where do i report for the patient safety concern

by Mabelle Blick 9 min read

Report a Patient Safety Concern or File a Complaint

34 hours ago One Renaissance Boulevard. Oakbrook Terrace, Illinois 60181. By policy, The Joint Commission cannot accept copies of medical records, photos or billing invoices and other related personal information. These documents will be shredded upon receipt. Download the form for reporting a patient safety concern by mail. >> Go To The Portal


To report any safety concerns, please use the following tips:

  • For immediate hazards, call existing emergency phone numbers.
  • For urgent patient safety concerns, contact your supervisor.
  • Use departmental chain of command for assistance.
  • For compliance questions, please call 1-844-SPEAK2US (1-844-773-2528)
  • Report event in HERO (Hopkins Event Reporting Online).

File a Complaint Without Using Our Patient Safety Confidentiality Complaint Package
  • Mail or fax to the appropriate OCR regional office.
  • Email to OCRComplaint@hhs.gov.

Full Answer

How do I report patient safety concerns or compliance?

For urgent patient safety concerns, contact your supervisor. Use departmental chain of command for assistance. For compliance questions, please call 1-844-SPEAK2US (1-844-773-2528) Report event in HERO (Hopkins Event Reporting Online). For unresolved concerns, call the Safety Hotline at 410-955-5000.

How do I report safety concerns in the workplace?

To report any safety concerns, please use the following tips: For immediate hazards, call existing emergency phone numbers. For urgent patient safety concerns, contact your supervisor. Use departmental chain of command for assistance. Report event in HERO (Hopkins Event Reporting Online).

What is a patient safety confidentiality report?

PSWP may identify patients, health care providers and individuals that report medical errors or other patient safety events. This PSWP is confidential and may only be disclosed in certain very limited situations. Anyone can file a patient safety confidentiality complaint.

What is a patient safety information report (pswp)?

PSWP is any information: PSWP may identify patients, health care providers and individuals that report medical errors or other patient safety events. This PSWP is confidential and may only be disclosed in certain very limited situations.

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How do you report a patient event or a safety hazard in the environment?

Dial the Hotline (310) 825-9797 Follow the instructions by the voice operator and choose from the menu. A manager on call will respond based on the type of incident.

What is patient safety reporting?

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

What organization is responsible for patient safety?

A Patient Safety Organization (PSO) works with healthcare providers to help them improve patient safety and healthcare quality and encourage a culture of safety.

How do you address a patient safety?

5 Patient-Centered Strategies to Improve Patient SafetyAllow patients access to EHR data, clinician notes. ... Care for hospital environment. ... Create a safe patient experience. ... Create simple and timely appointment scheduling. ... Encourage family and caregiver engagement.

What is the name of the system where incident reporting has to be done?

Incident Reporting Systems (IRS) are a cornerstone for improving patient safety.

Why reporting is necessary for patient safety?

Reporting systems (frequently referred to as reporting and learning systems) capture patient safety concerns, hazards and/or incidents and are meant to trigger action, facilitate communication, response, learning and improvement.

Which organizations deal with safety and health issues related to the healthcare industry?

U.S. Department of Health and Human Services (DHHS), National Institute for Occupational Safety and Health (NIOSH) Publication Number 2015-115, (October 2021). NIOSH/OSHA/CDC Toolkit.

Which governmental Agency monitors safety practices in the healthcare environment?

The FDA is responsible for protecting the public health by assuring the safety, efficacy, and security of human and veterinary drugs, biological products, medical devices, our nation's food supply, cosmetics, and products that emit radiation.

What is the name of the committee that a hospital has to ensure patient safety in research projects?

the National Steering Committee for Patient SafetyAHRQ is co-leading the National Steering Committee for Patient Safety, which includes members from two dozen organizations that are joining together to create a national action plan to accelerate progress in reducing patient harm.

What is the nurses role in patient safety?

From a patient safety perspective, a nurse's role includes monitoring patients for clinical deterioration, detecting errors and near misses, understanding care processes and weaknesses inherent in some systems, identifying and communicating changes in patient condition, and performing countless other tasks to ensure ...

What should a health care worker do immediately after a safety violation occurs?

What should a health care worker do immediately after a safety violation occurs? Report it to the supervisor.

What is patient safety in healthcare?

What is Patient Safety? Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.

About Patient Safety Confidentiality

OCR enforces the confidentiality provisions of the Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) and the Patient Safety and Quality Improvement Rule (Patient Safety Rule).

What is PSWP?

Assembled or developed by a health care provider for reporting to a Patient Safety Organization (PSO) that is listed by the HHS Agency for Healthcare Research and Quality (AHRQ) and is documented as being within the provider’s patient safety evaluation system for reporting to a PSO

Complaint Requirements

Anyone can file a patient safety confidentiality complaint. If you believe that a person or organization shared PSWP, you may file a complaint with OCR. Your complaint must:

File a Patient Safety Confidentiality Complaint

File a Complaint Using the Patient Safety Confidentiality Complaint Form Package

How OCR Investigates Your Complaint

OCR will investigate complaints that allege potential violations of the Rule. To the extent practicable, OCR will provide technical assistance and seek informal resolution of complaints involving the inappropriate sharing of PSWP through voluntary compliance from the responsible person, entity, or organization.

What is patient safety event reporting?

Patient safety event reporting systems are ubiquito us in hospitals and are a mainstay of efforts to detect patient safety events and quality problems. Incident reporting is frequently used as a general term for all voluntary patient safety event reporting systems, which rely on those involved in events to provide detailed information. Initial reports often come from the frontline personnel directly involved in an event or the actions leading up to it (e.g., the nurse, pharmacist, or physician caring for a patient when a medication error occurred), rather than management or patient safety professionals. Voluntary event reporting is therefore a passive form of surveillance for near misses or unsafe conditions, in contrast to more active methods of surveillance such as direct observation of providers or chart review using trigger tools. The Patient Safety Primer Detection of Safety Hazards provides a detailed discussion of other methods of identifying errors and latent safety problems.

How is event reporting used in health care?

A 2016 article contrasted event reporting in health care with event reporting in other high-risk industries (such as aviation), pointing out that event reporting systems in health care have placed too much emphasis on collecting reports instead of learning from the events that have been reported. Event reporting systems are best used as a way of identifying issues that require further, more detailed investigation. While event reporting utilization can be a marker of a positive safety culture within an organization, organizations should resist the temptation to encourage event reporting without a concrete plan for following up on reported events. A PSNet perspective described a framework for incorporating voluntary event reports into a cohesive plan for improving safety. The framework emphasizes analysis of the events and documenting process improvements arising from event analysis, rather than encouraging event reporting for its own sake.

What is AHRQ common format?

AHRQ has also developed Common Formats —standardized definitions and reporting formats for patient safety events— in order to facilitate aggregation of patient safety information. Since their initial release in 2009, the Common Formats have been updated and expanded to cover a broad range of safety events.

What is the Patient Safety and Quality Improvement Act?

The legislation provides confidentiality and privilege protections for patient safety information when health care providers work with new expert entities known as Patient Safety Organizations (PSOs). Health care providers may choose to work with a PSO and specify the scope and volume of patient safety information to share with a PSO. Because health care providers can set limits on the ability of PSOs to use and share their information, this system does not follow the pattern of traditional voluntary reporting systems. However, health care providers and PSOs may aggregate patient safety event information on a voluntary basis, and AHRQ will establish a network of patient safety databases that can receive and aggregate nonidentifiable data that are submitted voluntarily. AHRQ has also developed Common Formats —standardized definitions and reporting formats for patient safety events—in order to facilitate aggregation of patient safety information. Since their initial release in 2009, the Common Formats have been updated and expanded to cover a broad range of safety events.

Why are event reports limited?

The spectrum of reported events is limited, in part due to the fact that physicians generally do not utilize voluntary event reporting systems.

Is there a voluntary event reporting system?

Voluntary event reporting systems need not be confined to a single hospital or organization. The United Kingdom's National Patient Safety Agency maintains the National Reporting and Learning System, a nationwide voluntary event reporting system, and the MEDMARX voluntary medication error reporting system in the U.S.

What happens when a PSR is entered?

The Shands at UF Quality Department, senior management, and your managers and supervisors are made aware of patient events that harmed or could have harmed a patient. Analysis is done to identify trends, system issues and areas for improvement. We may form a Performance Improvement Team to address identified trends.

What benefit do we get from the PSR system?

Our PSR system allows managers and supervisors to analyze data to better understand patterns and determine what improvements are needed to decrease patient safety risks hospital-wide. Proactive reporting of situations that may have caused harm to one patient may help us prevent actual harm to the next patient.

Our data

A review of our data from July through September 2010 shows a high level of participation in reporting patient safety events at Shands. Most fell within these three categories:

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Background

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Patient safety event reporting systems are ubiquitous in hospitals and are a mainstay of efforts to detect patient safety events and quality problems. Incident reporting is frequently used as a general term for all voluntary patient safety event reporting systems, which rely on those involved in events to provide detailed information. Initial repor...
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Characteristics of Incident Reporting Systems

  • An effective event reporting system should have four key attributes: While traditional event reporting systems have been paper based, technological enhancements have allowed the development of Web-based systems and systems that can receive information from electronic medical records. Specialized systems have also been developed for specific settings, such as the Intensive Care Unit Safety Reporting System and systems for reporti…
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Limitations of Event Reporting

  • The limitations of voluntary event reporting systems have been well documented. Event reports are subject to selection bias due to their voluntary nature. Compared with medical record review and direct observation, event reports capture only a fraction of events and may not reliably identify serious events. The spectrum of reported events is limited, in part due to the fact that physiciansgenerally do not utilize voluntary event reporting systems…
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Using Event Reports to Improve Safety

  • A 2016 article contrasted event reporting in health care with event reporting in other high-risk industries (such as aviation), pointing out that event reporting systems in health care have placed too much emphasis on collecting reports instead of learning from the events that have been reported. Event reporting systems are best used as a way of identifying issues that require further, more detailed investigation. While event reporting utilization can b…
See more on psnet.ahrq.gov

Current Context

  • At the national level, regulations implementing the Patient Safety and Quality Improvement Act became effective on January 19, 2009. The legislation provides confidentiality and privilege protections for patient safety information when health care providers work with new expert entities known as Patient Safety Organizations (PSOs). Health care providers may choose to work with a PSO and specify the scope and volume of patient safet…
See more on psnet.ahrq.gov