The Department of Defense (DoD) Patient Safety Program (PSP) eBulletin delivers patient safety updates, news, useful tips, and resources to help you deliver the highest quality of care to your patients. This month, we highlight the connection between high reliability, transparency and patient safety. Access articles on the Patient Safety Culture Survey Resource Guide, the MHS Transparency Initiative, the I’M SAFE TeamSTEPPS® tool and much more. Enjoy!
Announcements/Reminders
- In August, the Military Health System's theme is Preventive Health
- Do you have questions about the Continuing Education process? We can help! >>Email us
- Talk to us! Do you have an update from your facility? Let us know via email or on Facebook.
Feature: Transparency, High Reliability and Patient Safety
On any given day, Military Health System (MHS) patient safety professionals are working tirelessly to ensure they provide the highest quality of care to their patients. Driven by a high level of dedication, MHS patient safety professionals know that…Feature: Transparency, High Reliability and Patient Safety Page.
Patient Safety in Action: The I’M SAFE TeamSTEPPS® Checklist – An Exercise in Openness and Transparency with your Team
The connection between transparency and high reliability is one that touches many aspects of what we do as MHS patient safety professionals. We strive to be transparent in the way we share information with our patients – working with them as…Patient Safety in Action: The I’M SAFE TeamSTEPPS® Checklist – An Exercise in Openness and Transparency with your Team Page.
HRO Corner: The Patient Safety Culture Survey Resource Guide – An Overview
The DoD is on a journey to transform the Military Health System (MHS) into a high reliability organization (HRO) to ensure safe, reliable care for all of its patients and their families. This transformative shift is one that requires a laser-sharp focus by every one of us – leadership and frontline staff – to…HRO Corner: The Patient Safety Culture Survey Resource Guide – An Overview Page.
DoD PSP Treasure Chest: August Edition
Welcome to the August edition of the DoD PSP Treasure Chest! Each and every month, we will be sharing resources to help you execute your day-to-day patient safety activities easily and effectively. Please visit us often and get access to…DoD PSP Treasure Chest: August Edition Page.
MHS Patient Safety Data Snapshot
The new MHS Patient Safety Data Snapshot is a monthly compilation of two types of patient safety data 1) Sentinel Event (SE) notifications submitted to the Patient Safety Analysis Center (PSAC) 2) anonymous, voluntarily reported patient safety events via…MHS Patient Safety Data Snapshot Page.
MHS Patient Safety Spotlight
The MHS Patient Safety Spotlight is a new resource designed to highlight best practices and interesting initiatives that come from the field and are…MHS Patient Safety Spotlight Page.
Upcoming Events
Click the image to view/print a list of all upcoming patient safety activities.
Patient Safety Learning Circles
In-person or Web-based forums focused on a specific topic
August DoD PSP Learning Circle
Details Coming Soon!! Please visit our Calendar of Events for registration updates.
Improving Patient Safety Culture to Provide Safer Care – Agency for Healthcare Research and Quality (AHRQ)
August 10, 2016 from 1:00 p.m. to 2:00 p.m. (ET)
AHRQ is hosting a webinar on efforts to address safety culture to improve the quality of care and reduce patient harm. The webinar, “Improving Patient Safety Culture to Provide Safer Care,” will feature Adam Novak, Project Coordinator at Michigan Hospital Association (MHA) Keystone Center. His presentation will focus on MHA’s work to improve patient safety culture across its hospitals, including the use of TeamSTEPPS® and teamwork interventions. He will discuss specific interventions, such as the implementation of the Comprehensive Unit-based Safety Program (CUSP), specific teamwork tools, and efforts to improve staff psychological safety. He will also discuss the importance of strategies focused on small tests of change, as well as MHA’s work to assess the impact of interventions. Specifically, the presentation will seek to:
- Provide an overview of MHA’s overall program of work to improve patient safety culture;
- Discuss the role of TeamSTEPPS and other teamwork interventions within the CUSP framework;
- Describe specific implementation efforts focused on improving teamwork, communication, and safety culture;
- Discuss the importance of the engagement of both leaders and front-line staff in this work; and
- Present MHA’s efforts to assess intervention effectiveness.
Featured Speaker:
- Adam Novak
Project Coordinator
Michigan Hospital Association (MHA) Keystone Center
Visit the Improving Patient Safety Culture to Provide Safer Care registration page.
Everything You Always Wanted to Know About Certification – National Patient Safety Foundation (NPSF)**
August 31, 2016 from 1:00 p.m. to 2:00 p.m. (ET)
Join this NPSF informational webinar to learn about the Certified Professional in Patient Safety certification. Get insights from members of the NPSF Expert Oversight Committee.
Featured Speakers:
- Janine Carpenter
Assistant Vice President, Programs
National Patient Safety Foundation
- Kathryn Rapala, DNP, JD, RN, CPPS
Chair, Expert Oversight Committee for the Certification Board for Professionals in Patient Safety
Vice President, Clinical Risk Management
Aurora HealthCare
- Gail Shulby, RN, MA, CPPS
Member, Expert Oversight Committee for the Certification Board for Professionals in Patient Safety
Chief of Staff, Executive Vice President
Duke University Health System
Visit the Everything You Always Wanted to Know About Certification registration page.
Patient Safety Workshops
Instructor-led or self-paced online learning sessions focused on a specific product
On-Demand eLearning: Patient Safety Reporting System v1.1 e-Learning Course
This course introduces basic navigation and functionality features of the PSR system and the roles of system users, such as event reporters, event handlers, and investigators. The course can be accessed through MHS Learn.
Visit the eLearning Courses page to register for this course.
On-Demand e-Learning: Patient Safety Reporting: Intermediate Course*
Targeted to Patient Safety Managers and other MTF staff already familiar with basic functionalities of the Patient Safety Reporting System, this course is designed to help learners hone the decision-making skills needed to effectively manage patient safety event data in PSR, as part of the ongoing effort to eliminate preventable harm at MTFs.
Patient Safety Reporting: Intermediate Course Registration Page
On-Demand e-Learning: Root Cause Analysis*
This self-paced module outlines the Patient Safety Program’s suggested practices for conducting a root cause analysis, from the initial reporting of a patient safety event through the formation of the RCA Team to the identification of contributing factors and root causes and the recommendation of corrective actions.
Root Cause Analysis Course Registration Page
*Denotes that activity is eligible for CE credit. All CE credits are managed by the Postgraduate Institute for Medicine (PIM).
**Did you know? As an NPSF Stand Up for Patient Safety member, DoD PSP receives complimentary access to webinars as a benefit of program membership. Check with your facility POC to obtain the member coupon code.
Patient Safety Reading Corner
The following articles are external and for informational purposes only. The DoD does not sponsor these websites.