Program goals (consistent with organization mission)
Scope of the Program
- Activities & functions relating to patient safety
- Participating sites, settings, and services
Structure
- Management of the Program
- Components (safety-related offices, committees, functions)
- Interdisciplinary participation
- Oversight
Mechanisms for coordination
- Among components of the Program
- Among the professional disciplines
- Across the organization
Communicating with patients about safety
- Patient education
- Informing patients about their care
Staff education
- Safety-related orientation & training
- Team training
- Expectations for reporting
Safety improvement activities
- Definition of terms
- Prioritization of improvement activities
- Routine safety-related data collection and analysis
- Incident reporting
- Medication error reporting
- Infection surveillance
- Facility safety surveillance
- Staff perceptions of, and suggestions for improving patient safety
- Staff willingness to report errors
- Patient/family perceptions of, and suggestions for improving patient safety
- Identification, reporting, and management of sentinel events
- Proactive risk reduction
- Identification of high-risk processes
- Failure mode, effects, and criticality analysis
- Reporting of results
- To the Patient Safety Program
- To organization staff
- To executive leadership and the governing body