Patient Safety Organizations (PSOs) support the collection, analysis, sharing and learning about what medical errors occur, why they occur and how to prevent them. Additionally, the law provides confidentiality protections and privilege protections (inability to introduce the protected information in a legal proceeding), when certain requirements are met.
In July 2005, Congress developed the federal Patient Safety and Quality Improvement Act of 2005 in response to the Institute of Medicine report, To Err Is Human. The final Patient Safety Rule was adopted November 21, 2008 and became effective on January 19, 2009. The Agency for Healthcare Research and Quality, one of the eleven divisions under the Department of Health and Human Services, oversees the Patient Safety Rule.
The Patient Safety Act and the Patient Safety Rule provide a structure for PSOs while the legislation affords protection for physicians and healthcare providers that voluntarily and confidential reporting of adverse event information to designated PSOs. The program intentionally differentiates PSO work from most regulatory and mandatory reporting programs.
In 2008, the Center for Patient Safety was the 5th federally-designated PSO in the country. The goal of the Center for Patient Safety PSO is to learn how and why events are occurring, and inform providers and others about how to prevent future occurrences.
The Patient Safety Act and the Patient Safety Rule reinforce a safety culture that encourages and allows healthcare providers to safely report and share information about vulnerabilities within the healthcare system. The Act extends confidentiality and privilege protections to:
When a provider works with a PSO, many of the long-recognized impediments to successful improvement projects can be overcome:
A note to CPS’ participants and friends: The Florida Supreme Court has issued its opinion in Charles vs. Southern Baptist, in which it analyzes the relationship between the Patient Safety and Quality Imp
The Center for Patient Safety (CPS) encourages all healthcare organizations to use Patient Safety Awareness Week, March 12-18th, as a way to remind staff and community of your commitment to safety. It shou
Committed c-suite leadership to inspire a shared vision is the most critical element in a successful patient safety program. This non-delegable responsibility sets the example by supporting an open and tra
The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.