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December 2016 eBulletin

DoD PSP December 2016 eBulletin

The Department of Defense (DoD) Patient Safety Program (PSP) eBulletin delivers patient safety updates, news, useful tips and resources to help you deliver the highest quality of care to your patients. This month, we bring you the winners of the 2016 Advancement toward High Reliability in Healthcare Awards program, highlights of the DoD PSP resources available to you and information about upcoming PSR log in changes.


  • In December, the Military Health System is observing a Year in Military Health.
  • Join us for one of three webinars featuring the 2016 Advancement toward High Reliability in Healthcare Awards program winners. Subscribe and get e-mail alerts about the upcoming sessions.
  • Do you have questions about the Continuing Education process? We can help! E-mail us.
  • Do you have an update from your facility? Let us know via e-mail or Facebook.

Feature: Healthcare Quality and Patient Safety Award Winners Revealed

The winners of the 2016 Advancement toward High Reliability in Healthcare Awards program were recognized on Dec. 1 during the 2016 AMSUS Annual Continuing Education Meeting dinner and awards banquet. The awards were presented by Dr. Karen S. Guice, acting assistant secretary… Feature: Healthcare Quality and Patient Safety Award Winners Revealed.

HRO Corner: Understanding Your Patient Safety Resources

The Military Health System (MHS) is a global system of hospitals, clinics and health care teams within the DoD that provides health services to 9.4 million active duty and retired members of the armed forces and their families worldwide. Patient safety remains a central and strategic focus as the MHS advances on its journey to… HRO Corner: Understanding Your Patient Safety Resources.

Coming Soon: Patient Safety Reporting System Login Changes

The Department of Veterans Affairs (VA) will begin using the Patient Safety Reporting System (PSR) for entering and tracking patient safety reports beginning in mid-December.  At that time, users will notice a name change; the PSR will now be referred to as The Joint Patient Safety Reporting (JPSR) System. This… Coming Soon: Patient Safety Reporting System Login Changes.

DoD PSP Treasure Chest: December Edition

An open treasure chest on a three dimensional light blue sphere with a shadow.Welcome to the December edition of the DoD PSP Treasure Chest! Every month, we will be sharing resources to help you execute your day-to-day patient safety activities easily and effectively. Please visit us often and get access to tools and… DoD PSP Treasure Chest: December Edition.

MHS Patient Safety Data Snapshot

An image of a camera on a blue circleThe MHS Patient Safety Data Snapshot is a monthly compilation of two types of patient safety data: 1) Sentinel Event (SE) notifications submitted to the Patient Safety Analysis Center (PSAC) 2) Anonymous, voluntarily reported patient safety events via the web-based incident reporting system known as PSR.

This publication provides an MHS enterprise-level snapshot of trends in SEs and PSR events so that providers and health care administrators can help identify areas for patient safety improvement in their facility and throughout the MHS.

Visit the Patient Safety Learning Center (PSLC)* to access the latest MHS Patient Safety Data Snapshot, available on the 15th of every month.

If you do not have a PSLC account, you must request access.

*Please visit the Patient Safety Products page of the PSLC to access and download this publication.

MHS Patient Safety Spotlight

Patient Safety spotlightThe MHS Patient Safety Spotlight is a resource designed to highlight best practices and interesting initiatives that come from the field and are worthy of being shared across the enterprise. This resource features data-driven examples of improvement and case studies that tackle specific problems with specific solutions.

Visit the Patient Safety Learning Center (PSLC)* to access the latest MHS Patient Safety Spotlight, available on the 15th of every month.

If you do not have a PSLC account, you must request access.

*Please visit the Patient Safety Products page of the PSLC to access and download this publication.

Upcoming Events

Patient Safety Learning Circles

In-person or Web-based forums focused on a specific topic

An image of the AHRQ logo.

TeamSTEPPSTeam Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based teamwork system designed to improve the quality, safety and efficiency of healthcare. TeamSTEPPS consists of a collection of instructions, materials and tools to help drive a successful teamwork initiative from the initial planning to implementation through to sustainment. The system is designed to improve patient safety using a three-phase approach: Phase I Assessment: Facility determines organizational readiness; Phase II Planning, Training & Implementation: Facility “decides what to do” and “makes it happen;” and Phase III Sustainment: Facility spreads the improvements in teamwork performance, clinical processes and outcomes resulting from the TeamSTEPPS initiative.TeamSTEPPS Webinar – Agency for Healthcare Research and Quality (AHRQ)

Please check our for Calendar of Events for updates on this webinar.

The Overlap between Organizational Contributions to Burnout and Workplace Violence* – National Patient Safety Foundation (NPSF)**

Dec. 7, 2016 from 2:00 to 3:00 PM (ET)

National Patient Safety Foundation logoThis webinar will explore the effects of burnout and workplace violence on health care workers. Dr. Michael Privitera of the University of Rochester Medical Center will offer recommendations for leadership and management style interventions to implement a strategy to prevent workplace violence while preventing burnout.

Note: Cost is $99 per connection, however, Stand Up for Patient Safety member organizations receive complimentary registration for an unlimited number of participants, but those seeking continuing education must register individually. ASPPS members receive special $20 registration pricing for their individual participation.

Learn more and register for the event.

Health IT Webinar Series: (Part I) Leveraging Health IT to Improve Safety and Reduce Harm – National Patient Safety Foundation (NPSF)**

Dec. 13, 2016 from 2:00 to 3:00 PM (ET)

National Patient Safety Foundation logoA two-part webinar series jointly sponsored by the Health Information Management Systems Society and NPSF. In the fast-paced, team-focused, critical environment of health care delivery, having the right tools and processes in place to ensure patient safety is of tantamount importance. This webinar explores the role that health IT can play to support your organization’s patient safety initiatives. Learn how thought leading health care organizations utilize their people, processes and technologies to combat hospital-acquired conditions, sepsis and more.


  • Steve Robertson, executive vice president and chief information officer, Revenue Management and IT, Hawaii Pacific Health
  • Melinda Ashton, vice president of quality and patient safety, Hawaii Pacific Health
  • David C Kaelber, MD, PhD, MPH, MS, FAAP, FACP, CMIO and vice-president of health informatics, The MetroHealth System

Learn more and register for the event.

Learning Circle: Overview of the Leadership Daily Safety Briefing & Coaching Opportunities

Dec. 13, 2016 from 4:00 to 5:00 PM (ET)
Circular logo with department of defense patient safety program written around the perimeter and a pentagon shaped image in the center with the medical caduceus over a medical cross symbol

This learning circle provides an overview of the Leadership Daily Safety Briefing (DSB) Best Practice highlighted in the MHS Leadership Engagement Toolkit published in August 2016. DSBs have shown to foster a culture of safety, create a high level of situational awareness of safety issues for leaders and staff and to promote early identification and resolution of safety issues. After attending, you will understand what a DSB is, how it is used, and learn tips on how to develop and execute an implementation plan. You will also hear about targeted coaching offered by the DoD PSP, including individual coaching and learning action networks.

MHS leaders, providers and staff who oversee or are responsible for implementing leader best practices should attend.

Learn more and register Learn more and register for the event.

Implementing a Robust Quality Program – ECRI Institute

Dec. 22, 2016 from 1:00 to 2:00 PM (ET)

This webinar focuses on the key elements of developing a quality program. Participants will gain an understanding of the structure and methods of an effective quality program, and they will learn how an organization’s quality program is closely integrated with its patient safety and risk management activities. Health care executive leadership, nursing leadership, physician leadership, quality directors, patient safety officers, risk managers, clinical department leaders and nurses are encouraged to attend.

This session will be led by Barb Rebold, (RN, BSN, MS, CPHQ) director of engagement and improvement at the ECRI Institute. For more information on registering for this webinar, please e-mail or call (610) 825-6000, ext. 5800.

Patient Safety Workshops

Instructor-led or self-paced online learning sessions focused on a specific product

On-Demand eLearning: Patient Safety Reporting System v1.01 eLearning Course

This course introduces basic navigation and functionality features of the PSR system and the roles of system users, such as event reporters, event handlers and investigators. Access the course through MHS Learn.

Register now

On-Demand e-Learning: Patient Safety Reporting: Intermediate Course*

Targeted to Patient Safety Managers and other Military Treatment Facility (MTF) staff already familiar with basic functionalities of the Patient Safety Reporting System, this course will help learners hone the decision-making skills needed to effectively manage patient safety event data in PSR, as part of the ongoing effort to eliminate preventable harm at MTFs.

Register now

On-Demand e-Learning: Root Cause Analysis*

This self-paced module outlines the DoD Patient Safety Program's suggested practices for conducting a root cause analysis (RCA), from the initial reporting of a patient safety event through the formation of the RCA Team to the identification of contributing factors and root causes and the recommendation of corrective actions.

Register now

*Denotes that activity is eligible for Continuing Education (CE) credit. All CE credits are managed by the Postgraduate Institute for Medicine (PIM).

**Did you know? As an NPSF Stand Up for Patient Safety member, DoD PSP receives complimentary access to webinars as a benefit of program membership. Check with your facility POC for more information.

Last Updated: July 11, 2023
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