mandated to provide a report on the status of patient safety to congress

by Reinhold Breitenberg III 4 min read

Strategies to Improve Patient Safety: Final Report to …

9 hours ago  · AHRQ Publication No. 22-0009. In consultation with AHRQ, the U.S. Department of Health and Human Services delivered a final report on effective strategies to improve patient safety and reduce medical errors to Congress. Required by the Patient Safety Act of 2005, the report was made available for public review and comment, and review by the National … >> Go To The Portal


This Patient Safety Chartbook is part of a family of documents and tools that support the National Healthcare Quality and Disparities Reports (QDR). The QDR are annual reports to Congress mandated in the Healthcare Research and Quality Act of 1999 (P.L. 106-129).

Full Answer

What are the requirements of the patient safety rule?

The Patient Safety Rule requires an entity to certify that it meets 15 distinct statutory requirements; a component of another organization must attest that it meets another three statutory requirements; and each entity or component organization must comply with several additional regulatory requirements.

How is the Patient Safety Act being implemented?

To implement the Patient Safety Act, the Department of Health and Human Services' (HHS) Agency for Healthcare Research and Quality (AHRQ) published the Patient Safety and Quality Improvement Final Rule (Patient Safety Rule). AHRQ has received many questions regarding the implementation of the Patient Safety Rule and about PSOs.

What is joint patient safety reporting for military hospitals?

Joint Patient Safety Reporting All Military Health System Direct Care Direct care refers to military hospitals and clinics, also known as “military treatment facilities” and “MTFs.” direct care facilities must report qualifying patient safety events to the DoD Patient Safety Program through Joint Patient Safety Reporting

Why is it important to report patient safety events?

The reporting of all patient safety events, even those that don’t reach the patient, allows the DoD PSP to identify, analyze and learn from the sequence of events that may potentially lead to errors before they affect patients.

Which entity is mandated to provide a report on the status of patient safety to Congress each year?

Congress vested the authority for implementing the Patient Safety Act with AHRQ by incorporating its provisions into AHRQ's authorizing statute. As the lead Federal agency for patient safety research, AHRQ is an appropriate partner for PSOs and healthcare providers.

What is the required timeline for reporting patient safety events?

within 5 DaysThe California Department of Public Health (CDPH) and Medi-Cal both mandate the reporting of events within 5 Days of the event's discovery.

Which created patient safety organizations PSOs to collect aggregate and analyze confidential information reported by health care providers?

The Patient Safety and Quality Improvement Act signifies the Federal Government's commitment to fostering a culture of patient safety. It creates Patient Safety Organizations (PSOs) to collect, aggregate, and analyze confidential information reported by health care providers.

What is the purpose of the reporting system established by the Patient Safety and Quality Improvement Act?

The Patient Safety and Quality Improvement Act of 2005 (PSQIA) establishes a voluntary reporting system designed to enhance the data available to assess and resolve patient safety and health care quality issues.

Who is responsible for reporting a patient safety occurrence?

3. Reporting- when a patient safety event has been identified, the event should be immediately reported. The preferred method of reporting is through the safety online system. At a minimum the event should be reported to the manager or immediate supervisor.

What is a patient safety report?

Patient Safety Reporting (PSR) gives military treatment facility personnel the ability to anonymously report medical events that impact the safety of patients.

Who is responsible for patient safety quizlet?

The nurse has the professional responsibility to be engaged in the activities that support a patient-centered safety culture.

What is Health Care Quality Improvement Act of 1986 Hcqia?

The Health Care Quality Improvement Act of 1986 (HCQIA or the Act) generally provides immunity to certain participants in the resolution of the standard of care or other staff-privileging issues for health care professionals.

What is PSO in hospital?

The Patient Safety Organization (PSO) program established federally recognized PSOs to work with health care providers to improve the safety and quality of patient care. The program also creates the first and only comprehensive, nationwide patient safety reporting and learning system in the United States.

What does the patient Self Determination Act require?

Patient Self Determination Act of 1990 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require hospitals, skilled nursing facilities, home health agencies, hospice programs, and health maintenance organizations to: (1) inform patients of their rights under State law to make decisions ...

Who created the Patient Safety and Quality Improvement Act?

Sen. Jim JeffordsThe PSQIA was introduced by Sen. Jim Jeffords [I-VT]. It passed in the Senate July 21, 2005 by unanimous consent, and passed the House of Representatives on July 27, 2005, with 428 Ayes, 3 Nays, and 2 Present/Not Voting.

What agencies provide regulatory guidance related to safety and quality for patients and staff?

AGENCY: Agency for Healthcare Research and Quality (AHRQ), Office for Civil Rights (OCR), Department of Health and Human Services (HHS).

What is the Nurse Staffing Standards for Patient Safety and Quality Care Act of 2017?

This bill amends the Public Health Service Act to require hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Hospitals must post a notice regarding ...

Can a hospital take action against a nurse?

Hospitals may not: (1) take specified actions against a nurse based on the nurse's refusal to accept an assignment for such a reason; or (2) discriminate against individuals for good faith complaints relating to the care, services, or conditions of the hospital or related facilities.

Why can't the public see the entire story in HIPPA cases?

The public never sees the entire story in these cases. This makes it easier for healthcare providers and law enforcement to be wrongfully maligned. Because of HIPPA confidentiality laws , the naturopathic physician that saw this child can’t share all of the medical details that made her make this decision.

Is medical neglect a real issue?

At the same time, medical neglect is a real child safety issue which can lead to tragic outcomes if appropriate action isn’t taken. We must have an investigative process in place when we are concerned that children might be in potentially deadly situations – and we do. That’s why we have mandatory reporting and DCS.

Is it okay to minimize the severity of a child's illness?

Mentally minimizing the severity of your child’s illness is actually a form of self-preservation. This is the same reason that it’s not advised that medical providers take care of family members – your judgement can be clouded when it comes to caring for the people you love.

Who enforces the Patient Safety Act?

Often referred to as the Patient Safety Act, the provisions of this law dealing with PSOs are administered by the Agency for Healthcare Research and Quality (AHRQ) and the provisions dealing with its confidentiality protections are interpreted and enforced by the Office for Civil Rights (OCR).

What is the Patient Safety Act?

The Patient Safety Act and Rule provide protections that are designed to allay fears of providers of increased risk of liability if they voluntarily participate in the collection and analysis of patient safety events.

What is PSWP in healthcare?

Any information that is eligible to become PSWP reported to a PSO by a healthcare provider is protected. The definition of PSWP ( Patient Safety Rule Section 3.20) provides important detail on what information is eligible for protection and when those protections apply.

What is a PSO readmission?

The PSO readmissions Web page contains helpful information and tools that can be used by such hospitals, and PSOs that work with those hospitals, to address the causes of unnecessary readmissions. In fact, any hospital can work with a PSO on any patient safety issue of the hospital's choice.

What are uniform federal protections?

The uniform Federal protections that apply to a provider's relationship with a PSO are expected to remove significant barriers that can deter the participation of healthcare providers in patient safety and quality improvement initiatives , such as fear of legal liability or professional sanctions.

What is the role of OCR?

OCR is responsible for the investigation and enforcement of the confidentiality provisions of the Patient Safety Rule. OCR will investigate allegations of violations of confidentiality through a complaint-driven system.

What agency is responsible for the Patient Safety Act?

To implement the Patient Safety Act, the Department of Health and Human Services' (HHS) Agency for Healthcare Research and Quality (AHRQ) published the Patient Safety and Quality Improvement Final Rule (Patient Safety Rule). AHRQ has received many questions regarding the implementation of the Patient Safety Rule and about PSOs.