59MDWI44-130 — Patient Safety

59MDWI44-130 governs patient safety activities, responsibilities, and procedures for Department of Defense Patient Safety Program standards.

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  • Publication number: 59MDWI44-130
  • Title: PATIENT SAFETY
  • Date: 2020-11-03

View 59MDWI44-130 on armypubs.army.mil

It establishes a centralized patient safety program with decentralized execution across 59 MDW facilities. It requires compliance with yearly National Patient Safety Goals and uses event reporting, process reviews, and crosschecks to reduce harm.

Applies to: This instruction applies to all personnel assigned, attached, or on contract to the 59th Medical Wing (MDW).

Topics covered

  • Patient safety program
  • Safety culture
  • Patient safety event reporting
  • Error reduction
  • National Patient Safety Goals

Questions and answers

What is the purpose of the 59 MDW Patient Safety Program?

The 59 MDW, PSP exists as a centralized program to promote quality healthcare by leading systematic, coordinated approaches that support a culture of safety, evidence-based best practices, and policies that lead to improved clinical outcomes. (paragraph 1)

How does the patient safety program reduce errors across 59 MDW facilities?

Establishes a mechanism of decentralized execution to ensure all components of the PSP are integrated into all 59 MDW facilities. Manages a system to assess and reduce errors to achieve zero harm. (paragraph 1)

What is required to maintain accreditation?

Comply with yearly mandated NPSG as required to maintain accreditation. (paragraph 2)

How should patient safety event reports be used?

Prevent injuries to patients and personnel through a “systems approach” by using information reported through patient safety event reports as opportunities to improve our health care system and processes impacting medical errors and patient safety. (paragraph 2)

What does the publication require for near-miss and good-catch events?

Promote reporting of “near-miss” or “good catch” events to evaluate weaknesses in systems or processes that could lead to a patient safety event. (paragraph 2)

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