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Patient Safety

Patient Safety The MMA has been a leader in efforts to improve patient safety through the Minnesota Alliance for Patient Safety (MAPS). MAPS focuses on efforts to reduce medical errors by educating health care providers about causes of errors, promoting a “Just Culture”, and impacting the patient safety culture.

AHRQ Patient Safety Network (PSNet)  AHRQ PSNet is a national web-based resource featuring the latest news and resources on patient safety. The site offers weekly updates of patient safety literature, news, tools, and meetings.

Institute for Health care Improvement (IHI) The Institute for Health care Improvement (IHI) is an independent not-for-profit organization helping to improve health care quality and safety in the United States. Hundreds of provider organizations have used IHI’s ideas and techniques to improve patient care.

Minnesota Adverse Health Care Events Reporting System This MDH administers the Adverse Health Care Events Reporting System. Established in 2003, the reporting system requires all Minnesota hospitals, ambulatory surgical centers, and community behavioral health hospitals to report whenever one of 28 "never events" occur.

Minnesota Alliance for Patient Safety The Minnesota Alliance for Patient Safety (MAPS) is a partnership among the Minnesota Hospital Association, Minnesota Medical Association, Minnesota Department of Health and more than 50 other public-private health care organizations working together to improve patient safety

National Center for Patient Safety The National Center for Patient Safety (NCPS) was established in 1999 to lead the Department of Veterans Affairs’ (VA’s) patient safety efforts. Resources include reports and information about how the VA has tackled various safety issues and errors.

National Patient Safety Foundation The National Patient Safety Foundation is a nonprofit advocacy organization dedicated to improving patient safety and reducing medical errors. Its Web site offers learning modules on patient safety topics for which physicians can earn CME credit and a searchable bibliography of more than 5,500 patient safety articles, and other materials.

Stratis Health Stratis Health, Minnesota’s Medicare Quality Improvement Organization, is a nonprofit organization that leads efforts to address health care quality and safety in Minnesota. Stratis’s efforts include assessing and improving safety culture in hospitals and nursing homes, integrating patient safety-related technology, training and supporting root cause analysis, and fostering clinical safety improvement.

Tips for ensuring successful patient hand-offs This 2007 article from Minnesota Medicine outlines how physicians who fail to communicate with each other when handing off responsibility for a patient put the patient at risk for injury and themselves at risk for malpractice.

For more information, contact Janet Silversmith at 612-362-3763.

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