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Sentinel Event Alert 55: Preventing falls and fall-related injuries in health care facilities

Thursday October 8, 2015


Falls resulting in injury are a prevalent patient safety problem. Elderly and frail patients with fall risk factors are not the only ones who are vulnerable to falling in health care facilities. Learn More.

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Updated: Patient Safety Systems Chapter for the Hospital Program

Friday October 9, 2015


The quality of care and the safety of patients are core values of The Joint Commission accreditation process. This is a commitment The Joint Commission has made to patients, families, health care practitioners, staff, and health care organization leaders. This chapter exemplifies that commitment.
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Venous Thromboembolism (VTE) Prevention

Venous Thromboembolism (VTE) Prevention


The Center for Transforming Healthcare announces its eleventh patient safety project, which aims to prevent rates of venous thromboembolism (VTE). VTE is a major cause of morbidity and mortality in the United States. It has been estimated that up to 900,000 VTE’s occur per year resulting in approximately 100,000 deaths. Learn More

Accelerating the Adoption of a Safety Culture

Monday March 16, 2015


The March/April issue of Healthcare Executive features the Joint Commission's Ana Pujols McKee, M.D., executive vice president and chief medical officer, The Joint Commission, discussing how to build a culture of safety. Read the article to find out why she says it is "probably the most challenging work that a health care organization has do to."  

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High-Reliability Health Care: Getting There from Here 

High-Reliability Health Care: Getting There from Here


The article “High-Reliability Health Care: Getting There from Here,” written by Drs. Mark R. Chassin and Jerod M. Loeb, The Joint Commission, urges hospitals to make the substantial changes that will be needed to achieve the ultimate goal of zero patient harm by adapting lessons from high-risk. Learn More



Center for Transforming Healthcare

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Hand-off communication is an issue that everyone has recognized as a problem, but no one has found the solution. Being part of the Hand-Off Communications work group is an opportunity for us to work with some of the best organizations in health care to help move patient safety and quality ahead; and that is an opportunity that Partner HealthCare could not pass up.
Terrence O’Malley, M.D. - Medical Director
Partners HealthCare System, Inc.

Mission Statement 

To transform health care into a high-reliability industry by developing highly effective, durable solutions to health care’s most critical safety and quality problems in collaboration with health care organizations, by disseminating the solutions widely, and by facilitating their adoption.

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