California Hospital Patient Safety Organization (CHPSO)
To assist hospitals in developing effective strategies to improve patient safety, the California Hospital Association formed the California Hospital Patient Safety Organization (CHPSO). CHPSO is dedicated to eliminating preventable harm and improving the quality of health care delivery in California hospitals.
CHPSO coordinates its efforts with the Regional Hospital Associations and patient safety collaboratives across the state. The CHPSO Board is comprised of hospital chief executives, chief medical officers, quality directors, consumer representatives and prominent leaders in patient safety.
We now have a group on LinkedIn. This group is a public forum for news updates, networking, sharing ideas and learning from others. You can join the group by going to www.linkedin.com/groupRegistration?gid=2174322. There also is a subgroup that provides a news feed of the latest literature in patient safety, as well as providing a forum for discussion of the literature. To join that group, go to www.linkedin.com/groupRegistration?gid=3033757.
CHPSO News
Subscribe to this news feedCHPSO Patient Safety News, Volume 2, Number 8. The eighth 2010 monthly edition of CHPSO Patient Safety News has been released.
CHPSO patient safety alert: enteral lines and luer misconnections. Luer fittings on a variety of lines poses a risk for misconnections. Enteral tube misconnections can be particularly dangerous. This alert details the issue.
CHPSO Patient Safety News, Volume 2, Number 7. The seventh 2010 monthly edition of CHPSO Patient Safety News has been released.
CHPSO Patient Safety News, Volume 2, Number 6. The sixth 2010 monthly edition of CHPSO Patient Safety News has been released.
CHPSO Patient Safety News, Volume 2, Number 5. The fifth 2010 monthly edition of CHPSO Patient Safety News has been released.
CHPSO Patient Safety News, Volume 2, Number 4 Special Supplement. A special supplement to CHPSO Patient Safety News has been released. This supplement describes Kaiser Pemanente Northen California's high alert medication program and details its implementation.
AHRQ Common Formats Version 1.1 Released. Common Formats Version 1.1 is now available, and replaces Version 1.0. Through a contract with the Agency for Healthcare Research and Quality (AHRQ), the National Quality Forum (NQF) solicited feedback on the formats from private sector organizations and individuals. The NQF, a nonprofit organization that focuses on healthcare quality, then convened an expert panel to review the comments received, and provide feedback to AHRQ. Based on the expert panel's feedback, AHRQ further revised and refined the Common Formats that are now available as Version 1.1. This version includes electronic standards.
AHRQ Patient Safety Network News
Bedside shift report improves patient safety and nurse accountability. Baker SJ. J Emerg Nurs. 2010;36:355-358.
Do not put medication safety "on hold" with boarded patients. Paparella S. J Emerg Nurs. 2010;36:347-349.
Through and beyond anaesthesia awareness. Aaen AM, Møller K. BMJ. 2010;341:c3669.
What is patient safety culture? A review of the literature. Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.
A systems approach to morbidity and mortality conference. Szostek JH, Wieland ML, Loertscher LL, et al. Am J Med. 2010;123:663-668.
Adverse drug events in the outpatient setting: an 11-year national analysis. Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010 Jul 7; [Epub ahead of print].
Barriers to incident notification in a regional prehospital setting. Jennings PA, Stella J. Emerg Med J. 2010 Jun 26; [Epub ahead of print].
Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Catchpole K, Sellers R, Goldman A, McCulloch P, Hignett S. Qual Saf Health Care. 2010 Jun 17; [Epub ahead of print].
Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. DesRoches CM, Rao SR, Fromson JA, et al. JAMA. 2010;304:187-193.
Repeat medication errors in nursing homes: contributing factors and their association with patient harm. Crespin DJ, Modi AV, Wei D, et al. Am J Geriatr Pharmacother. 2010;8:258-270.
Revisiting old slides—how worthwhile is it? Agarwal S, Wadhwa N. Pathol Res Pract. 2010;206:368-371.
Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. Eva KW, Link CL, Lutfey KE, McKinlay JB. Acad Med. 2010;85:1112-1117.
Copyright © 2008–2010 California Hospital Patient Safety Organization
1215 K St Ste 800 • Sacramento, CA 95814 • info@chpso.org • 916-552-2600