Patient Safety Reporting Program 2019 Annual Report
In 2019, healthcare organizations across the state contributed information to Oregon’s Patient Safety Reporting Program (PSRP) about adverse events and their strategies for prevention to inform learning and improvement. In our new PSRP report, we highlight foundational patient safety lessons that should guide patient safety work across the state, and without which improvement efforts will not be successful. We also offer two recommendations for healthcare organizations to effectively manage the wide range of safety issues that they will encounter—both in normal times and during periods of intense stress on the healthcare system:
Implement systems for responding to adverse events that support a culture of safety.
Seek to understand the role of inequity in adverse events to inform concrete strategies for change.
In our complex and rapidly changing healthcare delivery system, patient safety work is never complete, and it will take a coordinated and collaborative approach to make progress together. At OPSC, we are proud to serve Oregonians by encouraging a culture of patient safety across Oregon’s healthcare system, and by supporting healthcare organizations’ efforts to continuously learn from events and minimize the risk of patient harm.
Now more than ever, it is essential for organizations to build their capacity to continuously identify and address safety issues.