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

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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

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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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Feature The MHS as a Learning Organization

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6/1/2016
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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
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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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Patient Safety in Action: U.S. Naval Hospital Guam is Selected as a 2016 Stand Up for Patient Safety Program Management Award Winner

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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

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HRO Corner: Delving into the Reluctance to Simplify High Reliability Organization Guiding Principle

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Leaders seek ways to thoroughly understand how processes and policies are interconnected and can support our goal to deliver excellent and safe care, paying attention to the smallest details and taking steps to see and fully understand the whole picture. This highlights the Reluctance to Simplify High Reliability Organization (HRO) principle.

In April, we are delving into the Reluctance to Simplify High Reliability Organization (HRO) principle and how it applies to what you do to keep your patients safe on a daily basis.

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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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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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Feature: Root Cause Analysis (RCA) and Sentinel Event (SE) Reporting at the Heart of High Reliability

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4/1/2016
A group of MHS patient safety champions conducts a Root Cause Analysis (RCA) and discusses effective Sentinel Event (SE) reporting, embracing High Reliability Organization (HRO) principles in order to improve patient safety. (U.S. Army photo by Sgt. Darryl Montgomery)

An important aspect of high reliability is maintaining a sense of collective mindfulness within the organization. Mindfulness to stay alert and deal with risk as it occurs and mindfulness to prevent errors and harm before they happen. When Military Health System (MHS) patient safety champions consistently report SEs and effectively conduct RCAs, they ...

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Patient Safety Awareness Week 2016 – United for Patient Safety

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