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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 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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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

Article
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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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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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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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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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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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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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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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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Patient Safety in Action: U.S. Naval Hospital Guam is Selected as a 2016 Stand Up for Patient Safety Program Management Award Winner

Article
6/1/2016
A registered nurse tends to a patient May 3.

The DoD Patient Safety Program congratulates U.S. Naval Hospital, Guam, for its National Patient Safety Foundation (NPSF)’s 2016 Stand Up for Patient Safety Management Award! Proudly representing the Military Health System (MHS), U.S. Naval Hospital, Guam, received this prestigious accolade for the implementation of a program which significantly ...

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Announcing a New TeamSTEPPS® Course: TeamSTEPPS for Office-Based Care

Article
4/1/2016
A screenshot from a TeamSTEPPS video demonstrating one of the tools (Huddle) in action in a Physician Office. (Screenshot courtesy of TeamSTEPPS Office Based Care Video - Good Teamwork in the Primary Care Medical Office)

TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) has been tailored for office-based health care providers and team members, and is now available online, through the Agency for Healthcare Research and Quality (AHRQ). TeamSTEPPS for Office-Based Care, is an evidence-based program to produce efficient and effective health ...

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Patient Safety in Action: An Interview with Dr. Ashok Ramalingam, Chief of the Patient Safety Analysis Center (PSAC) – A Leadership Perspective

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4/1/2016
Image of Dr. Ashok Ramalingam, Ph.D., M.S, B.Pharm, D.Pharm, R.Ph; Chief, Patient Safety Analysis Center (PSAC).

We recently interviewed Dr. Ashok Ramalingam, Ph.D., M.S, B.Pharm, D.Pharm, R.Ph, CPPS, and new Chief of the PSAC, to learn about his experience, background, perspectives on patient safety and how these factors set a standard for his leadership style and the goals he has for the PSAC.

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