CENTER FOR PATIENT SAFETYPSO REPORTING GUIDELINES
CENTER FOR PATIENT SAFETY
PSO REPORTING GUIDELINES
GENERAL RECOMMENDATIONS
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**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**
CENTER FOR PATIENT SAFETYPSO REPORTING GUIDELINES
- It is recommended that each organization defines its patient safety work product (PSWP) by policy.
- CPS encourages participants to report events occurring as of January 1, 2010. Technically, events occurring since implementation of the federal PSO law in July 2005 may be entered into the system, at the organization’s discretion.
- Attach the root cause analysis or any type of analysis completed for any event, near miss or unsafe condition.
- Any event, near miss or unsafe condition may be reported to the PSO database, according to your organization’s policy.
- In addition to near misses, events, and unsafe conditions, consider reporting:
- Root Cause Analysis, FMEA, Defect Analysis, or other Proactive Risk Assessments
- Learning from Defects documentation
- Notes from patient safety huddles or rounds, telephone calls, or hallway conversations
- Quality outcome reports such as blood utilization, complications, or Core Measure variances
- Committee minutes - Safety, Quality, Quality and Safety Committee of the Board, Medication, Blood, etc.(refer to CPS PSO Crosswalk)
- Remember – the more accurate and complete data and information you submit, the greater protection for your quality and safety work and greater learning achieved from participation with a PSO.
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**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**
CENTER FOR PATIENT SAFETYPSO REPORTING GUIDELINES
FREQUENCY OF REPORTING
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**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**
CENTER FOR PATIENT SAFETYPSO REPORTING GUIDELINES
•Frequency of reporting is not specified by the federal law.
•The following guidelines are recommended for entering event data into the PSO data system; however, consider your current processes for reviewing and documenting adverse events.
»Best: Daily entry
»Better: Monthly entry
»Good: Quarterly entry
•Submission of data entered into the PSO database is recommended as soon as the decision is made that the event(s)/data/information is ready for submission.
- Entry of events into the PSO data system helps verify your active participation in a PSO, thereby supporting legal protection of your patient safety and quality work and documents.
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**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**
CENTER FOR PATIENT SAFETYPSO REPORTING GUIDELINES
OPTIONS TO SUBMIT DATA TO PSO
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**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**
CENTER FOR PATIENT SAFETYPSO REPORTING GUIDELINES
- Web-based secure portal using your organization’s distinct URL and unique assigned user name and password.
- Optional access: (requires discussion with Center staff)
- upload data elements from an electronic system for import into the PSO database, or
- electronic interface between a current system and the PSO data system.
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**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**
CENTER FOR PATIENT SAFETYPSO REPORTING GUIDELINES
REPORTING CONSIDERATIONS
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**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**
CENTER FOR PATIENT SAFETYPSO REPORTING GUIDELINES
- Organizations determine what data and when to submit to the PSO.
- Data should not be entered into the system unless it is “intended” to be reported to the PSO (as PSWP or non- PSWP).
- The Center only sees data actually submitted to the PSO by the organization.
- If data is entered into the PSO data platform but not submitted to the PSO within 3 years, it is deemed to be “submitted” – this is for the protection of the organization.
- Organizations can run reports from data entered into the PSO data platform. Comparative reports and learning from submitted data and information are only accessible based on what is actually submitted to the PSO.
- CPS staff and contractors are held to the confidentiality requirements defined within the PSQIAct, as are PSO participating providers and workforce members, including training on confidentiality provisions and implementation of processes to protect all organization- specific data and information provided to the CPS PSO.
- Aggregate reports, with de-identified data as defined by federal law, are provided by the Center on a quarterly basis.
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**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**
CENTER FOR PATIENT SAFETYPSO REPORTING GUIDELINES
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**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**