Welcome to Patient Safety Monitor!

Patient Safety Monitor is the premier online destination for news, analysis, and training in the patient safety community.

This time-saving resource includes:

  • Patient Safety Crosswalk: an interactive grid that organizes state, CMS, and Joint Commission requirements by topic
  • Patient Safety Monitor Journal newsletter and weekly email newsletter
  • Patient Safety Monitor Blog and Talk Group
  • Tools Library with sample forms and policies
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Patient Safety Monitor Journal

Patient Safety Monitor Journal answers your most important patient safety questions and offers field-tested compliance strategies to ensure your patient safety efforts measure up to The Joint Commission.

  • High hospital C-section rates will be published online in 2020

    Next year, patients and potential parents will have one more metric by which to judge your hospital. Starting July 2020, The Joint Commission (TJC) will publicly report hospitals that have consistently high C-section rates on its Quality Check website.
    Hospital rankings will be based on TJC’s perinatal care (PC) Cesarean Birth measure PC-02. Hospitals accredited by TJC are already required to report that data to the accreditor, but this will be the first time it’ll be visible to the public.
    TJC will only track the number of C-sections done on nulliparous, term, singleton, vertex (NTSV) births—procedures performed on first-time mothers carrying a single baby that has its head facing down at the onset of labor.

  • Q&A: Legal marijuana use in hospitals

    While still illegal federally, there are currently 33 states that have legalized marijuana for medical use. At the moment, the laws on this topic are very dependent on where your facility is located, and you should take the time to look up your state laws.

    This Q&A is meant to clear up some of the broader questions around medical cannabis in healthcare—for patients as well as healthcare employees.

    This Q&A has been lightly edited for clarity.

    Benjamin Caplan, MD,
    is the founder of the CED Clinic and a spokesman for Doctors for Cannabis Regulation, the only national physicians’ association dedicated to the effective regulation of cannabis in the United States. 

    Q: If a patient has a valid medical marijuana recommendation, is he or she allowed to bring it to the hospital? Say if they’re going to be there for an extended period of time or overnight?
    That’s a policy question for hospitals. There are places in the United States where it’s legal to bring [medical cannabis] to a hospital, although they would not be administering it. But it’s different region to region.
    I think there’s a legal question and an ethical question. State laws are telling medical patients that they are allowed to have a choice to use this particular medicine. Hospital policies are quite different, and for good reason. In order for doctors to best manage illnesses carefully, and to the best of our abilities, we must know as much as we can [about] what a patient is taking. But it’s very common for patients to sneak cannabis in back rooms or under the radar, which is really unfortunate for everyone. I think the hospital perspective should be embracing what patients find helpful.
    To have cases where patients are having seizures in a hospital and they can’t get the medicine that they want (and find helpful) as an outpatient is a real cultural disconnect for the medical establishment. I think the solution is for people to not sneak around; the solution is for hospitals to open their arms to patients who find a medication helpful. 

  • ER doctor: Protect your staff from workplace violence

    Amy Costigan, MD, wants to be able to practice emergency medicine without being punched in the face.

  • PSMF takes aim at postoperative delirium in elders

    The PSMF has named postoperative delirium as its 18th patient safety challenge, collecting solutions for organizations to implement to reduce the number of preventable deaths from the condition.
    Delirium is a condition of acute cerebral dysfunction that may be seen in patients in the early postoperative period or in ICU patients.

  • Depression screening and treatment

    Depression is the leading cause of disability worldwide, and 16.2 million Americans experienced a major depressive episode in 2016. It’s also closely tied to suicidal ideation—a major concern of The Joint Commission and CMS. But despite clear guidelines saying providers should screen for depression and provide follow-up and treatment, it’s the fourth least-reported measure on the Medicaid Adult Core Set. And only seven states report depression screening and follow-up data.

    In the January edition of The Joint Commission Journal on Quality and Patient Safety, a study named “Not Missing the Opportunity: Improving Depression Screening and Follow-Up in a Multicultural Community” was published by Ann M. Schaeffer, DNP, CNM, and Diana Jolles, PhD, CNM, at the Harrisonburg Community Health Center (HCHC) in Virginia. Set in a diverse city in Virginia, researchers showcased ways to overcome cultural and language barriers to depression treatment. The study looked at methods to improve the Screening, Brief Intervention, and Referral to Treatment (SBIRT) approach for depression. Originally developed for identifying and treating substance abuse disorders, SBIRT has been successfully applied to other chronic health conditions and has demonstrated improved outcomes for depression.

Weekly Alerts

This e-mail newsletter provides surveillance on patient safety-related standards and regulations, as well the latest breaking patient safety news.

Tools Library

The Patient Safety Monitor Tools Library is a comprehensive collection of sample forms and policies. Search through our downloadable and customizable templates to find what you need, when you need it.

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The Patient Safety Crosswalk is an interactive grid that organizes state, CMS, and Joint Commission requirements by topic. No more searching various sites to find the answers you need—it’s all here in one place!

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Patient Safety Talk

Let your voice be heard!

Patient Safety Talk connects you with hundreds of patient safety professionals across the country. This online talk group allows members to voice their opinion, share tools and policies, and receive answers to industry-related questions.