From the Director
Recently, the Institute of Medicine (IOM) published Improving Diagnosis in Health Care, an essential report for healthcare safety. For a long time, inaccurate or delayed diagnoses have significantly contributed to patient harm. Most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. The IOM report is an urgent call to action with important recommendations.
Overcoming diagnostic errors requires a comprehensive approach since errors stem from many causes. The Oregon Patient Safety Commission can support healthcare facilities with their approach. By reporting to the Patient Safety Reporting Program after diagnostic (or other) events, facilities can get hands-on assistance with reviewing events and developing action plans. In addition, when a provider uses Early Discussion and Resolution to request a conversation with a patient and their family after serious harm has occurred, that conversation is confidential and protected under Oregon law.
To learn more about the benefits of participating in the Patient Safety Commission’s patient safety programs, please contact us. Our staff is anxious to share more information with you.
Enjoy the fall season!
Bethany A. Walmsley, Executive Director
Institute of Medicine Report: Improving Diagnosis in Health Care »
A new report summarizing evidence and outlining recommendations to make medical diagnoses more accurate, reliable, efficient, and safe
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)