/clinical/,/clinical/patient-safety/,/clinical/patient-safety/psn/,

/clinical/patient-safety/psn/

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https://uconnect.wisc.edu/media/u-connect/clinical-hub/patient-safety-net-psn/PSN_Logo.jpg
Clinical Hub,Patient Safety

PSN Event Reporting

PSN Event Reporting - Clinical Hub, Patient Safety

PSN (Patient Safety Net) is a real-time, online data collection and reporting tool designed to increase awareness of patient and employee safety concerns throughout UW Health. It further provides an increased awareness of safety issues, engages front-line reporters (those entering PSN events) and managers in pursuing effective solutions that enhance safety for patients, visitors and staff. PSN also advances learning for all participants through the sharing of innovative strategies and issues of concern.


Focus

PSN ‌The UW Health Patient Safety Net (PSN) event reporting system is an important component of the UW Health Patient Safety program. The enterprise approach to performance improvement is strengthened by using this system across all of UW Health. It will allow us to identify areas of system vulnerability and possible system enhancement giving us a UW Health wide approach to event reporting. PSN enables us to study events, near misses, observe trends and take data-driven action to improve our systems.

We encourage you to report. Event reporting is a critical source for documenting events and potential events (near misses).  Event reports also help minimize the potential for occurrence and recurrence of patient, visitor, staff and environmental events. Examples of reportable events are shown below.

The primary focus of our Patient Safety Program is to improve system factors that affect patient safety. These guiding principles provide the foundation for our Patient Safety Program:

Our goal is to increase event reporting across UW Health. So, if in doubt, complete a PSN event report.

REPORTABLE EVENTS

An event is any variation in a health care delivery process or environment that results in: Patient, staff or visitor harm. Examples of reportable events include:

FAQ

What is PSN and why should I use it?

PSN (Patient Safety Net) is a real-time, online data collection and reporting tool that helps increase awareness of safety concerns throughout our organization. It also engages front-line reporters and managers in pursuing effective solutions for safety issues, increases the sharing of innovative strategies and provides general increased awareness of safety concerns.

What is considered an event and what types of events should be reported?

An event is any variation in a health care delivery process or environment that:

Examples of reportable events include:

Is there training for PSN?

Frontline Reporter

Manager Review

A computer based training course is available through Learning & Development on Patient Safety Net (PSN) Manager Review & Follow-up. This eLearning course takes approximately 20 minutes to complete and is recommended for those who are newly assigned to a PSN Manager account as well as those who have existing accounts and need a refresher on event report completion. The course is designed to assist you in navigating the manager review screens within PSN and to increase understanding and expectations of your PSN Manager role. The course also covers how to request a consultation from other content expert’s, provides information on the Healthcare Event Evaluation Teams (HEET) and includes available resources. To enroll in this offering, access Learning & Development System (LDS). Learning & Development System, click on “Find Learning”, search for PSN Manager Training (course name) and PSNMAN (course number).

Where do I find PSN?

What happens to an event report once I submit it?

When an event is submitted through PSN, an email notification is sent to the assigned manager of the location the front line reporter enters as the location where the event occurred. The manager then accesses the password protected site to review and respond to the event. This process allows for evaluation of contributing factors, corrective actions and provides opportunity for feedback to the reporting individual.

Will I get in trouble for reporting (non-punitive environment)?

As dictated by organizational policies, employees are accountable for their practices. The purpose and emphasis of PSN however, is for system improvement not fault-finding.

PSN does allow for anonymous reporting. In order to promote a just culture, UW Health encourages employees to include their contact information when reporting so appropriate follow-up can be done.

Who do I contact about PSN questions or concerns?

Questions regarding PSN can be sent to PSNUWHealthQSI@uwhealth.org.

Where can I find more information about PSN?

Use this PSN Resource on U-Connect to find general information about event reporting, training videos and quick reference guides for front line reporters and managers.

How do I get a PSN manager account?

In order to obtain a PSN manager account, contact your supervisor to complete the Computer System Access Request (CSAR) form. This form contains questions that will address your specific access needs.

What is my role as a PSN manager?

As a PSN manager, you will receive event reports that have been assigned to you based on location(s)/service(s) and event categories. Your role is to review the information entered by a front line reporter and respond to it considering contributing factors, corrective actions and potential collaboration opportunities with employees and other departments to prevent reoccurrence.

How will I know if I have a PSN event to review?

You will receive an automated email notification when an event report has been entered that affects your care area. The e-mail contains a link that will direct you to the report itself or to the password protected site where you can log in and review the report.

What are my responsibilities after I receive notification that an event report has been submitted?

After receiving report notification, it is your responsibility to review, evaluate and document on the manager review page. At minimum, you should open and respond to each report acknowledging that you have read it by adding your name to the manager review status box.

As a PSN manager you have the capability of editing a report (perhaps the event location is incorrect or the event type/event category is incorrect) and consulting/collaborating with colleagues. The system provides specific categories to respond to with check boxes and dialogue boxes to guide your review.

Is there training available for PSN managers?

A computer based training course is available through Learning & Development on Patient Safety Net (PSN) Manager Review & Follow-up. This eLearning course takes approximately 20 minutes to complete and is recommended for those who are newly assigned to a PSN Manager account as well as those who have existing accounts and need a refresher on event report completion. The course is designed to assist you in navigating the manager review screens within PSN and to increase understanding and expectations of your PSN Manager role. The course also covers how to request a consultation from other content expert’s, provides information on the Healthcare Event Evaluation Teams (HEET) and includes available resources. To enroll in this offering, access Learning & Development System (LDS). Learning & Development System, click on “Find Learning”, search for PSN Manager Training (course name) and PSNMAN (course number).

Can you suicide attempt or threat as re-portable event for a PSN?

We trained staff they should complete a PSN in the following situations:

Resources

Downtime Forms

Downtime Form

Incident Forms

Accident/Illness Report (Employee) (UWMF)

Policies

Event Reporting (4.22)

Quick Reference Guides

Reporting Incidents

PSN (Patient Safety Net)

Training Videos

Completing the Manager Review Form

How to Enter a Front Line Report