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About the Patient Safety Program

circular logo with department of defense patient safety program written around the perimeter and a pentagon shaped image in the center with the medical caduceus over a medical cross symbol

Your DoD Patient Safety Program (PSP) is a complete program with the goal of creating a culture of patient safety and quality within the Military Health System (MHS). We encourage a systems approach to creating a safer patient environment; engaging MHS leadership; promoting collaboration across all three services; and fostering trust, transparency, teamwork, and communication.



Our Mission

Our Mission is to promote a culture of safety to end preventable patient harm by engaging, educating and equipping patient-care teams to put evidenced-based safe practices in place across the organization.

Our Vision

Our Vision is to support the military mission by building organizational commitment and capacity to implement and sustain a culture of safety to protect the health of the patients in our care. We support the military mission by encouraging a culture of safety to protect the health of patients in our care.

What We Offer

Leadership Engagement:

Leaders are the champions of change. We offer solutions to engage, educate and equip the entire patient care team to be champions for patient safety and institutionalize evidenced-based safe practices.

Teamwork and Awareness:

Sharing information is the key to ensuring all DoD patient care teams have one vision for patient safety. We offer solutions that help teams continuously learn and develop skills to reduce risk and provide high quality care to patients.

Alignment and Partnership:

To reach a systems approach to improving patient safety, we partner and collaborate with leaders in patient safety that align with our mission including the MHS Quadruple Aim, the High Reliability Organization (HRO) Task Force, the Partnership for Patients and the National Quality Forum’s Safe Practices.

Questions? Contact our staff via email.

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Implementation Guide for Falls

Technical Document
2/11/2014

The Falls Implementation Guide was created to support the Partnership for Patients, a national initiative sponsored by the Department of Health and Human Services to reduce harm in health care facilities.

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Army MEDCOM Regulation 40-48: Fires Associated with the Performance of Surgical Procedures

Policy

The purpose of this regulation is to provide policy and recommendations that will help ensure minimal risk of fires associated with the performance of surgical procedures in any healthcare setting to include, but not limited to, the following: operating room (OR), office-based, ambulatory surgery, and intensive care unit type.

Sustainment Guide for Adverse Drug Events

Technical Document
1/24/2014

The lessons learned through the Military Health System (MHS) Adverse Drug Event (ADE) implementation process have led to the development of an improved Sustainment Guide. This sustainment guide includes the elimination of monitoring the therapeutic class of Sedatives, implementing processes to improve the integrity of data, clarification of ...

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Implementation Guide for Ventilator Associated Pneumonia and Ventilator Associated Events

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1/22/2014

The Ventilator Associated Pneumonia and Ventilator Associated Events (VAP) Implementation Guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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Culture of Safety in Navy Medicine

Policy

This memorandum encourages commands to create "safe zones" around the patient experience where any staff member can speak up and patient safety comes first.

DoD Manual 6025.13: Medical Quality Assurance (MQA) and Clinical Quality Management (CQM) in the Military Health System (MHS)

Policy

This manual reissues DoD 6025.13-R (Reference (a)) as a DoD manual in accordance with the authority in DoD Directive (DoDD) 5124.02 (Reference (b)) and DoD Instruction (DoDI) 6025.13 (Reference (c)) and the guidance in DoDI 5025.01 (Reference (d)). It implements policy, assigns responsibilities, and provides procedures for managing DoD MQA and clinical quality management.

Implementation Guide for Obstetrical Adverse Events

Technical Document
6/17/2013

The Obstetrical Adverse Events Implementation Guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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Army MEDCOM Regulation 40-41: Medical Service – The Patient Safety Program

Policy

This regulation outlines the activities of the Army Medical Department (AMEDD) Patient Safety Program (PSP) to identify and centrally report actual and potential events in medical/dental systems and processes and to improve patient safety and healthcare quality throughout the AMEDD.

Implementation Guide for Central Line Associated Blood Stream Infection

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3/27/2013

The Central Line Associated Blood Stream Infection (CLABSI) Implementation Guide was created to support the Partnership for Patients, a national initiative sponsored by the Department of Health and Human Services to reduce harm in health care facilities.

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Implementation Guide for Adverse Drug Events

Technical Document
2/14/2013

This guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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Implementation Guide for Catheter-Associated Urinary Tract Infection

Technical Document
2/14/2013

The Catheter-Associated Urinary Tract Infection CAUTI) Implementation Guide was created to support the Partnership for Patients, a national initiative sponsored by the Department of Health and Human Services to reduce harm in health care facilities.

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Implementation Guide for Pressure Ulcers

Technical Document
2/14/2013

The Pressure Ulcers Implementation Guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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Implementation Guide for Surgical Site Infections

Technical Document
2/14/2013

The Surgical Site Infections Implementation Guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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Implementation Guide for Venous Thromboembolism

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2/14/2013

The Venous Thromboembolism (VTE) Implementation Guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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Implementation Guide Additional Resources

Technical Document
9/10/2012

Additional Resources related to the Partnership for Patients nine harm categories and their Implementation Guides.

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