The document discusses policies around patient safety and non-punitive error reporting at Veterans Regional Hospital. It establishes a patient safety program in accordance with regulatory standards, makes all employees responsible for understanding the policy, and aims to continuously improve processes and services for patient care. The non-punitive reporting policy provides a supporting environment for employees to report errors and mistakes, except for knowingly intentional harmful acts or cases where repeated errors indicate a lack of competency. Patients and relatives can also file cases against staff for errors.

1. Patient Safety Committee

2. PATIENT SAFETY PROGRAM
Patient Safety Program
•PURPOSE
The purpose of this policy is to institute a Patient
Safety Program.
•POLICY
It is the policy to implement and maintain a
patient safety program in accordance with WHO,
DOH, PHIC standards.

3. PATIENT SAFETY PROGRAM
Patient Safety Program
•RESPONSIBILITY
It is the responsibility of all employees to be
familiar with the contents of this policy and
adhere to the procedure outlined within.
DISTRIBUTION
This policy shall be distributed hospital-wide.
•FILING INSTRUCTIONS

4. REPORTING
OF ERRORS!!!

5. Non Punitive Reporting
•PURPOSE
It is the purpose of this policy to provide information
regarding reporting of errors by employees in a non-punitive,
supporting environment.
•POLICY
It is the policy of Veterans Regional Hospital to strive to
“continuously improve all processes and services that support
the care of our patients.” VRH supports a non-punitive
environment for employees to report errors, accidents, and
mistakes.

6. Non Punitive Reporting
•RESPONSIBILITY
It is the responsibility of all employees to be
familiar with and adhere to this procedure.
DISTRIBUTION
This policy shall be distributed hospital-wide.

7. Exceptions to non-punitive reporting:
2. Knowingly intentional acts with intent
to harm or deceive.
2. In the event, it becomes clear that staff
competency is the root cause for a pattern
of errors, management will make every
reasonable effort to ensure staff can
reliably deliver safe care.

8. Exceptions to non-punitive reporting:
If it becomes clear that a staff member
cannot practice in a reliably safe manner,
in spite of education and counseling, this
situation will be treated as a staff
competency issue through normal
disciplinary procedures.

9. Patients/Relatives can file cases
from you if you commit errors.
Civil
Criminal
Administrative