safety Monitor Alert, July 14, 2010
• Minnesota nurses voting on contract agreement, Patient Safety Monitor Alert, July 7, 2010
• Leapfrog report shows CPOEs can miss 30% of potentially fatal medication orders, Patient Safety Monitor Alert, July 7, 2010
• From the Patient Safety Monitor Blog: Family-centered rounds most prevalent, Patient Safety Monitor Alert, July 7, 2010
• Latest issue of Briefings on Patient Safety available through Patient Safety Monitor, Patient Safety Monitor Alert, July 7, 2010
• Editor’s Pick of the Week: Effectively Managing Patient Education, Patient Safety Monitor Alert, July 7, 2010

June

• Patient Safety Monitor offers several ways to keep up with news, Patient Safety Monitor Alert, June 30, 2010
• From the Patient Safety Monitor Blog: Joint Commission announces minor changes to NPSGs, Patient Safety Monitor Alert, June 30, 2010
• CMS issues proposed rule on patient visitation rights, Patient Safety Monitor Alert, June 30, 2010
• Proposed resident training standards keep hours at 80 per week, Patient Safety Monitor Alert, June 30, 2010
• Editor’s Pick of the Week: Effective Process Management Book, Patient Safety Monitor Alert, June 30, 2010
• Editor’s Pick of the Week: Patient Flow Webcast, Patient Safety Monitor Alert, June 23, 2010
• HHS releases final rule for temporary EHR certification, Patient Safety Monitor Alert, June 23, 2010
• New Jersey Hospital Association launches program to prevent heart failure rehospitalizations, Patient Safety Monitor Alert, June 23, 2010
• From the Patient Safety Monitor Blog: Patient discharge planning receiving more attention, Patient Safety Monitor Alert, June 23, 2010
• Patient Safety Monitor keeps users updated on regulations, Patient Safety Monitor Alert, June 23, 2010
• Take advantage of Patient Safety Monitor’s Talk Group, Patient Safety Monitor Alert, June 16, 2010
• From the Patient Safety Monitor Blog: Patient navigators a growing field in healthcare, Patient Safety Monitor Alert, June 16, 2010
• HHS, AHRQ announce grants to improve patient safety and reduce medical malpractice, Patient Safety Monitor Alert, June 16, 2010
• PA Patient Safety Authority data show disruptive behavior can negatively affect patient care, Patient Safety Monitor Alert, June 16, 2010
• Editor’s Pick of the Week: Patient Education book, Patient Safety Monitor Alert, June 16, 2010
• Editor’s Pick of the Week: Quality Improvement for Nurse Managers, Patient Safety Monitor Alert, June 9, 2010
• Check out the tools library on Patient Safety Monitor!, Patient Safety Monitor Alert, June 9, 2010
• From the Patient Safety Monitor Blog: Electronic medical record goals are unrealistic, many physicians and hospitals say, Patient Safety Monitor Alert, June 9, 2010
• AHRQ releases software to help hospitals analyze and publicize quality data, Patient Safety Monitor Alert, June 9, 2010
• Joint Commission releases Sentinel Event Alert about workplace violence, Patient Safety Monitor Alert, June 9, 2010
• Editor’s Pick of the Week: Quality Improvement for Nurse Managers, Patient Safety Monitor Alert, June 8, 2010
• Latest issue of Briefings on Patient Safety available through Patient Safety Monitor, Patient Safety Monitor Alert, June 2, 2010
• From the Patient Safety Monitor Blog: Noise levels can be hazardous to patient safety, Patient Safety Monitor Alert, June 2, 2010
• CDC report says CLABSI rate has decreased by 18%, Patient Safety Monitor Alert, June 2, 2010
• FDA asks clinicians to monitor pharmaceutical companies’ marketing practices, Patient Safety Monitor Alert, June 2, 2010
• Editor’s Pick of the Week: Mock tracer book, Patient Safety Monitor Alert, June 2, 2010

May

• Patient Safety Monitor keeps users updated on regulations, Patient Safety Monitor Alert, May 26, 2010
• From the Patient Safety Monitor Blog: AHRQ releases guides to help providers design public reports about quality data/outcomes, Patient Safety Monitor Alert, May 26, 2010
• Reduce the risk of missing critical test results by redefining process, says new paper, Patient Safety Monitor Alert, May 26, 2010
• Study: Trend shows fall-related hospitalizations in elderly are increasing, Patient Safety Monitor Alert, May 26, 2010
• Need to reach patient safety professionals? We can help., Patient Safety Monitor Alert, May 26, 2010
• Editor’s Pick of the Week: SBAR Basics book, Patient Safety Monitor Alert, May 26, 2010
• Editor’s Pick of the Week: Patient Education book, Patient Safety Monitor Alert, May 19, 2010
• Study: Using VAP bundle reduces costs, reduces rates of VAP, Patient Safety Monitor Alert, May 19, 2010
• Study: Incidence of MRSA in hospitalized children increases 10-fold, Patient Safety Monitor Alert, May 19, 2010
• Quality Safety Investigator program empowers nurses, Patient Safety Monitor Alert, May 19, 2010
• Take advantage of Patient Safety Monitor’s Talk Group, Patient Safety Monitor Alert, May 19, 2010
• Editor’s Pick of the Week: Effective Process Management book, Patient Safety Monitor Alert, May 12, 2010
• Check out the tools library on Patient Safety Monitor!, Patient Safety Monitor Alert, May 12, 2010
• Texas hospital forms own patient safety foundation, Patient Safety Monitor Alert, May 12, 2010
• AHRQ study shows bar code technology reduces medication administration and transcription errors, Patient Safety Monitor Alert, May 12, 2010
• From the Patient Safety Monitor Blog: MA water crisis does not leave MGH high and dry, Patient Safety Monitor Alert, May 12, 2010
• Editor’s Pick of the Week: Risk Assessment audio conference, Patient Safety Monitor Alert, May 5, 2010
• Premier and CDC to collaborate on electronic system for predicting central line infections, Patient Safety Monitor Alert, May 5, 2010
• CA Children’s Hospital finds reduction in mortality with CPOE system, Patient Safety Monitor Alert, May 5, 2010
• From the Patient Safety Monitor Blog: Hospital culture report shows gains, areas for improvement, Patient Safety Monitor Alert, May 5, 2010
• Latest issue of Briefings on Patient Safety available through Patient Safety Monitor, Patient Safety Monitor Alert, May 5, 2010

April

• Patient Safety Monitor keeps users updated on regulations, Patient Safety Monitor Alert, April 28, 2010
• From the Patient Safety Monitor Blog: AHA report says many hospitals will face fines for not complying with "meaningful use" in relation to EMRs, Patient Safety Monitor Alert, April 28, 2010
• Specific patients more likely to carry MRSA, Patient Safety Monitor Alert, April 28, 2010
• BMJ analysis: Mortality rates a poor measure of quality, Patient Safety Monitor Alert, April 28, 2010
• Editor’s Pick of the Week: The complete guide to quality improvement for nurse leaders, Patient Safety Monitor Alert, April 28, 2010
• Need to reach patient safety professionals? We can help., Patient Safety Monitor Alert, April 28, 2010
• Are We Getting It Right?, Patient Safety Quality Monthly, April 27, 2010
• Take advantage of Patient Safety Monitor’s Talk Group, Patient Safety Monitor Alert, April 21, 2010
• Donald Berwick of IHI officially nominated for Administrator of CMS, Patient Safety Monitor Alert, April 21, 2010
• From the Patient Safety Monitor Blog: Study says improved nurse-patient ratios could reduce mortality rates, Patient Safety Monitor Alert, April 21, 2010
• President Obama asks HHS to ensure that patients have right to receive visitors of their choice, Patient Safety Monitor Alert, April 21, 2010
• Have a great IC policy, checklist, or tool? Enter our contest to win a free product!, Patient Safety Monitor Alert, April 21, 2010
• Editor’s Pick of the Week: Effective Process Management book, Patient Safety Monitor Alert, April 21, 2010
• Some EMRs not designed for ease of use, Patient Safety Monitor Alert, April 14, 2010
• 2009 Leapfrog Hospital Survey: Quality improvement a challenge, waste rampant, Patient Safety Monitor Alert, April 14, 2010
• From the Patient Safety Monitor Blog: NQF releases 2010 Safe Practices, Patient Safety Monitor Alert, April 14, 2010
• Check out the tools library on Patient Safety Monitor!, Patient Safety Monitor Alert, April 14, 2010
• NEJM op-ed: Physicians should be trained on health costs, Patient Safety Monitor Alert, April 7, 2010
• From the Patient Safety Monitor Blog: HealthGrades releases 7th annual patient safety study, Patient Safety Monitor Alert, April 7, 2010
• Joint Commission announces field review for medication reconciliation, Patient Safety Monitor Alert, April 7, 2010
• Latest issue of Briefings on Patient Safety available through Patient Safety Monitor, Patient Safety Monitor Alert, April 7, 2010
• Interested in writing/speaking/serving as a content expert?, Patient Safety Monitor Alert, April 7, 2010
• Editor’s Pick of the Week: Patient Falls Prevention Webcast, Patient Safety Monitor Alert, April 7, 2010
• Colorado’s regulations state that when prescribing high-risk medications, such as anticoagulants, that an agreed upon time limit be established by the medical staff., Patient Safety Monitor Online, April 1, 2010

March

• Need to reach patient safety professionals? We can help., Patient Safety Monitor Alert, March 31, 2010
• Follow Patient Safety Monitor on Twitter, Patient Safety Monitor Alert, March 31, 2010
• President Obama to nominate Donald M. Berwick as head of CMS, Patient Safety Monitor Alert, March 31, 2010
• From the Patient Safety Monitor Blog: Thomson Reuters’ 100 Top Hospitals, Patient Safety Monitor Alert, March 31, 2010
• New Jersey releases report of adverse events from 2008; falls are most reported, Patient Safety Monitor Alert, March 31, 2010
• Editor Pick of the Week: Patient Falls Prevention Webcast, Patient Safety Monitor Alert, March 31, 2010
• Patient Safety Monitor keeps users updated on regulations, Patient Safety Monitor Alert, March 24, 2010
• From the Patient Safety Monitor Blog: MA physician invents infection-preventing stethoscope cover, Patient Safety Monitor Alert, March 24, 2010
• NY hospitals cash in on quality incentives, Patient Safety Monitor Alert, March 24, 2010
• Heart and stroke patients may be victims of fewer medication errors with use of new protocol, Patient Safety Monitor Alert, March 24, 2010
• Need to reach patient safety professionals? We can help., Patient Safety Monitor Alert, March 24, 2010
• Editor’s Pick of the Week: SBAR Basics book, Patient Safety Monitor Alert, March 24, 2010
• Olympian Culture of Safety, Patient Safety Quality Monthly, March 23, 2010
• Take advantage of Patient Safety Monitor’s Talk Group, Patient Safety Monitor Alert, March 17, 2010
• From the Patient Safety Monitor Blog: Report says medical students need increased patient safety training, Patient Safety Monitor Alert, March 17, 2010
• California Department of Health works with hospitals to prevent medical errors, Patient Safety Monitor Alert, March 17, 2010
• More hospitals considering 'care of the caregiver' after medical error, Patient Safety Monitor Alert, March 17, 2010
• Need to reach patient safety professionals? We can help., Patient Safety Monitor Alert, March 17, 2010
• Editor’s Pick of the Week: Effective Process Management book, Patient Safety Monitor Alert, March 17, 2010
• Check out the tools library on Patient Safety Monitor!, Patient Safety Monitor Alert, March 10, 2010
• From the Patient Safety Monitor Blog: Last week of the Blog contest!, Patient Safety Monitor Alert, March 10, 2010
• Peter Pronovost shares thoughts on patient safety in New York Times Q & A, Patient Safety Monitor Alert, March 10, 2010
• PA hospital uses spies to track hand hygiene, Patient Safety Monitor Alert, March 10, 2010
• Need to reach patient safety professionals? We can help., Patient Safety Monitor Alert, March 10, 2010
• Editor’s Pick of the Week: Patient Falls Prevention Webcast, Patient Safety Monitor Alert, March 10, 2010
• Latest issue of Briefings on Patient Safety available through Patient Safety Monitor, Patient Safety Monitor Alert, March 3, 2010
• From the Patient Safety Monitor Blog: Announcing a new Blog contest!, Patient Safety Monitor Alert, March 3, 2010
• Study: Trained interpreters improve communication between patients and providers, Patient Safety Monitor Alert, March 3, 2010
• Some caregivers considering radiation levels before requesting CTs, Patient Safety Monitor Alert, March 3, 2010
• Need to reach patient safety professionals? We can help., Patient Safety Monitor Alert, March 3, 2010
• Editor’s Pick of the Week: National Patient Safety Goals Calculator, Patient Safety Monitor Alert, March 3, 2010

February

• Patient Safety Monitor keeps users updated on regulations, Patient Safety Monitor Alert, February 24, 2010
• From the Patient Safety Monitor Blog: Announcing a new Blog contest!, Patient Safety Monitor Alert, February 24, 2010
• Study: Sepsis, pneumonia responsible for the HAIs that killed 48,000 patients, Patient Safety Monitor Alert, February 24, 2010
• California doctors suing state to ensure nurses have supervision when administering anesthesia, Patient Safety Monitor Alert, February 24, 2010
• Editor’s Pick of the Week: Prevent Pressure Ulcers Webcast, Patient Safety Monitor Alert, February 24, 2010
• Improving Our Forecasting: Smooth It and Scale It!, Patient Safety Quality Monthly, February 20, 2010
• Take advantage of Patient Safety Monitor’s Talk Group, Patient Safety Monitor Alert, February 17, 2010
• From the Patient Safety Monitor Blog: Field review of revised medication reconciliation NPSG postponed, Patient Safety Monitor Alert, February 17, 2010
• Patient characteristics, type of procedure may influence chance of "never event" occurring after surgery, Patient Safety Monitor Alert, February 17, 2010
• New technology uses plasma to disinfect hands, Patient Safety Monitor Alert, February 17, 2010
• Editor’s Pick of the Week: Occurrence Reporting Webcast, Patient Safety Monitor Alert, February 17, 2010
• Check out the tools library on Patient Safety Monitor!, Patient Safety Monitor Alert, February 10, 2010
• From the Patient Safety Monitor Blog: QUEST, now in second year, aims to improve healthcare, Patient Safety Monitor Alert, February 10, 2010
• FDA launches initiative to reduce unnecessary radiation exposure from medical imaging, Patient Safety Monitor Alert, February 10, 2010
• Nutrition group launches campaign to improve enteral nutrition, Patient Safety Monitor Alert, February 10, 2010
• Editor’s Pick of the Week: Lean-Six Sigma audio conference, Patient Safety Monitor Alert, February 10, 2010
• Latest issue of Briefings on Patient Safety available through Patient Safety Monitor, Patient Safety Monitor Alert, February 3, 2010
• From the Patient Safety Monitor Blog: GAO says not enough information yet about PSO system to assess progress, Patient Safety Monitor Alert, February 3, 2010
• New risk calculator estimates chance of surgical complications, Patient Safety Monitor Alert, February 3, 2010
• Why don’t most physicians apologize for making mistakes?, Patient Safety Monitor Alert, February 3, 2010
• Editor’s Pick of the Week: Effective Process Management book, Patient Safety Monitor Alert, February 3, 2010

January

• Patient Safety Monitor keeps users updated on regulations, Patient Safety Monitor Alert, January 27, 2010
• From the Patient Safety Monitor Blog: Joint Commission issues latest Sentinel Event Alert on preventing maternal death, Patient Safety Monitor Alert, January 27, 2010
• HealthGrades releases annual study, shows top hospitals are improving faster, Patient Safety Monitor Alert, January 27, 2010
• HRET releases guide to help hospital leaders prevent readmissions, Patient Safety Monitor Alert, January 27, 2010
• Editor’s Pick of the Week: Occurence Reporting Webcast, Patient Safety Monitor Alert, January 27, 2010
• Building Your List of Data, Patient Safety Quality Monthly, January 22, 2010
• Take advantage of Patient Safety Monitor’s Talk Group, Patient Safety Monitor Alert, January 20, 2010
• From the Patient Safety Monitor Blog: Patient safety group asks congress to include device identification system in health reform bill, Patient Safety Monitor Alert, January 20, 2010
• Economic downturn may be weakening medication safety, patient safety, Patient Safety Monitor Alert, January 20, 2010
• Using root cause analysis to improve patient safety, Patient Safety Monitor Alert, January 20, 2010
• Editor’s Pick of the Week: j-mail survey prep tool, Patient Safety Monitor Alert, January 20, 2010
• Check out the tools library on Patient Safety Monitor!, Patient Safety Monitor Alert, January 13, 2010
• From the Patient Safety Monitor Blog: OIG says adverse event reporting systems vary by state, Patient Safety Monitor Alert, January 13, 2010
• Researchers discover way to cut rate of Staphylococcus aureus, Patient Safety Monitor Alert, January 13, 2010
• California hospitals report an increase in adverse events, Patient Safety Monitor Alert, January 13, 2010
• Editor’s Pick of the Week: Occurrence Reporting Webcast, Patient Safety Monitor Alert, January 13, 2010
• Editor’s Pick of the Week: Performance Improvement Basics, 2nd edition, Patient Safety Monitor Alert, January 6, 2010
• Hospital utilizes lean principles to improve work flow, Patient Safety Monitor Alert, January 6, 2010
• Study: Cultural competency training has little effect on outcomes for diabetes patients, Patient Safety Monitor Alert, January 6, 2010
• From the PSM blog: Governmental agencies release electronic health records standards, Patient Safety Monitor Alert, January 6, 2010
• Latest issue of Briefings on Patient Safety available through Patient Safety Monitor, Patient Safety Monitor Alert, January 6, 2010

Question of the Month |

• What kind of data do you get back from the PSO?

• The PSO provides two major types of information that you get back as a member of the PSO. We break this into two categories:

  ... Read More...

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