From the Director
QUALITY. Arguably, one of the most frequently used terms to describe a good healthcare experience.
Here at the Commission, we define QUALITY in a very unique but important way. Quality indicates a high level of service that is provided when we help a patient consider if their less than optimal healthcare experience is appropriate for the Early Discussion and Resolution process. Our staff assists with learning how to overcome specific patient safety challenges, and works to connect both patients and families and healthcare providers with the appropriate tools and resources.
The Commission provides high quality, low cost training and education opportunities for the entire healthcare community. We convene work groups and bring together learning networks (quality improvement initiatives) to improve patient safety, and support these relationships with targeted education, toolkits, and more.
For the healthcare professional working to report adverse events to Oregon’s Patient Safety Reporting Program, our quality staff provide personal consultation as needed to ensure that reports capture the root causes and the actions taken to prevent recurrence, thereby increasing the chance that each participant’s efforts will result in improved care in their facility.
We share what we learn from the data we collect in multiple ways, while still preserving individual confidentiality. For example, subscribe to our monthly newsletter and share our Action Alert information. Read the latest Annual Summary and stay informed about the most recent adverse event trends in Oregon. Our goal is to provide continuous, quality information in a timely manner so that transparency really does lead to shared learning and preventing patient harm.
Please let us know any time you have a question related to our patient safety programs. Our staff is eager to assist you and provide you with a high quality experience.
Bethany A. Walmsley, Executive Director
Root Cause Analysis Toolkit »
A new toolkit for healthcare facilities seeking additional resources to strengthen their existing adverse event review process
Early Discussion and Resolution »
Visit the website about our newest program
Patient Safety and Medication Error Prevention for Pharmacy »
A new online course for pharmacists
Success Stories »
Read about exemplary work in Oregon to improve patient safety
Quality Improvement Initiatives »
Grant-funded activity taking place at the Commission
2014 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
- Start a confidential conversation if serious physical injury or death has occurred during healthcare
- Submit a report about an adverse event investigation(for heathcare facilities only)
- Infection prevention tools, resources, and opportunities(for heathcare facilities only)