You are a hospital CEO. You need to provide guidance to your Patient Safety, Quality Assurance, and Risk Management leadership on how you want them to balance the risks and benefits of documenting your hospital's patient safety and quality improvement efforts.

• How detailed do you want them to be in their incident reports, reports of physician peer review activity, and root cause analyses?
• Explain what factors you are considering in making your recommendations.

In this module, we learned that state regulators and voluntary organizations like the Joint Commission require health care organizations to submit certain reports as a condition of their licensure or accreditation.

• If those reports pertain to patient safety, and a health care organization participates in a Patient Safety Organization, do you think those materials should be protected from disclosure by the privilege created by thePatient Safety and Quality Improvement Act (PSQIA)?
• Explain your reasoning.

Please provide your response and then comment on postings by at least one of your classmates.

Actions