1. Refresher Research Coordinators MtgP S N
Patient
Safety
Net
02/27/12

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

3. What is Patient Safety Net® (PSN)?
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.

4. The Role of PSN at the SCCA
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.
Add to end quiz.

5. Some Examples of Event Reports:
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
Engagement:
Matching game or drop down list of correct answer
(more of an intro slide to introduce “concept”?

6. PSN Account Access 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:
Add to end quiz.

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) 8

9. Concepts to Remember When Entering an Event
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.

10. Navigating Through PSN 10

13. Need Help? For any questions regarding Patient Safety Net, contact:
Maya Luzzi
Patient Safety Net Onsite Administrator