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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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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.

Surgical Pause Standard Operating Procedure

Policy

The purpose of this memorandum is to provide guidance to perioperative personnel involved in surgical care including Labor and Delivery in conducting and documenting a Surgical Pause during invasive procedures.

Prevention of Retained Surgical Items Standard Operation Procedure

Policy

The purpose ofthis memorandum is to provide guidance to perioperative personnel for prevention ofunintended retained surgical items during operative or other invasive procedures.

Trusted Care Concept of Operations

Policy

This Trusted Care concept of operations (CONOPS) describes the transformation of the Air Force Medical Service into a high reliability healthcare system. High reliability organizations (HROs), as originally described in the nuclear power and aviation industries, consistently achieve better-than-expected outcomes despite operating in complex or high-risk environments.

Credentialing and Privileging Program

Policy

This instruction updates and reissue policy and procedures for the Credentialing and Privileging Program for the Department of the Navy (DON) as part of the DON Clinical Quality Management Program (CQMP).

Army MEDCOM Regulation 40-59: Standardization of Inpatient Falls Risk Assessment and Documentation Falls Prevention Program

Policy

This regulation directs standardized implementation of endorsed evidence-based falls risk assessment tools: the Johns Hopkins Hospital Fall Risk Assessment© (adult) and the Miami Children’s Hospital’s Humpty Dumpty Scale© (pediatric). In addition, this regulation requires incorporation of falls assessment documentation into the inpatient (Essentris) electronic medical record (EMR).

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.

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.

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.

Navy BUMED Instruction 6010.28: Healthcare Resolutions Program

Policy

This instruction establishes Navy Medicine strategic policy for the promotion of organizational transparency and full disclosure following unanticipated or adverse outcomes of care; to assist the enterprise in "doing the right thing" when there are unanticipated outcomes of care, treatment and services; to train and coach providers in disclosure techniques and to resolve complex healthcare issues at the earliest opportunity, outside a legal venue, with equitable resolutions for patients, providers, and the organization.

Navy BUMED Instruction 6010.23: Participation in the Military Health System Patient Safety Program

Policy

This instruction requires all shore-based commands providing medical and dental services, providing care ore participating in the health care delivery system to support the MHS Patient Safety Program.

Navy BUMED Instruction 6010.21: Risk Management Program

Policy

This instruction establishes policy and assigns responsibility for organizational risk management activities. It defines minimal requirements for proactive and reactive responses in naval medical and dental treatment facilities.

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