As one of the nation's first and most trusted Patient Safety Organizations, we believe in the importance of knowledge-sharing in order to improve the quality of healthcare. For this reason, Clarity PSO regularly publishes educational reports that focus on the risk-quality-safety (RQS) issues we have spotted through our incident reporting data collection and analyses. Each of these reports includes our findings on a given topic and our recommendations on how to use knowledge to mitigate risk and improve patient safety.
The latest report explores an age-old patient safety event--Falls--but strives to go beyond the basic facts and drill down to a deeper understanding of the "hows" and "whys" behind this most persistent of patient events.
