Complications Associated with Tourniquet Use

Over the past few centuries, tourniquets have been associated with the battlefield, a device that has been either harmful or lifesaving. Soldiers were given tourniquets in their pockets with very little training on their use, particularly when they were to be used. In a hospital setting, tourniquets are often used for venipuncture, and much like the battlefield, guidelines are unclear on safe use. Phlebotomists may use unconventional materials for tourniquets (e.g., gloves) and procedures usually lack safeguards against forgetting tourniquet removal.


Discharge Medications: CHPSO Safe Tables Report

Ensuring discharged patients have access to and take their medications affects readmissions and patient safety significantly. Medication reconciliation is a key component of this. Medication adverse events have been estimated to occur in approximately 20 percent of patients following discharge, and of those, two-thirds were determined to be either preventable or ameliorable.(1,2) Given the number of US discharges, this represents 4 million patients a year having an ameliorable or preventable drug related adverse event.


Can we join CHPSO even though our hospital is not in California? Does our hospital have to join a PSO?

Since many of its members are outside California, CHPSO in 2015 changed its name from the California Hospital Patient Safety Organization to CHPSO. CHPSO members currently include healthcare organizations in nine states: Arizona, California, Colorado, Hawaii, Nevada, New Mexico, Oregon, Texas, and Washington. As one of the first federally-listed PSOs through the Agency for Healthcare Research and Quality (AHRQ), CHPSO welcomes members from all states and US territories.


CHPSO Annual Hospital Reports Mailed in Early Spring

For the past three years, CHPSO has produced hospital-specific reports to member hospitals that have submitted patient safety events through the PSO. The hospital specific reports include data submitted to CHPSO for the 2016 calendar year, January 1 – December 31. A dashboard will include the following:


Call for Participation: Respiratory Monitoring Toolkit Refresh & Revision
February 17th deadline to join

Last fall, the Hospital Quality Institute (HQI) was awarded a grant from Medtronic to revise the Respiratory Monitoring of Patients Outside the ICU Guidelines of Care Tool Kit (June 2014). HQI has assembled an interdisciplinary core team and is currently seeking subject matter experts to review, update, and expand the tool kit.

HQI is assembling four interdisciplinary teams: