Newsroom & Reports

Sepsis and Covid-19

One of the most popular educational offerings available to CHPSO members are the regularly scheduled Safe Table forums. Offered about two dozen times per year, these meetings are focused on safety and quality improvement topics, each with a specific clinical focus. As a members-only patient safety activity, these confidential forums occur within each participant’s patient safety evaluation system and provide a safe space in which to explore systematic concerns or issues and share lessons […]

County-Level Relationships Between Risk Factors for Severe COVID-19 and Deaths

More than 190,000 COVID-19 cases have been confirmed in California as of June 2020, resulting in over 5,600 deaths. Several potential risk factors for developing severe COVID-19 have been identified, including older age and various underlying medical conditions. HQI estimated the relationships between county-wide prevalence of several of these risk factors and COVID-19-related deaths/death rates in California counties using estimates of prevalence from historical statewide hospital  inpatient, emergency department, and ambulatory surgery discharge records. 

CHPSO 2019 Annual Report Released

The CHPSO 2019 Annual Report was released on May 13, 2020. This report, which covers the period of January 1–December 31, 2020, focuses on CHPSO’s year in review with highlights for 2020. The report is available online on the CHPSO website

Ask CHPSO: Null Fields – Data Quality

In our previous newsletter, we discussed CHPSO’s new “No Nulls” initiative to improve data quality and how member organizations can help in the effort. This article will review the data pipeline involved in the process, touch on some of the challenges and successes we’ve observed in the effort so far, and suggest ways we can work together in a two-pronged approach to improve end-to-end data quality.  The local event reporting system, which is a large component of the Patient Safety Evaluation System (PSES), is often considered to be the starting point of the patient safety data pipeline. A PSES is used to collect, analyze, and manage data for reporting to a Patient Safety Organization (PSO). However, this confidential Patient Safety Work Product (PSWP) data maintained in the PSES comes from several sources. Some of the data are sourced from a hospital’s Electronic Health Record (EHR) system, and some from patient safety risk analyses and event audits/reviews. Physically, the resulting data bundle usually ends up in an automated event recording system from a variety of vendor supported systems. Each member’s set up is unique and understanding the components and data flow housed within your specific hospital or health care system is critical in understanding where data might slip through the cracks and end up Null. 

Ask CHPSO: Null Fields – Improving the Quality of Patient Safety Event Reporting Data

This year, as part of the CHPSO annual report we provided feedback on the quality of the data submitted to CHPSO. This is part of a larger effort to improve our ability to develop our signal detection methods and other advanced analytic capacities in the CHPSO database. In the Data Quality section of the CHPSO annual report we provided definitions of various data fields, the rational for submitting certain fields to the Patient Safety Organization (PSO), along with the breakdown of the frequency of null fields for specific data elements. 

HQI/CHPSO Welcome Cerner As A New Member

As national leaders in the patient safety arena, HQI and its affiliate, Collaborative Healthcare Patient Safety Organization (CHPSO) are continually pursuing efforts to eliminate patient harm. We are always looking for new and innovative methods and partners and viewing patient safety issues through different lenses has always been an HQI/CHPSO attribute. 

New Name, Same Mission for CHPSO

CHPSO, a division of HQI, has changed its name to the Collaborative Healthcare Patient Safety Organization. The change, which took effect Jan. 29, was made in order to better reflect the organization’s membership. The organization remains dedicated to eliminating preventable harm and improving the quality of health care delivery in hospitals. 

Quality Quarterly