United States Department of Veterans Affairs

National Center for Patient Safety

Patient Safety Improvement Corps

Patient Safety Improvement Corps

In 2003, NCPS partnered with the Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ) to launch a national "Patient Safety Improvement Corps."

AHRQ asked NCPS to develop and conduct a comprehensive training program for state health officials and their selected hospital partners, based on the patient safety training NCPS offered VA professionals.

The goal was to provide attendees with the skills required to analyze adverse medical events and close calls, as well as to identify the root causes of these events. They also needed to learn how to prepare and implement meaningful corrective actions based on their findings.

Attendees have been trained to conduct proactive risk assessments and develop and implement corresponding mitigation initiatives.

Additionally, they learn how to assess the effectiveness of interventions to better ensure the sustainability of effective interventions that improve patient safety.

During 2003 and 2004, representatives from 15 states participated; health officials and hospital representatives from 20 more states and the District of Columbia attended during 2004 and 2005; the rest were trained in 2006.

Because of the success of the program, an additional round of training sessions were offered in 2007 and will be completed this year. Twenty-two teams representing a number of states are attending these sessions, including a group from Puerto Rico.

Since 2003, more than 300 health care professionals from 210 organizations have been involved in the program.

Learn More

Information from AHRQ

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