Refresher Research Coordinators Mtg

1. RefresherResearch Coordinators Mtg P S N 02/27/12 Patient Safety Net

2. Table of Contents Introduction Use of Patient Safety Net at the SCCA Patient Safety Net Access Navigating through PSN

3. PSN is an anonymous online reporting system used at the Seattle Cancer Care Alliance. PSN is used to track events that occur at the SCCA such as: Unsafe Conditions:Environmental factors or work processes that have a potential to harm a patient/visitor*. Near Misses: Events that do not reach the patient/visitor but had the potential to harm or inconvenience the patient/visitor if it had not been corrected before reaching the patient/visitor. Events that Reach the Patient/Visitor: Events that reach the patient/visitor causing harm or inconvenience. *Visitor refers to a patient’s family member or caregiver. Please Note! We do not use PSN to track events that reach staff, if you slip, trip, or have a needle stick, please report those using an Accident Illness Report form. What is Patient Safety Net® (PSN)?

4. Learning from Events, Near Misses, and Unsafe Conditions is key in monitoring and improving our process for safety and efficiency. A system flaw or gap can go undetected without your PSN report. When an error occurs, the review often uncovers system vulnerabilities that could be improved upon. Learning from PSN events help the SCCA to build better systems to promote patient safety and support your work. The ultimate goal is to protect patients from harm. The Role of PSN at the SCCA

5. Medication Events Medication Delays Laboratory or Specimen Events Not Completed Results Delayed Patient/Visitor Falls Communication/Care Coordination Problems Scheduling Issues Unclear Orders Equipment, Supply, or Device events Environmental Hazard Some Examples of Event Reports:

6. All staff have the ability to enter a PSN. Access to PSN is granted by using your UW AMC/IRIS Logon information (also known as your Orca/Mindscape password). If you do not have an AMC account, work with your manager to fill out the PSN access request form found at O:\Computer Applications Access forms. PSN is accessed via the link: https://psn.medical.washington.edu/login.aspx?ReturnUrl=%2fdefault.aspx PSN Account Access

7. Operation of PSN

8. Entering and Event PSN Icon is located on all SCCA Clinic Desktops and identified by this icon Research Staff not in the clinic access via the following Link (saved to favorites or manually as a link on desk top) https://psn.medical.washington.edu/login.aspx?ReturnUrl=%2fdefault.aspx

9. The intent of PSN is to track system issues in patient care, not to finger point. When entering an event, be as objective as possible. PSN events can be reported anonymously. If you do not document your name at the end of the report, you will not be identified as the reporter. Enter “Research Patient” as the first two words in the event description. Concepts to Remember When Entering an Event

10. Navigating Through PSN https://psn.medical.washington.edu/login.aspx?ReturnUrl=%2fdefault.aspx

13. For any questions regarding Patient Safety Net, contact: Maya Luzzi Patient Safety Net Onsite Administrator mluzzi@seattlecca.org 288-2236 Need Help?