From the Director
In response to requirements placed on many of Oregon’s hospitals by the Affordable Care Act, the Commission is actively pursuing federal designation as a patient safety organization. An entity receives certification as a patient safety organization (PSO) when they demonstrate that their primary mission is patient safety and quality. The State of Oregon has already declared the Oregon Patient Safety Commission as Oregon’s PSO; however, obtaining the federal designation is taking time. The Commission continues to seek federal PSO designation so that we can go on serving the changing needs of Oregon’s hospitals. More information about this effort and the value of a federal PSO designation to both Oregon hospitals and the Commission is available here.
Bethany A. Walmsley, Executive Director
Early Discussion and Resolution (Senate Bill 483)
In 2013, the Oregon Legislature passed Senate Bill 483 creating Early Discussion and Resolution—an innovative approach to medical liability reform. Early Discussion and Resolution is a confidential, voluntary and structured process for healthcare providers and patients to notify, discuss, and (if necessary) mediate serious adverse events as an alternative to litigation.
Disclosure Guide Featured in Health Affairs
The Commission’s Oregon Adverse Event Disclosure Guide was featured in the February issue of Health Affairs. The GrantWatch column addresses patient engagement, patient safety, and quality of care and highlights work done by the Commission to publish a resource to help providers better understand the purpose of disclosure and to develop and improve their disclosure programs.
Statement on Preventing Oversedation
Oversedation results when the level of the patient’s sedation is greater than the desired therapeutic level of sedation. Oversedation can be associated with significant actual or potential patient harm. The Commission has published the Statement on Preventing Harm from Oversedation as a starting point for hospitals to use in efforts to decrease patient harm associated with sedation.