In an effort to help
healthcare organizations advance patient safety through learning from adverse
events, the federal government established patient safety organizations (PSOs)
via the Patient
Safety and Quality Improvement Act of 2005 (PSQIA). In the PSO program, member organizations
voluntarily share adverse event information to a PSO for aggregation and
analysis. The reported information, known as ‘patient safety work product
(PSWP)’, receives federal confidentiality and privilege protection. As PSOs analyze adverse event information
from multiple organizations, they gain insights into common contributing
factors, event trends, and key learnings that are then shared with PSO member
organizations through personal feedback, development of guidelines, or
education offerings such as publications, webinars, and inservices.
The Tennessee Center for Patient Safety PSO is a federally certified
patient safety organization under the U.S. Department of Health and Human
Services (HHS) through the Agency
for Healthcare Research and Quality (AHRQ) serving 65 member organizations. To enhance services for members, the TCPS PSO subcontracted ECRI Institute PSO to provide a secure warehouse for reported safety event information and
assist with data analysis, member feedback, and education offerings. This gives TCPS PSO members the benefit of
local support and access to resources from a long-standing, well-regarded
healthcare safety organization. Because
ECRI Institute PSO is a subcontractor for several PSOs, they provide a
multi-PSO safety event database to which individual PSO member organizations
can compare their aggregate information. The TCPS
PSO program is available to hospitals and other health care providers.
TCPS PSO Services
Personalized support in establishing internal systems for PSO participation
Secure web portal for data collection, reports, education, and other resources
Safety event database with facility, TCPS PSO, and ECRI Institute PSO aggregate levels
Root cause analysis (RCA) critique/feedback and learning across facilities from de-identified RCAs
Quarterly patient safety advisory newsletters
Webinars and education on high-interest patient safety topics
Custom literature reviews by ECRI Institute analysts
AHRQ Culture of Safety survey
IHI Open School courses
How to Join
Hospitals or other healthcare providers that wish to participate
in the TCPS PSO Program must sign a PSO Membership Agreement and pay an annual
fee. Tennessee-based regional healthcare systems may join as a system,
including hospitals located in border states. For more information,
please contact Rhonda Dickman, 615-401-7404, email@example.com.
This website contains valuable resources from the federal organization that oversees patient safety organizations (PSOs.) Key items include the list of nationally certified PSOs, a variety of education materials, FAQs about PSOs, and the list of Common Formats.
Utilize this secure web portal to report patient safety work product to the Tennessee Center for Patient Safety PSO and access PSO member services and resources. A username and password are required and can be obtained from Rhonda Dickman with the TCPS PSO.