National Center for Patient Safety - Patient Safety Improvement Corps

State Project Summaries Available as a Word .doc file.

Alaska Project: Analyzing the Process of Transferring a Patient from Facility to Facility.

Connecticut Project: Improvement of Adverse Event Reporting to the Department of Public Health.

Maryland Project: Developing a Root Cause Analysis Evaluation Tool.

Massachusetts Project: Application of Healthcare Failure Mode Effect Analysis to the Management of the Neurological Patient Population in a Rehabilitation Hospital Setting to Reduce Falls and Injury.

Minnesota Project: Creating a Just Culture - Lessons Learned for Minnesota.

Missouri Project: Collaborative Learning About Safety Surveillance Data.

New York Project: NYPORTS Patient Safety Initiative.

North Carolina Project: HFMEA on the Process Used to Prevent Pressure Ulcers.

Oregon Project: Using Adverse Event Data - Survey of Oregon Hospitals.

Pennsylvania Project: Creating a Culture of Safety.

Rhode Island Project: The "Rhode" to Patient Safety - Improving the Reporting of "Close Call" Events.

Texas Project: Texas Patient Safety Improvement Corp Team.

Utah Project: Utah Patient Safety Collaborative Improvement Project - Detection, Assessment, and Intervention.

Virginia Project: Introducing New Tools into an Established Patient Safety Program.

Wisconsin Projects: An Aggregate Root Cause Analysis of Falls Within a Four Hospital Safety Collaboration and Neuroscience Fall Reduction.

2003-2004 State Presentations