Home

About the PSO

Membership Services

PSO Resources

Free eNewsletters

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.

Subscriptions to these e-newsletters are free.

2008

December

New ER requirements force Massachusetts hospitals to bolster patient flow efforts, Patient Safety Monitor Alert, December 31, 2008
Blue Cross and Blue Shield partnership with Zagat extends to North Carolina, Patient Safety Monitor Alert, December 31, 2008
Study: Med students not as confident in their care when not working in high-tech environments, Patient Safety Monitor Alert, December 31, 2008
CA hospitals gearing up for tougher infection control laws for 2009, Patient Safety Monitor Alert, December 31, 2008
Editor’s Pick of the Week: Universal Protocol audio conference, Patient Safety Monitor Alert, December 31, 2008
Medication reconciliation lacks standard processes in some hospitals, Patient Safety Monitor Alert, December 24, 2008
Hospital errors in New Jersey increase, but most likely due to better reporting, Patient Safety Monitor Alert, December 24, 2008
Emergency evacuation planning model issued by AHRQ, Patient Safety Monitor Alert, December 24, 2008
Correction, Patient Safety Monitor Alert, December 24, 2008
Editor's Pick of the Week: Performance Improvement Fourth Edition, Patient Safety Monitor Alert, December 24, 2008
Editor’s Pick of the Week: Universal Protocol audio conference, Patient Safety Monitor Alert, December 17, 2008
IHI launches newest quality improvement campaign, Patient Safety Monitor Alert, December 17, 2008
Sentinel Event Alert targets technology-related medical errors, Patient Safety Monitor Alert, December 17, 2008
Some hospitals implement unique measures to improve ER wait times, Patient Safety Monitor Alert, December 17, 2008
Institute of Medicine offers recommendations for HHS, Patient Safety Monitor Alert, December 17, 2008
Red Alerts for Dashboards, Patient Safety Quality Monthly, December 11, 2008
Hawaii trials online physician service, Patient Safety Monitor Alert, December 10, 2008
Study: ER workers not confident that hospitals can provide good emergency care, Patient Safety Monitor Alert, December 10, 2008
Electronic prescribing helps doctors make lower-cost choices, Patient Safety Monitor Alert, December 10, 2008
Report: Incidence of pressure ulcers increased 80% between 1993 and 2006 among hospital patients, Patient Safety Monitor Alert, December 10, 2008
Editor’s Pick of the Week: SBAR Basics, Patient Safety Monitor Alert, December 3, 2008
Study: Parents bring kids to ER because of concern with care from PCP, Patient Safety Monitor Alert, December 3, 2008
Institute of Medicine suggests more non-working time for medical residents, Patient Safety Monitor Alert, December 3, 2008
Hospital pharmacy uses robot to keep patients safe, Patient Safety Monitor Alert, December 3, 2008
Joint Commission says its hospitals increased quality and patient care over last six years, Patient Safety Monitor Alert, December 3, 2008

November

Editor's Pick of the Week: Medication reconciliation audio conference, Patient Safety Monitor Alert, November 26, 2008
Joint Commission releases white paper concerning future of hospitals, Patient Safety Monitor Alert, November 26, 2008
AHRQ issues final rule for Patient Safety Organizations, Patient Safety Monitor Alert, November 26, 2008
Survey shows hospitals hit hard by poor economy, Patient Safety Monitor Alert, November 26, 2008
Pilot program raises quality of cardiac care for ethnic populations, Patient Safety Monitor Alert, November 26, 2008
Fear of lawsuits cause Massachusetts doctors to order unnecessary tests, Patient Safety Monitor Alert, November 19, 2008
Cleveland Clinic begins pilot for electronic health records service out of patients’ homes, Patient Safety Monitor Alert, November 19, 2008
Editor’s Pick of the Week: Medication reconciliation audio conference, Patient Safety Monitor Alert, November 19, 2008
CDC updates sterilization and disinfection guidelines for medical equipment, Patient Safety Monitor Alert, November 19, 2008
Washington state finds MRSA rates skyrocketing, Patient Safety Monitor Alert, November 19, 2008
PSOs: The Power of Aggregation of Data, Patient Safety Quality Monthly, November 14, 2008
Editor’s Pick of the Week: FMEA Reference Toolkit: Essentials Templates and Charts for Your Hospital, Patient Safety Monitor Alert, November 12, 2008
APIC: Clostridium difficile infecting one in 100 patients, Patient Safety Monitor Alert, November 12, 2008
Expert pushes investing in health IT to improve healthcare system, Patient Safety Monitor Alert, November 12, 2008
Study: Uninsured patients not cause of ED overcrowding, Patient Safety Monitor Alert, November 12, 2008
FAQs released on NPSG.01.01.01, Universal Protocol, Patient Safety Monitor Alert, November 12, 2008
Editor’s Pick of the Week: The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition, Patient Safety Monitor Alert, November 5, 2008
ER patients given a longer estimated wait time prove to be more satisfied, Patient Safety Monitor Alert, November 5, 2008
Study: Pain not being adequately treated for 33% of patients, Patient Safety Monitor Alert, November 5, 2008
Healthcare leaders dissatisfied with current healthcare system, Patient Safety Monitor Alert, November 5, 2008
Newborn babies infected with MRSA, hospital trying to find cause, Patient Safety Monitor Alert, November 5, 2008

October

Editor’s Pick of the Week: Collecting, Analyzing, and Presenting Quality Data conference, Patient Safety Monitor Alert, October 29, 2008
Medicare pushes for increase in adoption of e-prescribing, Patient Safety Monitor Alert, October 29, 2008
Inflexible hours, doing tasks of other hospital staff members cited as reasons for VA's poor nurse retention, Patient Safety Monitor Alert, October 29, 2008
Patient beds in hallways used as tactic to prevent ER overcrowding, Patient Safety Monitor Alert, October 29, 2008
Community-associated MRSA becomes harder to treat, Patient Safety Monitor Alert, October 29, 2008
CMS’ no-pay conditions are difficult for the agency to enforce internally, Patient Safety Monitor Alert, October 22, 2008
Johns Hopkins publishes list of practices to facilitate better patient handoffs, Patient Safety Monitor Alert, October 22, 2008
Rand Corporation study endorses need for national unique patient identifiers, Patient Safety Monitor Alert, October 22, 2008
Top hospitals boast a lower death rate, Patient Safety Monitor Alert, October 22, 2008
Editor’s Pick of the Week: Universal Protocol audio conference, Patient Safety Monitor Alert, October 22, 2008
Pay-for-performance emphasis helps with smoking cessation, Patient Safety Monitor Alert, October 17, 2008
Editor’s Pick of the Week: HCAHPS Success handbook, Patient Safety Monitor Alert, October 15, 2008
Pennsylvania nurses celebrate bill that limits working hours, Patient Safety Monitor Alert, October 15, 2008
Five major U.S. healthcare organizations endorse infection control strategies, Patient Safety Monitor Alert, October 15, 2008
AHRQ offers interim guidance for Patient Safety Organizations, Patient Safety Monitor Alert, October 15, 2008
Uninsured patients routinely given poorer care than those insured, Washington Post reports, Patient Safety Monitor Alert, October 15, 2008
Patient Safety Organizations: Why should we join?, Patient Safety Quality Monthly, October 9, 2008
Editor’s Pick of the Week: Hospital-Acquired Conditions Audio Conference, Patient Safety Monitor Alert, October 8, 2008
Massachusetts ERs still overcrowded despite universal healthcare program, Patient Safety Monitor Alert, October 8, 2008
Physicians more apt to admit obvious errors than less obvious ones, Patient Safety Monitor Alert, October 8, 2008
Study: Many ER visits the result of adverse reactions to antibiotics, Patient Safety Monitor Alert, October 8, 2008
Rhode Island to launch Health Information Exchange, Patient Safety Monitor Alert, October 8, 2008
Editor’s Pick of the Week: Preventing Tubing Misconnections Video, Patient Safety Monitor Alert, October 1, 2008
New program brings idea of monitoring hand washing via video surveillance to hospitals, Patient Safety Monitor Alert, October 1, 2008
New program brings idea of monitoring handwashing via video surveillance to hospitals, Patient Safety Monitor Alert, October 1, 2008
California passes legislation concerning prevention of staph infections in hospitals, Patient Safety Monitor Alert, October 1, 2008
New York hospitals scrutinize attempts to standardize wristband colors, Patient Safety Monitor Alert, October 1, 2008
Joint Commission releases latest Sentinel Event Alert targeting anticoagulants, Patient Safety Monitor Alert, October 1, 2008

September

Editor’s Pick of the Week: Root Cause Analysis audio conference, Patient Safety Monitor Alert, September 24, 2008
Doctors provide little, if any empathy towards patients, study shows, Patient Safety Monitor Alert, September 24, 2008
Wrong knee operated on even after new protocol at RI hospital, Patient Safety Monitor Alert, September 24, 2008
Hospital infections can survive on clothing, may affect how they are spread, Patient Safety Monitor Alert, September 24, 2008
HHS to roll out national infection control action plan, Patient Safety Monitor Alert, September 24, 2008
Editor’s Pick of the Week: CMS Interpretive Guidelines audio conference, Patient Safety Monitor Alert, September 17, 2008
Michigan hospitals have been paying for many patients who can’t afford care, Patient Safety Monitor Alert, September 17, 2008
Bar coding may help locate sponges and surgical instruments during surgery, Patient Safety Monitor Alert, September 17, 2008
Massachusetts orders hospitals to stop ambulance diversions, Patient Safety Monitor Alert, September 17, 2008
Medical errors go unreported at NJ, PA hospitals, Patient Safety Monitor Alert, September 17, 2008
Solutions to Help Facilitate Your Failure Modes and Effects Analyses (FMEAs), Patient Safety Quality Monthly, September 11, 2008
Editor’s Pick of the Week: SBAR Basics Webcast, Patient Safety Monitor Alert, September 10, 2008
Hospitals launch SWAT teams to fight infections, Patient Safety Monitor Alert, September 10, 2008
AHA recommends all hospitals standardize wristband colors, Patient Safety Monitor Alert, September 10, 2008
University of Chicago directs uninsured patients with minor injuries to other facilities, Patient Safety Monitor Alert, September 10, 2008
Massachusetts lawsuit accuses doctor of negligence in prescribing a patient’s medication, Patient Safety Monitor Alert, September 10, 2008
Editor's Pick of the Week: Transparency Success Stories, Patient Safety Monitor Alert, September 3, 2008
Alabama state workers told they will pay extra in insurance for obesity, Patient Safety Monitor Alert, September 3, 2008
NQF endorses health information technology standards, Patient Safety Monitor Alert, September 3, 2008
AHRQ releases information about common definitions and reporting formats for PSOs, Patient Safety Monitor Alert, September 3, 2008
AHA shares opinion about CMS’ criteria for surgical errors, Patient Safety Monitor Alert, September 3, 2008

August

Editor’s Pick of the Week: Rapid Response Teams, Second Edition, Patient Safety Monitor Alert, August 27, 2008
Limits on resident hours may not lead to less hours worked, Patient Safety Monitor Alert, August 27, 2008
Joint Commission seeks experts to develop standards for culturally competent care, Patient Safety Monitor Alert, August 27, 2008
Four CA facilities fined for medical errors, Patient Safety Monitor Alert, August 27, 2008
Illinois man steals friend’s identity for bypass surgery, Patient Safety Monitor Alert, August 27, 2008
Editor’s Pick of the Week: Transparancy Success Stories, Patient Safety Monitor Alert, August 20, 2008
Hospital Compare Web updates some content, Patient Safety Monitor Alert, August 20, 2008
Patient badly burned during surgical error, Patient Safety Monitor Alert, August 20, 2008
FDA may suggest mandatory training to dispense narcotics, Patient Safety Monitor Alert, August 20, 2008
Study: Incorrect medication information often entered into medical records, Patient Safety Monitor Alert, August 20, 2008
Red Alerts for Dashboards, Patient Safety Quality Monthly, August 14, 2008
Editor’s Pick of the Week: Webcast: SBAR Basics, Patient Safety Monitor Alert, August 13, 2008
Stroke patients may be better off going to specialized facility, Patient Safety Monitor Alert, August 13, 2008
FDA to regulate look-alike/sound-alike drugs, Patient Safety Monitor Alert, August 13, 2008
Waiting time for the ER grows to one hour, Patient Safety Monitor Alert, August 13, 2008
Illinois insurer to stop paying for errors, Patient Safety Monitor Alert, August 13, 2008
Editor’s Pick of the Week: SBAR Basics: Train Staff to Improve Communication and Save Lives,, Patient Safety Monitor Alert, August 6, 2008
CMS adds three additional conditions to its no-pay list, Patient Safety Monitor Alert, August 6, 2008
Aetna researches reward plan to entice patients to use medications correctly, Patient Safety Monitor Alert, August 6, 2008
Boston to create a primary care referral service, Patient Safety Monitor Alert, August 6, 2008
Minnesotan’s state employees ready themselves for personal health records, Patient Safety Monitor Alert, August 6, 2008

July

Editor’s Pick of the Week: Prevent Tubing Misconnections: Six Steps to Keep Patients Safe, Patient Safety Monitor Alert, July 30, 2008
Hospital hopes noise alarm will boost patient satisfaction, Patient Safety Monitor Alert, July 30, 2008
New England hospitals form group to share quality data, Patient Safety Monitor Alert, July 30, 2008
AHRQ estimates surgical errors cost $1.5 billion annually, Patient Safety Monitor Alert, July 30, 2008
"Medical malls" a possibility for Maryland County, Patient Safety Monitor Alert, July 30, 2008
Editor’s Pick of the Week: Rapid Response Teams, Second Edition: Proven Strategies for Successful Implementation, Patient Safety Monitor Alert, July 23, 2008
Study: Healthcare spending up, quality rates down, less access, Patient Safety Monitor Alert, July 23, 2008
AARP of New Jersey calls for more public information about medical errors, Patient Safety Monitor Alert, July 23, 2008
Charges dropped against doctor at New Orleans hospital during Hurricane Katrina, Patient Safety Monitor Alert, July 23, 2008
Very elderly more often given treatments reserved for younger seniors, Patient Safety Monitor Alert, July 23, 2008
Ask simple questions to manage your data, Patient Safety Quality Monthly, July 17, 2008
Editor’s Pick of the Week: Rapid Response Teams, Second Edition: Proven Strategies for Successful Implementation, Patient Safety Monitor Alert, July 16, 2008
Frequent users are burdening ERs, Patient Safety Monitor Alert, July 16, 2008
GAO suggests Medicare consider prior authorization for MRIs and CT scans, Patient Safety Monitor Alert, July 16, 2008
Patients reporting more adverse events than are in their medical records, Patient Safety Monitor Alert, July 16, 2008
New Sentinel Event Alert targets disruptive behavior, Patient Safety Monitor Alert, July 16, 2008
Editor’s Pick of the Week: Hospital-Acquired Conditions: Protect Patients and Ensure Proper Reimbursement, Patient Safety Monitor Alert, July 9, 2008
CEO offers full disclosure for recent medical error at Boston hospital, Patient Safety Monitor Alert, July 9, 2008
New Jersey hospitals going broke, shutting doors, Patient Safety Monitor Alert, July 9, 2008
More than 75% of ER patients don’t understand physician instructions, Patient Safety Monitor Alert, July 9, 2008
California posts adverse event data, Patient Safety Monitor Alert, July 9, 2008
American Medical Association makes statement against CMS’ no-pay list, Patient Safety Monitor Alert, July 2, 2008
Joint Commission unveils 2009 standards, Patient Safety Monitor Alert, July 2, 2008
Wisconsin Hospital Association to standardize hospital code alerts, Patient Safety Monitor Alert, July 2, 2008
Study finds RFID technology may interfere with medical devices, Patient Safety Monitor Alert, July 2, 2008
Editor’s pick of the week: 2009 National Patient Safety Goals audioconference, Patient Safety Monitor Alert, July 1, 2008

June

Editor’s Pick of the Week: Occurrence Reporting 2.0 audioconference, Patient Safety Monitor Alert, June 25, 2008
New York Times editorial urges doctors to adopt electronic medical records, Patient Safety Monitor Alert, June 25, 2008
New hospitals design comes from staff members, Patient Safety Monitor Alert, June 25, 2008
Controversy lights up when health clinics sell cigarettes, Patient Safety Monitor Alert, June 25, 2008
MA insurance will no longer pay for medical mistakes, Patient Safety Monitor Alert, June 25, 2008
Joint Commission releases 2009 National Patient Safety Goals, Patient Safety Monitor Alert, June 18, 2008
Editor’s Pick of the Week: Making Your Data Work: Tools and Templates for Effective Analysis, Patient Safety Monitor Alert, June 18, 2008
Like a mystery shopper, AMA will decide on use of undercover patients, Patient Safety Monitor Alert, June 18, 2008
Few patients using Web sites that rate physicians, Patient Safety Monitor Alert, June 18, 2008
Bernanke says improving healthcare system is one of U.S.’ biggest challenges, Patient Safety Monitor Alert, June 18, 2008
Patient safety organization, Patient Safety Quality Monthly, June 12, 2008
Editor’s Pick of the Week: Patient Safety Officer’s Handbook, Patient Safety Monitor Alert, June 11, 2008
NY Medicaid to stop paying for 14 ’never events’, Patient Safety Monitor Alert, June 11, 2008
North Carolina hospital under fire for serious errors, will lose CMS funding, Patient Safety Monitor Alert, June 11, 2008
Evidence-based design popular in new hospitals, Patient Safety Monitor Alert, June 11, 2008
AHA supports NQF’s propsed framework for patient care that is culturally competent, Patient Safety Monitor Alert, June 11, 2008
News from HCPro: Quality improvement ezine, Patient Safety Monitor Alert, June 4, 2008
CA hospital dumped patient, now must pay $1 million, Patient Safety Monitor Alert, June 4, 2008
Study: More healthcare may not mean better healthcare, Patient Safety Monitor Alert, June 4, 2008
Children more likely to suffer hospital infection than adults, Patient Safety Monitor Alert, June 4, 2008
Long lines for patients at Orlando-area emergency rooms, Patient Safety Monitor Alert, June 4, 2008

May

Editor’s Pick of the Week: Periodic Performance Review audioconference, Patient Safety Monitor Alert, May 28, 2008
CMS and FDA to monitor use of medical products as means of keeping patients safer, Patient Safety Monitor Alert, May 28, 2008
Boston Globe editorial asks, "Where have all the doctors gone?", Patient Safety Monitor Alert, May 28, 2008
Congressional Budget Office questions whether health information technology really saves money, Patient Safety Monitor Alert, May 28, 2008
Fundraising efforts by hospitals puts patients’ private information at risk, Patient Safety Monitor Alert, May 28, 2008
Some doctors apologize to patients when a medical error occurs, Patient Safety Monitor Alert, May 21, 2008
Quality down at hospitals that focus on care for poor, Patient Safety Monitor Alert, May 21, 2008
New report offers methods to reduce ED overcrowding, Patient Safety Monitor Alert, May 21, 2008
Replacement Heparin causes concerns about medication errors, Patient Safety Monitor Alert, May 21, 2008
Editor’s Pick of the Week: Transparency Success Stories, Patient Safety Monitor Alert, May 21, 2008
Rapid cycle improvement, Patient Safety Quality Monthly, May 15, 2008
Editor’s Pick of the Week: Patient Flow Solutions: Practical Strategies for Hospital Capacity Management, Patient Safety Monitor Alert, May 14, 2008
VHA Foundation launches Healthcare Safety Network, Patient Safety Monitor Alert, May 14, 2008
Study shows patient toilets not cleaned appropriately, aids spread of CDAD, Patient Safety Monitor Alert, May 14, 2008
MD perinatal care collaborative to continue, Patient Safety Monitor Alert, May 14, 2008
Detroit-area hospital improves food to better patients’ stays, Patient Safety Monitor Alert, May 14, 2008
Making Your Data Work: Tools and Templates for Effective Analysis, Patient Safety Monitor Alert, May 7, 2008
Medically Induced Trauma Support Services launches new blogs, Patient Safety Monitor Alert, May 7, 2008
New Hampshire launches hand sanitation campaign to fight infectious diseases, Patient Safety Monitor Alert, May 7, 2008
Pennsylvania Patient Safety Authority releases annual report, undertakes 11 new initiatives, Patient Safety Monitor Alert, May 7, 2008
CMS plans to add more preventable conditions to list, Patient Safety Monitor Alert, May 7, 2008

April

Editor’s Pick of the Week: Pressure Ulcer Prevention: Develop a Zero Tolerance Program Through Evidence-Based Strategies, Patient Safety Monitor Alert, April 30, 2008
Study: CDAD infection rates on the rise, Patient Safety Monitor Alert, April 30, 2008
ISMP develops guidelines to assist staff members when using automated dispensing cabinets, Patient Safety Monitor Alert, April 30, 2008
AHRQ creates Web site for sharing innovation in healthcare, Patient Safety Monitor Alert, April 30, 2008
Maryland ED patients to be cared for by Delaware doctors electronically, Patient Safety Monitor Alert, April 30, 2008
Editor’s Pick of the Week: The Joint Commission's Suicide Risk Assessment NPSG aims to save lives-so why is compliance still such a challenge?, Patient Safety Monitor Alert, April 23, 2008
GAO: Leadership needed to combat healthcare-acquired infections, Patient Safety Monitor Alert, April 23, 2008
AHRQ releases report on patient safety culture, Patient Safety Monitor Alert, April 23, 2008
Research suggests aggressive screening of healthcare workers for MRSA, Patient Safety Monitor Alert, April 23, 2008
American Hospital Association suggests an end to physician self-referral, Patient Safety Monitor Alert, April 23, 2008
Editor’s Pick of the Week: Rapid Response Systems for Small Hospitals: Tips and Tools to Overcome a Lack of Resources audioconference, Patient Safety Monitor Alert, April 16, 2008
NY nursing homes admit more patients for short-term stays, Patient Safety Monitor Alert, April 16, 2008
FDA and Wellpoint team up to launch drug surveillance system, Patient Safety Monitor Alert, April 16, 2008
Institute of Medicine releases report on state of U.S. geriatric care, Patient Safety Monitor Alert, April 16, 2008
Joint Commission issues Sentinel Event Alert about pediatric medication errors, Patient Safety Monitor Alert, April 16, 2008
Why Data is So Important, Patient Safety Quality Monthly, April 14, 2008
Editor’s Product Pick of the Week: Rapid Response Systems for Small Hospitals: Tips and Tools to Overcome a Lack of Resources, Patient Safety Monitor Alert, April 9, 2008
Wellpoint to stop paying for 11 preventable errors, Patient Safety Monitor Alert, April 9, 2008
Study: Medical errors cause more than 230,000 deaths in 3-year span, Patient Safety Monitor Alert, April 9, 2008
Reevaluation of hospital roles and waste have improved care at Wisconsin hospital, Patient Safety Monitor Alert, April 9, 2008
Study: More intense care at end of life does not always mean higher quality of life, Patient Safety Monitor Alert, April 9, 2008
First HCAHPS data released to Hospital Compare Web site, Patient Safety Monitor Alert, April 2, 2008
Majority of physicians support creation of national health insurance, Patient Safety Monitor Alert, April 2, 2008
Study shows stent procedures may be safe at small hospitals, Patient Safety Monitor Alert, April 2, 2008
PA physicians told they will have to pay more for malpractice insurance, Patient Safety Monitor Alert, April 2, 2008
Editor's Product Pick: Suicide Risk Assessment: Practical Strategies and Tools for Joint Commission Compliance, Patient Safety Monitor Alert, April 2, 2008

March

Editor's Product Pick: How to Comply With CMS and Joint Commission Restraint & Seclusion Requirements, Patient Safety Monitor Alert, March 26, 2008
AHRQ issues advice on becoming a "high reliability organization", Patient Safety Monitor Alert, March 26, 2008
CA medication tracking system gets delayed, Patient Safety Monitor Alert, March 26, 2008
Doctors must use tamper-proof prescription pads by April 1, Patient Safety Monitor Alert, March 26, 2008
APIC launches first C. Difficile study, Patient Safety Monitor Alert, March 26, 2008
Proposed electronic medical record privacy bill struck down in NH, Patient Safety Monitor Alert, March 19, 2008
Oregon hospitals: Errors caused 24 deaths last year, Patient Safety Monitor Alert, March 19, 2008
Study: Hospitals improved in patient safety areas for five consecutive years, Patient Safety Monitor Alert, March 19, 2008
Study: MRSA screening helps lower infection rates, Patient Safety Monitor Alert, March 19, 2008
HCPro, Inc. launches new logo and tagline as part of its new corporate branding initiative, Patient Safety Monitor Alert, March 19, 2008
Editor’s Pick of the Week: Failure Modes and Effect Analysis: Templates and Tools to Improve Patient Safety, Patient Safety Monitor Alert, March 19, 2008
The Culture of Safety Transformation, Patient Safety Quality Monthly, March 13, 2008
Editor’s product pick of the week: National Patient Safety Goals Calculator, 2008, Patient Safety Monitor Alert, March 12, 2008
Death of FL patient brings use of agency nurses into question, Patient Safety Monitor Alert, March 12, 2008
Mayo Clinic Survey: Consumers want to be actively involved in healthcare reform, Patient Safety Monitor Alert, March 12, 2008
National Patient Safety Foundation proposes idea of "Universal Patient Compact", Patient Safety Monitor Alert, March 12, 2008
FDA finds contamination in heparin samples, Patient Safety Monitor Alert, March 12, 2008
AHRQ releases annual reports on national healthcare quality and disparities, Patient Safety Monitor Alert, March 5, 2008
ER at a DC hospital being specially built for future emergencies, Patient Safety Monitor Alert, March 5, 2008
Maryland Hospital Association to offer public education about MRSA, Patient Safety Monitor Alert, March 5, 2008
BCBS of MA: Financial benefits of EMRs not worth investment to doctors, but worth it for CPOE, Patient Safety Monitor Alert, March 5, 2008

February

U.S. government estimates healthcare-related spending to rise sharply in next decade, Patient Safety Monitor Alert, February 27, 2008
California falling behind other states in terms of tracking drug-resistant infections, Patient Safety Monitor Alert, February 27, 2008
Google tests waters of electronic health records, Patient Safety Monitor Alert, February 27, 2008
HHS okays use of IC checklists in Michigan program, Patient Safety Monitor Alert, February 27, 2008
Joint Commission warns of MRI dangers, Patient Safety Monitor Alert, February 20, 2008
Regulation for Patient Safety Organizations proposed by HHS, Patient Safety Monitor Alert, February 20, 2008
Study of six MA community hospitals finds one in 10 patients victim of error, Patient Safety Monitor Alert, February 20, 2008
Arizona nurses protest in favor of Patient Protection Act, Patient Safety Monitor Alert, February 20, 2008
Incident reporting: A key to improving patient safety, Patient Safety Quality Monthly, February 14, 2008
More medication errors attributed to depression in residents than to burnout, Patient Safety Monitor Alert, February 13, 2008
Some CA hospitals choosing not to participate in online rating system, Patient Safety Monitor Alert, February 13, 2008
Federal government seeks to create patient safety organizations to collect and analyze adverse event data, Patient Safety Monitor Alert, February 13, 2008
Indiana Health Information Exchange program releases annual report, Patient Safety Monitor Alert, February 13, 2008
Aetna of New Jersey faces physician opposition on anesthesia use, Patient Safety Monitor Alert, February 6, 2008
Study: Costs associated with CDAD climb substantially, Patient Safety Monitor Alert, February 6, 2008
Washington governor supports agreement between nurses and hospitals, Patient Safety Monitor Alert, February 6, 2008
Connecticut Hospital Association announces effort to prevent MDROs, Patient Safety Monitor Alert, February 6, 2008

January

Pennsylvania hospitals forced to use better infection control methods, Patient Safety Monitor Alert, January 30, 2008
New Massachusetts ruling may make doctors liable to anyone for risks of drug side effects and potential consequences, Patient Safety Monitor Alert, January 30, 2008
ISMP survey shows that automated medication dispensing cabinets only safest when used correctly, Patient Safety Monitor Alert, January 30, 2008
St. Louis hospital proposes plan to not directly employ ER doctors, Patient Safety Monitor Alert, January 30, 2008
Senator slams HHS for failure to implement Patient Safety and Quality Act of 2005, Patient Safety Monitor Alert, January 23, 2008
FDA issues warning on two drugs that look and sound alike, Patient Safety Monitor Alert, January 23, 2008
The Joint Commission releases potential 2009 NPSGs for review, Patient Safety Monitor Alert, January 23, 2008
Massachusetts hospitals report pressure ulcer data, Patient Safety Monitor Alert, January 23, 2008
Study finds longer ED wait times, Patient Safety Monitor Alert, January 16, 2008
Two insurance companies to stop paying for hospital errors, Patient Safety Monitor Alert, January 16, 2008
Error reporting systems inadequate, say physicians, Patient Safety Monitor Alert, January 16, 2008
Long-term care patients taking up too many hospital beds in Hawaii, Patient Safety Monitor Alert, January 16, 2008
New Service FMEA: Developing high reliability, Patient Safety Quality Monthly, January 11, 2008
FDA releases first quick test for MRSA, Patient Safety Monitor Alert, January 9, 2008
Strategies not in place to stop catheter infections, Patient Safety Monitor Alert, January 9, 2008
Government says data collection around checklists violates patient privacy, Patient Safety Monitor Alert, January 9, 2008
Some doctors deliver test results electronically, Patient Safety Monitor Alert, January 9, 2008
Study: Hospitalists shorten a patient's average length of stay, Patient Safety Monitor Alert, January 2, 2008
Louisiana uses bidding system to fill nursing shifts, Patient Safety Monitor Alert, January 2, 2008
Nuclear particle accelerators being used to fight cancer in hospitals, Patient Safety Monitor Alert, January 2, 2008
KU hospital recognized for preventing sepsis, Patient Safety Monitor Alert, January 2, 2008

Document Library |

Membership entitles you to unlimited online access to our extensive library of quality and patient safety policies, procedures, and resources. This library is continuously updated with new and revised documents.

View our Document Library

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: