People continue to die in hospitals, every day, in ways that could have been prevented.


It has been over 20 years since the Institute of Medicine’s To Err is Human shocked the world and exposed the incredible number of errors that occur in even the leading healthcare organizations each year. Since then, we have all worked significantly to improve patient safety but we have primarily focused on population-specific efforts, championed by a handful of select passionate leaders. Although these efforts have been fruitful in peaks, they have been difficult to sustain due to the lack of a foundation for high reliability in healthcare organizations.

We need a different approach.

Rather than targeting only individual diseases or populations for improvement projects, true progress demands building a solid foundation of reliability first, which has to include: 

  1. A Person-Centered Culture of Safety
  2. A Holistic, Continuous Improvement Framework
  3. An Effective Model for Sustainment

Without all three components established and intertwined, the organization’s improvement efforts in any specific population will be unsuccessful.

At the PSMF, we want to help healthcare organizations make this happen, free of charge, by expanding our Actionable Patient Safety Solutions™ (APSS™) to include not only the evidence-based, best-practice summaries from our past but also solutions to help organizations integrate them into existing processes.

What does it mean to “make a commitment?”

Donna Prosser, Chief Clinical Officer, shares what it means for hospitals and healthcare organizations to “make a commitment.”

APSS Blueprints

  • Executive Summary
  • Leadership Checklist
  • Clinical Workflow
  • Performance Improvement Plan
  • What We Know
  • Resources & Patient Education
  • Technology & Measurement
  • References & Appendix
APSS Education

APSS Educational Resources

  • Videos
  • Webinars
  • Blogs
  • White Papers
  • Journal Articles
  • Presentations

APSS Virtual Coaching

  • Assessment
  • Analysis
  • Prioritization
  • Implementation
  • Evaluation