From the Director
Someone once said, “A rising tide lifts all boats.” This idea lives at the heart of the Commission’s flagship adverse event reporting program. By reporting adverse events to the Patient Safety Reporting Program, healthcare organizations can understand why and how adverse events occur and share aggregate information statewide to improve healthcare.
Many healthcare organizations have their own, internal adverse event reporting systems. So why have so many Oregon healthcare organizations committed time and resources to report events to the Patient Safety Reporting Program? Because sharing lessons among internal staff and teams is only the first step toward ensuring widespread, long-lasting patient safety. When organizations share lessons learned outside their own walls, all organizations (regardless of size, location, or resources) have the same opportunity to learn, improve, and provide the safe care that every patient deserves.
The Commission is dedicated to improving patient safety through a variety of exciting programs, but we are especially committed to the statewide sharing of aggregate Patient Safety Reporting Program data so that the rising tide of patient safety can lift every boat in Oregon.
Bethany A. Walmsley, Executive Director
Early Discussion and Resolution »
Visit the website about our newest program
Assessing VTE Risk in Ambulatory Surgery Centers »
New report presents findings related to effective VTE risk assessment and recommendations to help ASCs standardize and improve VTE risk assessment.
Success Stories »
Read about exemplary work in Oregon to improve patient safety
Quality Improvement Initiatives »
Grant-funded activity taking place at the Commission
2013 Annual Summary: Oregon Patient Safety Reporting Program »
Statewide, aggregate picture of information reported to the Patient Safety Reporting Program
Oregon Ambulatory Surgery Center Infection Prevention & Control Toolkit »
Guidance on the development and implementation of infection prevention programs
Oregon Adverse Event Disclosure Guide »
Understand the purpose of disclosure and get resources to help develop and improve disclosure programs
Statement of Preventing Harm from Oversedation »
Intended for use in efforts to decrease patient harm associated with oversedation