Helping Make Health Care Safer for all Oregonians

From the Director

Each year, the Commission publishes an annual summary to give a statewide, aggregate picture of the information reported to the Patient Safety Reporting Program. The data provided is the result of Oregon’s healthcare community working together to improve transparency and contribute essential information. The trends in this data highlight that, although healthcare segments differ, when it comes to patient safety, many of the issues are similar. In many cases, the problems and solutions identified in adverse event reports translate across healthcare segments.

Read the 2014 report »

Transparency is a cornerstone for learning and patient safety improvement. Our hope is that healthcare organizations will use the report as a tool, in conjunction with evidence-based best practices and quality improvement tools, to improve patient safety and the quality of care for all Oregonians.


Bethany A. Walmsley
Bethany A. Walmsley, Executive Director

What’s New?

Commission Publishes 2014 Patient Safety Reporting Program Annual Summary
Press Release »
Report »

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

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

News »

Events »

Popular Links

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

Our Partners in Safety

Oregon Department of Human Services      Oregon Medical Board

Acumentra      LeadingAge Oregon

Oregon Rural Healthcare Quality Network

Northwest Renal Network      OASCA

Oregon Health Authority      Oregon Health Care Association

Oregon Association of Hospitals and Health Systems      Oregon Center for Nursing

Oregon Health Care Quality Corporation      Oregon Medical Association

Oregon Office of Rural Health      Oregon State Pharmacy Association