CENTER FOR PATIENT SAFETY

PSO Toolkit

1.  PSO Brochure – provides general information about the Center for Patient Safety (CPS)Patient Safety Organization

2.  Revised PSO policy template – combines policies for PSES, PSWP and confidentiality, updated to delete Missouri HealthNet regulations and simplified for better understanding. Provides guidance for organizations to define what is included in their PSES, PSWP and PSES workgroup, which is recommended to support the organization’s active participation in the PSO.

3.  PSO Primary Contact Handbook – provides background information relative to the PSQIA as well as step-by-step guidelines on how to establish and define your PSES, PSWP, PSES workgroup as well as other details necessary for the PSO champion to understand.

4.  Instructions to access CPS’ password-protected area on website – information for the PSO primary contact to share with individuals at your organization who need access to this website.

5.  Confidentiality signature form - template of form to be signed by all members of your PSES Workgroup(s) as well as any members of workforce who have access to identifiable PSWP

6.  Powerpoint template for education of workforce – customize for education of your workforce

7.  Powerpoint for education of PSES workgroup – customize for education of your PSES workgroup(s)

8.  Powerpoint for Executives – customize for education for senior leaders

9.  PSO Reporting Guidelines – a quick reference for reporting information and timeframes

10.  Sample letter for surveyors - customizable information to be provided to CMS, state surveyors or others who request PSWP

11.  Crosswalk for HACs and SREs - cross-reference of the hospital acquired conditions, serious reportable events and PSO Common Data Format reporting categories.

**For internal use by Center for Patient Safety PSO Participants. May not otherwise be photocopied, published or reproduced in whole or in part without the permission of the Center for Patient Safety**