From the Director
This holiday season, the Commission is bustling with activity and enthusiasm for what we have accomplished this year and all that will be happening in 2014. This has been an exciting year for the Commission as we have strengthened the Patient Safety Reporting Program, extended our grant-funded infection prevention collaboratives and trainings, and become the administrator for Early Discussion and Resolution—Oregon’s new, structured approach to notification, discussion, and mediation of serious adverse events.
As we look forward to a fast-paced holiday season and a busy new year, we appreciate all of our partners and supporters and are grateful for all of the hard work being done throughout Oregon to ensure safer care for patients.
Wishing you very Happy Holidays!
Bethany Walmsley (formerly Bethany Higgins)
Early Discussion and Resolution (Senate Bill 483)
This spring, 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.