The Patient Safety Surveillance and Improvement System (PSSIS) was created for the purpose of improving patient safety, eliminating adverse events in Vermont hospitals, and supporting a facilitating quality improvement efforts by hospitals. The Vermont Department of Health is charged by statute to operate the PSSIS, and contracts with the Vermont Program for Quality in Health Care (VPQHC) to administer the System.
Avril Cochran, RN, Quality Improvement Specialist at VPQHC is now the primary contact for the PSSIS. Avril has over 30 years of healthcare experience in multiple settings, including hospital, long term care, Federally Qualified Health Care Center, school system, hospice and the state college system.
- Each Vermont hospital must
- Establish internal policies and procedures to identify, track and analyze all adverse events and near misses
- Conduct appropriate causal analysis
- Develop and implement corrective action plans
- Each Vermont hospital must report to the Patient Safety Surveillance and Improvement System incidences of any of the National Quality Forum's serious reportable events, and for each event:
- Conduct an appropriate causal analysis
- Develop and implement a corrective action plan
- File the causal analysis and corrective action plan with the Patient Safety Surveillance and Improvement System
- Each hospital must report any incidence of intentional unsafe acts
- Each hospital must develop policies and procedures requiring disclosure to patients relating to adverse events that cause death or serious bodily injury.
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