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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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Patient Safety in Action: The I’M SAFE TeamSTEPPS® Checklist – An Exercise in Openness and Transparency with your Team

Article
8/1/2016
NEWPORT NEWS, Va. (Apr. 14, 2016) -- During a General Quarters training exercise, Sailors assigned to Pre-Commissioning Unit Gerald R. Ford's (CVN 78) medical response team, simulates care and treatment for common injuries. This ship-wide general quarters drill focused on damage control and emergency responses and is a significant step in certifying the crew as they train to fight and take delivery of the ship.(U.S. Navy photo taken by Mass Communication Specialist 3rd Class Matthew R. Fairchild/Released)

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 partners in their care and informing them of what we do openly and visibly. We are also transparent about our ...

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Feature: Transparency, High Reliability and Patient Safety

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8/1/2016
Senior Airman Wesley Hong, 60th Medical Diagnostics and Therapeutics Squadron picture archiving communication system administrator, reviews patient imagery May 25, 2016, at David Grant USAF Medical Center at Travis Air Force Base, Calif. Hong works in the hospital's PACS department, which is the largest in the U.S. Air Force. The department is responsible for ensuring the accuracy of health records for medical facilities at 19 bases, including clinics in Afghanistan. (U.S. Air Force photo by Tech. Sgt. James Hodgman)

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 our patients are the single most important part of our mission and we must serve our patients in an ...

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DoD PSP Treasure Chest: July Edition

Article
7/1/2016
Military Health System (MHS) patient safety champions work tirelessly to deliver high quality care to their patients. The DoD PSP Treasure Chest provides you with information, tools and the resources you need to help you execute your patient safety activities effectively and easily. This month, access the SBAR toolkit, the Medical Team Performance Assessment Tool (MTPAT), the Patient Safety Learning Center (PSLC) and the Patient Safety Reporting (PSR) eLearning course.  Photo by: Robert Whetstone.

Welcome to the July edition of the DoD PSP Treasure Chest! This month, we highlight the SBAR toolkit, the Medical Team Performance Assessment (MTPAT) tool, the Patient Safety Learning Center (PSLC) and the Patient Safety Reporting (PSR) eLearning course. Each and every month, we will be sharing resources to help you execute your day-to-day patient ...

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Feature: TeamSTEPPS® and High Reliability: An Overview of the 2016 National TeamSTEPPS Conference

Article
7/1/2016
Ms. Heidi King, chief of the Patient Safety and High Reliability Initiatives Office, at the 2016 TeamSTEPPS® National Conference opening up the DoD two-day  session titled “The“Military Health System (MHS) Across the Globe….Don’t Stop Believing in Zero Harm”.

The 10th Annual National TeamSTEPPS Conference – an event designed to highlight strategies and techniques to effectively implement and sustain TeamSTEPPS in today’s ever-evolving health care environment – was held 7-10 June, 2016 in Washington, D.C. Welcoming over 700 health care industry professionals and experts, the National TeamSTEPPS conference ...

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HRO Corner: Measuring the Effectiveness of the TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) – U.S. Army Medical Command Implementation

Article
7/1/2016
The DoD PSP team commends the MEDCOM for its implementation of TeamSTEPPS and the T-TPQ.  It is this type of well-thought out and carefully planned application of TeamSTEPPS that will continue to move MHS forward and towards becoming a high performing, highly reliable health care system.

Offering various ready-to-use tools, materials and resources, TeamSTEPPS can be tailored to address the specific needs of an organization to seamlessly incorporate its principles into all areas of a health care system. In fact, it is only by fully integrating the tools that TeamSTEPPS offers into our day-to-day activities that Military Health System ...

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MHS Patient Safety Data Snapshot

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7/1/2016
Image of the DoD Patient Safety Program (PSP) logo.

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 the web-based incident reporting system known as PSR.

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MHS Patient Safety Spotlight

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7/1/2016
Image of the DoD Patient Safety Program (PSP) logo.

The MHS Patient Safety Spotlight is a new resource designed to highlight best practices and interesting initiatives that come from the field and are worthy of being shared across the enterprise. This resource features data-driven examples of improvement and case studies that tackle specific problems with specific solutions.

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Patient Safety in Action: The DoD Patient Safety Program Announces the 2016 Quality and Patient Safety Awards

Article
7/1/2016
Across the Military Health System (MHS) patient safety professionals work arduously to elevate the care they provide to their patients. The 2016 Quality and Patient Safety Awards program recognizes such hard work and relentless focus on delivering excellence every single day.

Every step Military Health System (MHS) patient safety professionals take towards achieving high reliability is worthy of praise and recognition. Today more than ever, our commitment to excellence in our day-to-day activities is absolutely crucial. For this reason, the DoD PSP team is excited to announce that we will soon begin accepting submissions ...

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

Policy

This Department of Defense Instruction (Number 6025.13) establishes DoD policy on issues related to MQA programs and clinical quality management activities.

DoD PSP Learning Update July August 2016

Publication
6/29/2016

The Learning Update delivers an upcoming schedule of DoD PSP and other patient safety activities, tools and resources to help you increase your patient safety knowledge and skills. This edition highlights upcoming patient safety activities July and August 2016.

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Feature The MHS as a Learning Organization

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6/1/2016
Image highlighting the Continuous Learning principle with a focus on solutions.

As the MHS continues its path toward high reliability, the term “learning organization” will become part of our collective lexicon as well as an integral part of our mindset as an enterprise. To fully understand and embrace what this means, let’s take an in-depth look at the learning organization concept and what it means to us as MHS patient safety ...

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DoD PSP Treasure Chest: June Edition

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6/1/2016
The June edition of the DoD PSP Treasure Chest highlights TEAM UP, I PASS THE BATON, TeamSTEPPS® and the Partnership for Patients (PfP) Sustainment Guides.

Welcome to the June 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 tools and information developed with you, our committed MHS patient safety champions, in mind!

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HRO Corner: The Oro™ 2.0 High Reliability Organizational Maturity Pilot Program and the Military Health System

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6/1/2016
Image of the ORO 2.0 High Reliability Organizational Assessment and Resources logo.

Achieving a cultural transformation across the Military Health System (MHS) toward high reliability requires a mindset that aligns our individual and organizational actions with our vision for the future. A future that embraces quality and a culture of safety thoroughly, completely and across all levels of the enterprise.

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MHS Patient Safety Data Snapshot

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6/1/2016
Image of the DoD Patient Safety Program (PSP) logo.

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 the web-based incident reporting system known as PSR.

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MHS Patient Safety Spotlight

Article
6/1/2016
Image of the DoD Patient Safety Program (PSP) logo.

The MHS Patient Safety Spotlight is a new resource designed to highlight best practices and interesting initiatives that come from the field and are worthy of being shared across the enterprise. This resource features data-driven examples of improvement and case studies that tackle specific problems with specific solutions.

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Patient Safety | eBulletin | Products & Services | Patient Safety Event Reporting | Patient Safety & Quality Academic Collaborative | Awards Program | Culture Survey
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