Over 150 years ago, physician Ignaz Semmelweis determined that health care workers in a Viennese teaching hospital transmitted hospital-acquired diseases. The odor coming from the hands of doctors and students disturbed Semmelweis. He observed that they were not adequately washing their hands after performing autopsies and before their rounds on the delivery suite. “Cadaverous particles” were transferred from doctors and students to mothers, causing puerperal fever.
CHPSO member hospitals have uniformly experienced a transition to
Solutions’ reporting system with ease. With the aims of
streamlining data submission to CHPSO and saving members the
resources of specialized solutions, staff members will only need
to export a plain text report from their reporting system. Member
column names will be assigned to AHRQ fields and the row contents
will be assigned to standardized answers. The entire process
takes a few hours for the initial submission.
Surgical-safety events usually are caused by problems with the
way we do things (practices) and how we share knowledge and
information about what we want to do (communication). No surprise
that this is true for retained surgical items (RSIs).1 To date,
surgical sponges have been the most common RSI2 and we have the
most information about these types of cases.
CHPSO will release the 2015 Annual Report at the end of January
2016. Like the 2014 Annual Report, highlights on future plans
will be included as well as an analysis of reported events. In
addition to the Annual Report, individualized hospital-specific
reports will be mailed to hospital patient safety leaders and
CEOs. These reports include the number of reported events by
category for the specified hospital and an aggregate for CHPSO,
feedback on completion of reports, and a harm scale. Please
contact CHPSO if you have any questions at email@example.com
CHPSO has teamed with other PSOs across the nation to provide
quarterly patient safety webinars. The North Carolina Quality
Center PSO will kick off the Shared Learning Series in February
with a webinar on “Stronger Action Planning: The Next Chapter in
Risk Management and Patient Safety” presented by Alan Card, PhD,
MPH of Evidence-Based Health Solutions, LLC. CHPSO’s Rory Jaffe,
MD, MBA, will host a webinar with an update on small bore
connectors in May. Dates and details to follow. CHPSO members
will be notified of the schedule and topics.