From the Director
On February 28, the Commission hosted our third annual patient safety awareness breakfast—Engaging the Patient in “Patient Safety.” Patient advocate Dan Ford shared his compelling personal story about how an adverse event affected his family, and we recognized many Oregon healthcare organizations that are leading the way in Oregon’s Patient Safety Reporting Program. Read this month’s newsletter to learn more about the innovative work these organizations are doing.
It was truly inspiring to share the room with so many representatives of Oregon’s community of dedicated patient safety organizations. Many thanks to all our guests and sponsors!
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.