The DoD Patient Safety Program eBulletin delivers patient safety updates, news, useful tips and resources. This month’s issue spotlights the importance of implementing TeamSTEPPS® tools and lessons at your Military Treatment Facilities to ensure patient safety across the Military Health System. You will also learn about important Continuing Education news, get a Basic Patient Safety Manager Course update, and access Sentinel Event Spotlight information and much more. Enjoy!

Contents

Announcements/Reminders

Feature: Strategies and Tools to Enhance Performance and Patient Safety – Teamwork and TeamSTEPPS

Basic Patient Safety Manager Course News: BPSM Adds Additional Course Offering

Continuing Education Update: New CE Provider for Patient Safety Training Activities – Next Steps

Sentinel Event Spotlight: Referral Management Process-related Events

Focused Review: Root Cause Analysis and Leadership

PSR Data Pulse Update

Upcoming Events

Patient Safety Reading Corner

Announcements/Reminders

• In June, the Military Health System will focus on Men’s Health. Learn more.
• Big Continuing Education news is coming your way! Be in the know.
• Save the date for the 2015 TeamSTEPPS® National Conference in Denver, Colorado 16-18 June. Learn more.
• Access the TEAM UP brochure – a starting point for engaging patients as part of a care team.
• The Basic Patient Safety Manager (BPSM) Course is a five-day, highly interactive course designed for new Patient Safety Managers. Learn more.
• Is it time to replenish your DoD PSP materials? We’ve got you covered! Order what you need here.
• Access TeamSTEPPS® 2.0 materials and resources here.
• Access the Patient Safety Reporting v1.01 Course and learn basic navigation and functionality features of the Patient Safety Reporting System (PSR) and much more.
• Featured DoD PSP Toolkit: Briefs and Huddles
• Talk to us! Do you have an update from your facility? Let us know via email or Facebook.

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Feature: Strategies and Tools to Enhance Performance and Patient Safety – Teamwork and TeamSTEPPS®

TeamSTEPPS continues to evolve as an innovative and high-visibility initiative and is mentioned as a factor in the Secretary of Defense 90-Day Review and in the...Read more

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Basic Patient Safety Manager Course News: BPSM Adds Additional Course Offering

Due to an increased demand, the Basic Patient Safety Manager Course, a five-day face-to-face orientation training for new Patient Safety Managers, will hold an additional course offering at Defense Health Headquarters from 22 – 26 June 2015. The BPSM course is designed to...Read more

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Continuing Education Update: New CE Provider for Patient Safety Training Activities – Next Steps

Dear patient safety professionals across the Military Health System, as many of you already know by now, The DoD PSP team is deep in our transition to the new Continuing Education provider: the Postgraduate Institute of Medicine (PIM), effective...Read more

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Sentinel Event Spotlight: Referral Management Process-related Events

This Sentinel Event Spotlight focuses on patient safety events, submitted to the DoD Patient Safety Analysis Center as Sentinel Event Notifications, root cause analyses, and/or event reports in the Patient Safety Reporting System (PSR), relating to the...Read more

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Focused Review: Root Cause Analysis and Leadership

After reading this CE-eligible focused review, learners will better understand how the quality of a root cause analysis (RCA) conducted in response to a patient safety event affects the...Read more

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PSR Data Pulse Update

Released on the 16th of every month, this report offers a snapshot of PSR events reported. This one page document provides a...Read more

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Upcoming Events

Patient Safety Learning Circles:
In-person or web-based forums focused on a specific topic

10 Interesting, Surprising Things Your Health Care System Needs to Know and Do to Provide Safe Care  National Patient Safety Foundation**

3 June, 2015 from 1:00 p.m. to 2:00 p.m. EST

At the end of the session, participants will be able to:

• Describe the current business case for quality and safety
• Contrast the relative efficacy of a systems approach to safety and one emphasizing individual accountability
• Analyze the changes that the IT revolution is having on the roles of patients, clinicians, and health care leaders.

GUEST SPEAKER:
Robert M. Wachter, MD
Professor
Associate Chair of the Department of Medicine
University of California, San Francisco

Register now

Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories from Hospital PSO Members

10 June, 2015 from 2:00 p.m. to 3:00 p.m. EST

This free Webcast from the Agency for Healthcare Research and Quality (AHRQ) will highlight the AHRQ Patient Safety Organization (PSO) program and present success stories from hospitals that are members of one or more PSOs. Hospitals will share how their organizations have used their PSO for meaningful patient safety and quality improvement.

Speakers:

• Diane Cousins, RPh
  AHRQ, Rockville, MD (Moderator)
• Vereline Johnson, MSN, RN
  Saint Francis Medical Center, Cape Girardeau, MO
• Chris Dickinson, MD
  University of Michigan Health System, Ann Arbor, MI

Register now

Patient Safety Workshops:
Instructor-led or self-paced online learning sessions focused on a specific product

On-Demand eLearning: Patient Safety Reporting System v1.1 eLearning Course

This course introduces basic navigation and functionality features of the PSR system and the roles of system users, such as event reporters, event handlers, and investigators. The course can be accessed through MHS Learn.
Register now

On-Demand eLearning: Patient Safety Reporting: Intermediate Course*

Targeted to Patient Safety Managers and other MTF staff already familiar with basic functionalities of the Patient Safety Reporting System, this course is designed to help learners hone the decision-making skills needed to effectively manage patient safety event data in PSR, as part of the ongoing effort to eliminate preventable harm at MTFs.
Register now

On-Demand eLearning: Root Cause Analysis*
This self-paced module outlines the Patient Safety Program’s suggested practices for conducting a root cause analysis, from the initial reporting of a patient safety event through the formation of the RCA Team to the identification of contributing factors and root causes and the recommendation of corrective actions.
Register now

*Denotes that activity is eligible for CE credit. All CE credits are managed by Duke University Office of Continuing Medical Education. (Attention! Effective 30 June, 2015, the Postgraduate Institute for Medicine (PIM) will begin accreditation for patient safety activities across the MHS. Learn more)

**Did you know? As an NPSF Stand Up for Patient Safety member, DoD PSP receives complimentary access to webinars as a benefit of program membership. Check with your facility POC to obtain the member coupon code.

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Patient Safety Reading Corner

These articles are external and provided for information purposes only. The DoD does not sponsor these websites.

• AHRQ Launches YouTube Channel of Patient Safety Videos
• Joint Commission Leaders in JAMA: Physicians & Health Care Organizations Must Take New Approach to Quality and Safety Improvement
• AHRQ's Core Functionality in Pediatric Electronic Health Records

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Do you have a learning activity or networking opportunity that should be included? Email us here: patientsafety@dha.mil.

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