Patient Safety Net Training for Research Staff September 2018

Table of Contents Use of Patient Safety Net at SCCA Patient Safety Net Access Navigating Through PSN 1 2 3 QI work product CONFIDENTIAL & PROTECTED pursuant to RCW 4.24.240-250 & RCW 70.41.200

What is Patient Safety Net® (PSN)? PSN is an anonymous online reporting system used at the Seattle Cancer Care Alliance. PSN is used by the Quality Department 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. Near Misses: Events that do not reach the patient but had the potential to harm or inconvenience the patient if it had not been corrected before reaching the patient. Events that Reach the Patient: Events that reach the patient causing harm or inconvenience. Research Integration leverages PSN to monitor events involving research participants in order to identify protocol noncompliance as well as Near Misses that could have resulted in noncompliance had the event not been corrected by someone (clinic or research staff). Use of Patient Safety Net at SCCA QI work product CONFIDENTIAL & PROTECTED pursuant to RCW 4.24.240-250 & RCW 70.41.200

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 helps the SCCA build better systems to promote patient safety and support your work. The ultimate goal is to protect patients from harm. Examples of Research Related PSN Event types: Omission/errors in assessment, diagnosis, monitoring Assessment issues, missed monitoring Laboratory Test Specimen collection and/or processing issues Communication/Care Coordination Problems Scheduling Issues Unclear or incomplete orders Medication related Incorrect completion of orders, issues with duration of infusion Prescription/refill or IV drug delay Add to end quiz. Use of Patient Safety Net at SCCA QI work product CONFIDENTIAL & PROTECTED pursuant to RCW 4.24.240-250 & RCW 70.41.200

PSN Account Access All staff (including affiliates) 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 in the UAA form. PSN is accessed via the link: https://patient.seattlecca.org/psn/Pages/info.aspx Add to end quiz. Patient Safety Net Access QI work product CONFIDENTIAL & PROTECTED pursuant to RCW 4.24.240-250 & RCW 70.41.200

Entering an Event PSN Icon is located on all SCCA Clinic Desktops and identified by this icon Research Staff not in the SCCA Clinic can access PSN via the following Link (saved to favorites or manually as a link on desktop): https://sslvpn.medical.washington.edu/ and use this document for steps on how to VPN into the system Patient Safety Net Navigation QI work product CONFIDENTIAL & PROTECTED pursuant to RCW 4.24.240-250 & RCW 70.41.200

How to VPN to Patient Safety Net Select https://sslvpn.medical.washington.edu/dana-na/auth/url_default/welcome.cgi Login with your AMC credentials

In the upper left corner select the UWMC Intranet

On the intranet page, scroll to the bottom and select Patient Safety Net (PSN) from the list of Top Tools:

Login to PSN using your AMC account

Concepts to Remember When Entering an Event for a Research Patient The intent of PSN reporting is to track system issues in patient care, vs. finger pointing/blame on people. To be of the most benefit, events should be entered within a day of the occurrence. When entering an event, be as objective as possible. Enter “Research Patient” as the first two words in the event description. Bonus: Include the protocol number the patient is on. Bonus: Indicate if there will be other reporting requirements (e.g. sponsor, IRB) Bonus: Identify if clinical decision-making was impacted by the event. Patient Safety Net Navigation QI work product CONFIDENTIAL & PROTECTED pursuant to RCW 4.24.240-250 & RCW 70.41.200

The Life of a PSN Patient Safety Net Navigation QI work product CONFIDENTIAL & PROTECTED pursuant to RCW 4.24.240-250 & RCW 70.41.200

Need Help? For any questions regarding Patient Safety Net contact: ptsafety@seattlecca.org QI work product CONFIDENTIAL & PROTECTED pursuant to RCW 4.24.240-250 & RCW 70.41.200