Patient Safety Engagement Report (PASER)

_{Shared by Low Yan Yin, SingHealth Duke-NUS Institute for Patient Safety & Quality (IPSQ), Singapore. GKPS Reference: Patient Safety Engagement Report (PASER). Global Knowledge Sharing Platform for Patient Safety (GKPS). 2023. A006.}

Introduced in 2019, the Patient Safety Engagement Report (PASER) provides a regular overview of patient safety indicators and engagement efforts across the health care facilities within a health care cluster in Singapore (SingHealth). It aims to strengthen commitment and accountability for patient safety, improvement efforts, and identify opportunities for cluster-wide sharing and learning as part of the learning framework within the cluster Academic Medical Centre (AMC) learning organisation.

There are five categories with 13 main indicators. The five categories are Leadership Patient Safety Walk Round, Serious Reportable Events & Reportable Near-Misses, Audits, Training Programs and Other Engagements (which include Patient Safety Awards, Patient Safety Index, Clinical Excellence Indicators (Safety) and Patient Safety Sharing).

The PASER indicators are tracked on quarterly basis and reported during the leadership meeting to encourage institutions to have active patient safety engagements. PASER is neither aimed at encouraging competition between institutions nor be a tool for punitive actions. Rather, it seeks to identify existing and potential patient safety issues and to facilitate communication and engagement to categorize and resolve these matters at department, institutional or cluster levels. In highlighting problem areas and formulating learning points to address them, PASER also supports the organization’s goal of becoming a learning healthcare system (refer to Reference).

Reference- Tan KH, Pang NL, Siau C, Foo Z, Fong KY. Building an organizational culture of patient safety. Journal of Patient Safety and Risk Management. 2019;24(6):253-261. doi:10.1177/2516043519878979