Vermont Patient Safety Forms

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 and 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.

Reporting Forms:

According to State statute (and the PSSIS Rule), each Vermont hospital must:

  1. Establish internal policies and procedures to identify, track and analyze all adverse events and near misses
  2. 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:
  3. Conduct an appropriate causal analysis (and file with the PSSIS)
  4. Develop and implement a corrective action plan (and file with the PSSIS)
  5. Report any incidence of an intentional unsafe acts (defined in the PSSIS Final Rule)
  6. Develop Disclosure policies and procedures delineating when and how to provide and document disclosure
  7. Cooperate with periodic on-site monitoring visits


National Quality Forum’s 2011 Consensus Report on Serious Reportable Events

More Resources:

July 18, 2025
The Addressing Food Insecurity: Strategies, Stories & Solutions session explored how healthcare settings can identify and respond to food insecurity through practical strategies, partnerships, and patient-centered solutions. It featured Rayna Andrews, nationally recognized food justice advocate and author, alongside Vermont hospital leaders who shared on-the-ground stories and implementation lessons. The session recording and linked resources are available below to support continued learning and action. Feedback from participants: “What I found most valuable was learning about addressing food insecurity and nutrition insecurity and the impact of this within the communities we serve and how to consider this within the work we are already doing.” “Rayna’s knowledge on the topic was excellent.” “I was made aware of how food insecurity can affect many populations and how we can help resolve the issues.”
A green background with white text that says understanding Vermont hospital quality reports webinar series
June 23, 2025
Exploring Vermont’s Hospital Quality & Patient Safety Landscape
A green background with white text that says vpqhc 2025 quality improvement training.
June 18, 2025
Strengthening QI Foundations for Statewide Improvement and Impact
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