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About the Patient Safety Program

Your DoD Patient Safety Program (PSP) is a complete program with the goal of creating a culture of patient safety and quality within the Military Health System (MHS). We encourage a systems approach to creating a safer patient environment; engaging MHS leadership; promoting collaboration across all three services; and fostering trust, transparency, teamwork, and communication.


Our Mission

Our Mission is to promote a culture of safety to end preventable patient harm by engaging, educating and equipping patient-care teams to put evidenced-based leading practices in place across the organization.

Our Vision

Our Vision is to support the military mission by building organizational commitment and capacity to implement and sustain a culture of safety to protect the health of the patients in our care.

What We Offer

Leadership Engagement:

Leaders are the champions of change. We offer solutions to engage, educate and equip the entire patient care team to be champions for patient safety and institutionalize evidenced-based leading practices.

Teamwork and Awareness:

Sharing information is the key to ensuring all DoD patient care teams have one vision for patient safety. We offer solutions that help teams continuously learn and develop skills to reduce risk and provide high quality care to patients.

Alignment and Partnership:

To reach a systems approach to improving patient safety, we partner and collaborate with leaders in patient safety that align with our mission including the MHS Quadruple Aim, the High Reliability Organization (HRO) Task Force, the Partnership for Patients and the National Quality Forum’s Safe Practices.

Questions? Contact our staff via email.

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Credentialing and Privileging Program

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This instruction updates and reissue policy and procedures for the Credentialing and Privileging Program for the Department of the Navy (DON) as part of the DON Clinical Quality Management Program (CQMP).

Patient Safety Order Materials FAQs

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12/17/2014

This DoD Patient Safety Program document outlines the frequently asked questions in reference to ordering patient safety materials from the Patient Safety portion of the Health.mil website. The document includes vital contact information for assistance and account registration information.

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Sustainment Guide for Reducing Harm Associated with Patient Falls

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4/2/2014

This Falls Sustainment Guide supports the 2012 - 2013 Military Health System (MHS) Partnership for Patients initiative to improve the quality and safety of health care in all Department of Defense (DoD) Medical Treatment Facilities (MTF). The purpose of this Falls Sustainment Guide is to provide the tools and resources to ensure a reduction in falls and harm from falls at your Military Treatment facility (MTF).

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Army MEDCOM Regulation 40-59: Standardization of Inpatient Falls Risk Assessment and Documentation Falls Prevention Program

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This regulation directs standardized implementation of endorsed evidence-based falls risk assessment tools: the Johns Hopkins Hospital Fall Risk Assessment© (adult) and the Miami Children’s Hospital’s Humpty Dumpty Scale© (pediatric). In addition, this regulation requires incorporation of falls assessment documentation into the inpatient (Essentris) electronic medical record (EMR).

Implementation Guide for Readmissions

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2/13/2014

The Readmissions Implementation Guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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Implementation Guide for Falls

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2/11/2014

The Falls Implementation Guide was created to support the Partnership for Patients, a national initiative sponsored by the Department of Health and Human Services to reduce harm in health care facilities.

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Army MEDCOM Regulation 40-48: Fires Associated with the Performance of Surgical Procedures

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The purpose of this regulation is to provide policy and recommendations that will help ensure minimal risk of fires associated with the performance of surgical procedures in any healthcare setting to include, but not limited to, the following: operating room (OR), office-based, ambulatory surgery, and intensive care unit type.

Sustainment Guide for Adverse Drug Events

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1/24/2014

The lessons learned through the Military Health System (MHS) Adverse Drug Event (ADE) implementation process have led to the development of an improved Sustainment Guide. This sustainment guide includes the elimination of monitoring the therapeutic class of Sedatives, implementing processes to improve the integrity of data, clarification of definitions, and tracking data metrics to include clinically significant, preventable, and measurable harm associated with adverse drug events.

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Implementation Guide for Ventilator Associated Pneumonia and Ventilator Associated Events

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1/22/2014

The Ventilator Associated Pneumonia and Ventilator Associated Events (VAP) Implementation Guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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DoD Manual 6025.13: Medical Quality Assurance (MQA) and Clinical Quality Management (CQM) in the Military Health System (MHS)

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This manual reissues DoD 6025.13-R (Reference (a)) as a DoD manual in accordance with the authority in DoD Directive (DoDD) 5124.02 (Reference (b)) and DoD Instruction (DoDI) 6025.13 (Reference (c)) and the guidance in DoDI 5025.01 (Reference (d)). It implements policy, assigns responsibilities, and provides procedures for managing DoD MQA and clinical quality management.

Implementation Guide for Obstetrical Adverse Events

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The Obstetrical Adverse Events Implementation Guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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Army MEDCOM Regulation 40-41: Medical Service – The Patient Safety Program

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This regulation outlines the activities of the Army Medical Department (AMEDD) Patient Safety Program (PSP) to identify and centrally report actual and potential events in medical/dental systems and processes and to improve patient safety and healthcare quality throughout the AMEDD.

Implementation Guide for Central Line Associated Blood Stream Infection

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The Central Line Associated Blood Stream Infection (CLABSI) Implementation Guide was created to support the Partnership for Patients, a national initiative sponsored by the Department of Health and Human Services to reduce harm in health care facilities.

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Implementation Guide for Pressure Ulcers

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The Pressure Ulcers Implementation Guide is one of 10 harm-specific guides designed to assist you as you implement identified evidence-based practices to improve patient care.

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Implementation Guide for Catheter-Associated Urinary Tract Infection

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The Catheter-Associated Urinary Tract Infection CAUTI) Implementation Guide was created to support the Partnership for Patients, a national initiative sponsored by the Department of Health and Human Services to reduce harm in health care facilities.

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