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 firstname.lastname@example.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
Section C. Percent of Members Using Each Safety Reporting
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:
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.
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
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
Denominator: Reports submitted to CHPSO.
Exclusions: Reports in which degree of patient harm is
unknown. Event dates prior to January 1, 2014.