PSO Plus

Public View

​Share Learn Protect

Adverse events happen. The Patient Safety and Quality Improvement Act creates opportunities to reduce these unfortunate events. Under the Federal Protection you can:

  • Share information and compare experiences with other providers
  • Learn best practices to fix your specific problems
  • Take action to protect your patients—and your bottom line

Comprehensive resources to identify risk and drive patient safety improvement

It’s not just the information you put into a PSO, it’s the quality of information, analysis, advice, and support you get out of your PSO that will allow you to take full advantage of the Patient Safety and Quality Improvement Act—and give you the strong return-on-investment that you want for your organization, and your patients.

ECRI Institute PSO Plus helps you get your patient safety goals moving faster—save time, drive change, reduce lost revenue—without the staff hours required to create a program from scratch. PSO Plus lets you maximize your resources to:

  • Investigate issues and determine a plan for improvement with interactive assessments, independent review of root cause analyses, and more
  • Research potential solutions and guidance in a comprehensive evidence library and custom research support
  • Build a compelling business case for patient safety including audits, impact, effectiveness, affordability, and feasibility
  • Implement change with customizable tools and best practices
  • Measure and monitor results through paper and interactive auditing
  • Support change and maintain progress with educational programs and Continuing Medical Education

Deep and broad resources allow you to pick up speed

Tour our capabilities, or better yet, call our staff to learn how ECRI Institute PSO Plus can help you and your organization meet your goals.

  • Call us at (610) 825-6000, ext. 5558 or e-mail pso@ecri.org.

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  • ​Our members have told me ‘I joined for the protections but find the feedback to be the most useful.’

    Bill Bell, General Counsel, Florida Hospital Association, Director, The Patient Safety Organization of Florida

 Event reporting, tools, analyses, and strategies

ECRI Institute PSO Plus helps you get your patient safety goals moving faster—save time, drive change, reduce lost revenue—without the staff hours required to create a program from scratch.

  • Identify and prioritize riskseach membership includes the opportunity to easily and confidentially assess key clinical areas—including high risk areas and those that impact readmissions—plus an electronic AHRQ Culture of Safety survey. Bottom line—each assessment will help you prioritize your efforts on the areas that have the greatest opportunity for improvement.
  • Best practicesindependent review of your root cause analyses with actionable feedback from our staff of clinical experts. Custom research requests for personal service to help you face your unique needs. Access to hundreds of comprehensive, research-based guidance and best practices. New topics are addressed every week in newsletters and publications based on member requests, trends in healthcare, and issues identified by submitted reports from member facilities.
  • Implementation toolsevidence-based resources and patient safety tool kits aid in identifying and resolving system flaws common to healthcare. From cross cutting issues like hand-off communication and culture of safety to critical care, implement change with Guidance for Patient Safety Toolkits.
  • Educationwebinars, customizable training tools, and Continuing Medical Education (CME/CE). Designate education programs as part of new staff orientation or ongoing medical staff training to drive your progress. All training and CME topics are based on high priority patient safety risks as identified by member requests, submitted event data, and current trends in healthcare.

 Case Studies

 Samples from PSO Plus

 

 

Most Episodes of Postoperative Respiratory Depression Are Preventable with Better Monitoringhttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts022515_Most.aspxMost Episodes of Postoperative Respiratory Depression Are Preventable with Better Monitoring2015-02-25T00:00:00Z​Episodes of postoperative opioid-induced respiratory depression are multifactorial and potentially preventable with improved assessment of sedation levels, monitoring of oxygenation and ventilation, and early response and intervention, concludes a study published in the March 2015 issue of Anesthesiology.
Revisions to Nursing Home Compare Website Lower Many Facilities’ Ratingshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts022515_Revisions.aspxRevisions to Nursing Home Compare Website Lower Many Facilities’ Ratings2015-02-25T00:00:00Z​The Centers for Medicare and Medicaid Services (CMS) announced revisions to its Nursing Home Compare website and its five-star quality rating system that lowered the ratings for many nursing homes, the agency announced in a February 20, 2015, press release.
Long-Term Benzodiazepine Use Increases with Age despite Warnings for Older Adultshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts021815_Long.aspxLong-Term Benzodiazepine Use Increases with Age despite Warnings for Older Adults2015-02-18T00:00:00Z​Around 5% of U.S. adults use benzodiazepines, such as lorazepam, alprazolam, and diazepam, but that number increases to almost 10% for adults age 65 or older, according to the results of a study published in the February 2015 issue of JAMA Psychiatry.
FDA Issues Guidance on the Manufacturing of Connectors for Enteral Tubinghttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts021815_FDA.aspxFDA Issues Guidance on the Manufacturing of Connectors for Enteral Tubing2015-02-18T00:00:00Z​The U.S. Food and Drug Administration (FDA) has issued finalized guidance for manufacturers, FDA reviewers, and others involved in manufacturing devices that use small-bore connectors for enteral feeding.
Two Large-Scale Studies Find No Improvement Tied to Outcome Reportinghttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts021115_Two.aspxTwo Large-Scale Studies Find No Improvement Tied to Outcome Reporting2015-02-11T00:00:00Z​Two separate studies published in the February 3 Journal of the American Medical Association (JAMA) found that participation in the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) resulted in no significant difference in patient outcomes.
AHA: ONC’s Health IT Strategic Plan Needs Specific Objectives, Milestones, and Metricshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts021115_AHA.aspxAHA: ONC’s Health IT Strategic Plan Needs Specific Objectives, Milestones, and Metrics2015-02-11T00:00:00Z​Rather than merely addressing broad health system goals, the U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) should refine its strategic plan for 2015 to spell out clearly the unique federal roles and activities that can be used to assess progress toward the desired outcomes, encourages the American Hospital Association (AHA) in a February 6, 2015, comment letter to ONC.
Chlorhexidine Bathing Has Little Impact on Healthcare-Associated Infection Rates, Study Findshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts020415_Chlorhexidine.aspxChlorhexidine Bathing Has Little Impact on Healthcare-Associated Infection Rates, Study Finds2015-02-04T00:00:00Z​Daily bathing with chlorhexidine did not reduce the incidence of healthcare-associated infections among critically ill patients when compared with daily bathing using disposable nonantimicrobial cloths, according to the results of a study published in the January 27, 2015, issue of the Journal of the American Medical Association.
ONC Publishes EHR Interoperability Road Map, Standards Advisoryhttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts020415_ONC.aspxONC Publishes EHR Interoperability Road Map, Standards Advisory2015-02-04T00:00:00Z​Most healthcare providers will be required to have the ability to send, receive, and use a common set of electronic information by the end of 2017 under a "version 1.0" interoperability road map released by the Office of the National Coordinator for Health Information Technology (ONC).
Partnering for Success: A Call to Actionhttps://www.ecri.org/components/HRC/Pages/RMRep0215_Focus.aspxPartnering for Success: A Call to Action2015-02-01T00:00:00Z​In 2013, ECRI Institute convened the Partnership for Health IT Patient Safety, a multi-stakeholder collaborative whose purpose is to make health IT safer together. These Proceedings cover the health IT topics, challenges, barriers, and priorities that emerged at the Partnership's September 23, 2014 meeting, Partnering for Success. The meeting underscored that health IT safety and innovation are shared responsibilities and focused on ways to advance safety through collaboration.
Centralized Fetal Heart Rate Monitoring Introduces New Riskshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts012815_Centralized.aspxCentralized Fetal Heart Rate Monitoring Introduces New Risks2015-01-28T00:00:00Z​As more hospitals turn to centralized fetal heart rate monitoring, they should be aware of the unanticipated, and sometimes problematic, consequences that can occur, says a case study of an event that went undetected with centralized monitoring.
FDA Addresses Cross-Contamination Risks from Endoscope Irrigation Channelshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts012815_FDA.aspxFDA Addresses Cross-Contamination Risks from Endoscope Irrigation Channels2015-01-28T00:00:00Z​Backflow in irrigation channels used with flexible gastrointestinal endoscopes can pose an infection risk to patients, warns the U.S. Food and Drug Administration (FDA) in new draft guidance issued January 20, 2015.
Agenda. Partnership for Success: A Call to Actionhttps://www.ecri.org/components/HRC/Documents/Agenda - Partnering for Success - A Call to Action.pdfAgenda. Partnership for Success: A Call to Action2015-01-23T00:00:00Z​On September 23, 2014, ECRI Institute, with funding from the Jayne Koskinas Ted Giovanis Foundation for Health and Policy, convened an interactive, multi-stakeholder meeting, Partnering for Success, the first of a series of in-person meetings of the Partnership for Health IT Patient Safety.
Checklist Improves Intraoperative Handoff Communication between Anesthesiologistshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts012115_Checklist.aspxChecklist Improves Intraoperative Handoff Communication between Anesthesiologists2015-01-21T00:00:00Z​Use of an electronic checklist during intraoperative handoffs of care can improve clinician communication and the relay and retention of critical patient information, according to the results of a study published in the January 2015 issue of Anesthesia & Analgesia.
Manufacturer Recalls Simulated Saline amid Investigation of Accidental Use on Patientshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts012115_Manufacturer.aspxManufacturer Recalls Simulated Saline amid Investigation of Accidental Use on Patients2015-01-21T00:00:00Z​The U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention are continuing to investigate a series of instances in which patients were accidentally infused with nonsterile simulated intravenous (IV) saline that was only intended for training purposes, according to a January 14, 2015, FDA statement.
Apply Now: New Initiative to Reduce Hospital Falls and Pressure Ulcershttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts121014_Apply.aspxApply Now: New Initiative to Reduce Hospital Falls and Pressure Ulcers2015-01-14T00:00:00Z​AHRQ is leading a patient safety initiative to help hospitals reduce the incidence of falls and pressure ulcers.
Healthcare’s ‘Holodeck’https://www.ecri.org/components/HRC/Pages/OneThing011315.aspxHealthcare’s ‘Holodeck’2015-01-13T00:00:00Z​Though the question, "What would you change in healthcare to improve patient safety?" is straightforward, the answer is quite nebulous. In an attempt to be concise yet still provide an answer with broad application, Leah and I spoke of the concept of creating a virtual simulated environment where system solutions could be worked out early, rather than discovered during or after implementation.
Higher Patient Satisfaction Aligns with Higher Surgical Quality, Study Findshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts010715_Higher.aspxHigher Patient Satisfaction Aligns with Higher Surgical Quality, Study Finds2015-01-07T00:00:00Z​U.S. hospitals with high patient satisfaction scores also had higher composite scores for surgical quality across all measures, according to the results of a study published in the January 2015 issue of Annals of Surgery.
HRC Members' Website Demonstrationhttps://www.ecri.org/components/HRC/Pages/NewWebsiteDemo.aspxHRC Members' Website Demonstration2014-12-18T00:00:00Z​This live demonstration, recorded December 18, 2014, highlights the new ECRI Institute website, especially the Healthcare Risk Control members' website, which launched December 13, 2014.
Health IT: Federal Plan Updated; Building a “Learning Health System”https://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts121714_Health.aspxHealth IT: Federal Plan Updated; Building a “Learning Health System”2014-12-17T00:00:00Z​The U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) has updated the federal health information technology (IT) strategic plan for 2015 through 2020.
ONC, RTI Host Health IT Safety Webinar Serieshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts121714_ONC.aspxONC, RTI Host Health IT Safety Webinar Series2014-12-17T00:00:00Z​The Office of the National Coordinator for Health Information Technology and RTI International are hosting a 10-part webinar series on health information technology (IT) and patient safety, beginning with a December 18, 2014, session at 100 p.m.
Reduction in Hospital-Acquired Condition Rates Saved 50,000 Lives from 2010 to 2013https://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts121014_Reduction.aspxReduction in Hospital-Acquired Condition Rates Saved 50,000 Lives from 2010 to 20132014-12-10T00:00:00Z​Nearly 50,000 additional patients survived and an estimated $12 billion in healthcare costs were saved due to a reduction in hospital-acquired condition rates between 2010 and 2013, reports the Agency for Healthcare Research and Quality.
Protocol Reduces ICU Time, Ventilator Time in Cardiac Surgery Patientshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts120314_Protocol.aspxProtocol Reduces ICU Time, Ventilator Time in Cardiac Surgery Patients2014-12-03T00:00:00Z​A standardized practice model reduced ICU length of stay and time spent on ventilators among cardiac surgery patients in a large hospital-based practice, according to a study in the December 2014 Annals of Surgery.
Endoscope Reprocessing: The Importance of Being Proactivehttps://www.ecri.org/components/HRC/Pages/RMRep1214_Accident.aspxEndoscope Reprocessing: The Importance of Being Proactive2014-12-01T00:00:00Z​Endoscopes that are suspected of being contaminated despite having undergone reprocessing raise a multitude of risk management issues. What can risk managers do to avoid these incidents and their wide-ranging consequences?
Study Identifies Interventions to Improve Surgical Decision Making for Elderly Patientshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts112614_Study.aspxStudy Identifies Interventions to Improve Surgical Decision Making for Elderly Patients2014-11-26T00:00:00Z​Improved communication among surgeons, patients, and surrogates is necessary to ensure that elderly patients with serious illnesses receive the care that they want and avoid nonbeneficial emergency surgeries, according to the results of a study published in the December 2014 Annals of Surgery.
IV Line Identification Stickers Colonize Quickly, Pose Infection Risks, Study Findshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts111914_IV.aspxIV Line Identification Stickers Colonize Quickly, Pose Infection Risks, Study Finds2014-11-19T00:00:00Z​​Stickers used to differentiate between arterial and intravenous (IV) lines may become potential reservoirs of catheter colonization, concludes a study published in the November 2014 American Journal of Infection Control.
New Guidance Available on the Evolving Roles of Healthcare Risk and Quality Professionalshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts111914_New.aspxNew Guidance Available on the Evolving Roles of Healthcare Risk and Quality Professionals2014-11-19T00:00:00Z​Patient Safety, Risk, and Quality, which has recently been updated on the HRC members' website, discusses how risk management and quality improvement efforts in healthcare organizations are rallying behind patient safety and finding ways to work together.
Risk Management, Quality Improvement, and Patient Safetyhttps://www.ecri.org/components/HRC/Pages/RiskQual4.aspxRisk Management, Quality Improvement, and Patient Safety2014-11-18T00:00:00ZThis Risk Analysis examines the roles that quality risk assurance and risk management play in healthcare organizations, and discusses organizational models for integrating the two programs.
Ebola: Employment Law Issues to Considerhttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts111214_Employment.aspxEbola: Employment Law Issues to Consider2014-11-12T00:00:00Z​Disability and national origin discrimination, family and medical leave, collective-bargaining agreements, and occupational health are legal issues for employers to consider when developing plans to address Ebola, according to three attorneys presenting a November 4, 2014, webinar.
Handoff Program Reduces Rates of Medical Errors, Preventable Adverse Eventshttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts111214_Handoff.aspxHandoff Program Reduces Rates of Medical Errors, Preventable Adverse Events2014-11-12T00:00:00Z​Implementation of a resident handoff improvement program reduced the rate of medical errors by 23% overall and significantly reduced the rates of specific types of errors, including diagnostic errors, according to the results of a study published in the November 6, 2014, issue of the New England Journal of Medicine.
ACEP Announces Additions to Choosing Wisely Campaignhttps://www.ecri.org/components/HRCAlerts/Pages/HRCAlerts110514_ACEP.aspxACEP Announces Additions to Choosing Wisely Campaign2014-11-05T00:00:00Z​The American College of Emergency Physicians (ACEP) has added five new items to its list of tests and procedures that should be questioned before they are ordered as part of the Choosing Wisely campaign.

 Press Releases