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CHPSO Mid-Year Update Delivered to Member Hospital CEOs

At the end of July 2015, CHPSO, a core program of the Hospital Quality Institute (HQI), mailed a mid-year update to all hospitals indicating their level of activity with CHPSO. The mailing included a dashboard highlighting the number and types of safety reports submitted to CHPSO, the hospital’s harm score, a listing of newsletter subscribers, a percentage of safety reporting vendors used by CHPSO member hospitals, and whether your hospital has attended introductory calls or orientation webinars.

At the end of the year, CHPSO will provide in-depth feedback based on the reports hospitals submit to the CHPSO database. If you would like more information, please contact info@chpso.org.

More about the dashboard

Section A. Reports Submitted by Your Hospital

Proportion of reports in each category submitted by your hospital. If you have selectively reported only certain categories (e.g. fall, medication, perinatal), this will deviate significantly from the overall average in section B. The number of events falling within this date range is also shown.

Section B. Reports Submitted by All CHPSO Members

For comparison, proportion of reports in each category submitted by all CHPSO members. These figures are very close to those seen nationwide.

Section C. Percent of Members Using Each Safety Reporting System

Current market share for each vendor among CHPSO members. This may assist you when evaluating new systems.

Section D. Percent of Reports that are High Harm

Interpretation: Lower is better. This measure is invalid if your hospital reports only certain types of harm (e.g., high-harm cases) or certain event types. It also will be invalid if you report few cases to CHPSO. Check Section A for number of reports submitted to CHPSO that were included. If that is fewer than about 30, the result is invalid.

Underlying causes of variation include:

  1. Reporting culture. When staff are hesitant to complete a report, those reported tend to be high-harm or otherwise prominent events. As staff become more comfortable with the administration’s response to reports, and believe that the information they report is valued, reporting of less-prominent reports and near misses increases. This increase causes a decrease in percent of high-harm reports.
  2. Staff sophistication. As staff become more sophisticated in identifying and understanding risks, more reports will be generated that identify risk before harm occurs. This increase causes a decrease in percent of high-harm reports.
  3. Decreased harm. Decreasing harm hospital-wide causes a decrease in percent of high-harm reports. This will also be evidenced as a decrease in the total number of high-harm reports per bed-day.

Reason for reporting this measure: This measure helps track progress in achieving a culture of safety and transparency in your organization.

Numerator: Reports submitted to CHPSO with severe harm or death.

Denominator: Reports submitted to CHPSO.

Exclusions: Reports in which degree of patient harm is unknown. Event dates prior to January 1, 2014.