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Description
The action plan that addresses the cause or finding and is designed to prevent occurrence of similar events. A system-level action plan focuses on processes, practices, and procedures, rather than individuals, and has the greatest likelihood of preventing future occurrences.
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On-Screen Instructions
n/a
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Show a clear link between the cause and the action plan.
What counts as a system-level action plan in the Patient Safety Reporting Program (PSRP)?
When asked to report system-level action plans to PSRP, facilities often ask how far-reaching an action plan must be to qualify as system-level. The question may arise for facilities that are not part of a larger healthcare system or for facilities that are a part of a larger healthcare system but are implementing an action plan in only one location. The goal of a system-level action plan is to increase safety in the long term and not allow a similar event to occur. To accomplish this, action plans must move beyond solving the problem in just one instance and include other patients, providers, or practices in similar circumstances. Only then will safety be improved in the long term.
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When assessing if your action plan is truly system-level, first determine if your plan will positively impact other patients or providers in a similar situation. If the answer is yes, you’re on the right track! For assistance developing system-level action plans, please contact your Oregon Patient Safety Commission (OPSC) Patient Safety System Analyst.
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What is the difference between a treatment plan and an action plan?
The Patient Safety Reporting Program PSRP gathers information on adverse events that occur in Oregon healthcare facilities to create a statewide database for shared learning. Facilities that report adverse events to the program improve patient safety by investigating what went wrong and sharing strategies that will prevent similar harm from occurring in the future.
When responding to adverse events, it is essential to develop plans that result in system-wide patient safety impact, as opposed to simply addressing each individual situation. A treatment plan focuses on the needs of a single patient, and often does not result in system-wide patient safety impact. A system-level action plan focuses on processes, practices, and procedures, rather than individuals, and has a greater likelihood of preventing future occurrences.
See the table below for examples of typical treatment and action plans:
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History
Start Date | 2006 |
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End Date | n/a |
Change History | 2012: PSRP implementation |
Field Name | actionplan_1, actionplan_2, actionplan_3, actionplan_4, actionplan_5 |