Center Releases Annual PSO Report

April 12, 2016    |   By: Alex Christgen, BS, CPPS, CPHQ

coverIn 1999, the Institute of Medicine (IOM) released its report “To Err Is Human; Building a Safer Health System” which has since changed the face of healthcare in the United States. At that time, the majority of patient safety research and improvement projects were developed for within hospital walls.

However, in January 2016, the National Patient Safety Foundation released its report, “Free From Harm,” which reviewed the progress of patient safety and gave eight recommendations for going forward:

  1. Ensure leaders establish and sustain a safety culture
  2. Create centralized and coordinated oversight of patient safety
  3. Create a common set of safety metrics that reflect meaningful outcomes
  4. Increase funding for research in patient safety and implementation science
  5. Address safety across the entire care continuum
  6. Support the health care workforce
  7. Partner with patients and families for the safest care
  8. Ensure that technology is safe and optimized to improve patient safety

In an effort to encourage organizations to address safety, the Center for Patient Safety’s (CPS) Annual PSO Report provides a high level overview of multiple areas across the healthcare continuum (see #5 above):

  • Hospitals/Ambulatory Surgical Centers/Medical Offices
  • Long-Term Care
  • Emergency Medical Services
  • Home Health/Hospice


CPS is a federally-designated Patient Safety Organization (PSO) in compliance with provisions of the federal Patient Safety and Quality Improvement Act of 2005 (PSQIA). PSOs support the collection, analysis, sharing and learning about the occurrence and prevention of errors and safety concerns. By reinforcing a safety culture that encourages healthcare providers to safely report and share information about vulnerabilities within the healthcare system, PSOs are pivotal in the crusade to prevent medical errors and patient harm.

CPS is positioned to assist new and current participants in gaining this invaluable learning, and obtaining the federal protections that are available within the PSQIA – but, most importantly, to prevent patient harm.

For more information about PSO and safety culture services, contact the Center for Patient Safety at [email protected].


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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.