Helping Make Health Care Safer for all Oregonians

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
Bethany A. Walmsley, Executive Director

What’s New?

Root Cause Analysis Toolkit »
A new toolkit for healthcare facilities seeking additional resources to strengthen their existing adverse event review process

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

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 Health Care Quality Corporation      Oregon Medical Association

Oregon Department of Human Services      Oregon Medical Board

Acumentra      LeadingAge Oregon

Oregon Association of Hospitals and Health Systems      Oregon Center for Nursing

Oregon Rural Healthcare Quality Network

Northwest Renal Network      OASCA

Oregon Office of Rural Health      Oregon State Pharmacy Association

Oregon Health Authority      Oregon Health Care Association