Promoting collaboration and transparency in patient safety.
BACKGROUND
The Minnesota Alliance for Patient Safety (MAPS) collaborative was founded in 2000 by the Minnesota Hospital Association (MHA), the Minnesota Medical Association, and the Minnesota Department of Health.
MAPS made it a priority to make the health care workplace one that encourages learning from adverse events. MAPS is pioneering a statewide model of a "just" culture--one that supports learning yet holds individuals accountable for errors.
In 2001, MAPS helped revise the Minnesota peer review law to allow hospitals to share key safety information through electronic databases such as the MHA Patient Safety Registry. The revisions paved the way for the 2003 landmark Minnesota Adverse Health Care Event Reporting Act, which encourages reporting of root cause investigations and steps taken by facilities to prevent recurrence. In 2003 the Patient Safety Registry, an electronic database, was expanded to serve as a confidential clearinghouse for facilities' reporting of adverse events.
MAPS serves as catalyst for developing and disseminating best practices on topics such as health literacy, falls prevention, culture of safety, engaging patients, and consumers' medication tracking.


CONCLUSIONS
The six-year collaborative effort by the many organizations comprising MAPS has led to a transformation in Minnesota's health care safety culture.
Apold
Julie
J
Minnesota Hospital Association, St. Paul, USA.
Daniels
Tania
T
Sonneborn
Mark
M
D001363:Awards and Prizes; D019985:Benchmarking / Q000458:organization & administration*; D003299:Cooperative Behavior; D006751:Hospital Information Systems / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D006801:Humans; D007049:Iatrogenic Disease / Q000517:prevention & control; D033181:Information Dissemination; D007373:Interinstitutional Relations; D007858:Learning; D008910:Minnesota; D015279:Organizational Culture; D017751:Safety Management / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D012935:Social Justice; D012941:Social Responsibility