PSOs and vendors submit patient safety concern data to the PSOPPC. Analysis of this data is intended to facilitate the development and adoption of interventions and solutions to improve patient safety. Patient safety data is aggregated and made non-identifiable by the PSOPPC for transmission to the Network of Patient Safety Databases (NPSD).
Data Submission overview for Common Formats for Event Reporting - Community Pharmacy Version 1.0 (CFER-CP V1.0), Common Formats for Event Reporting - Diagnostic Safety Version 1.0 (CFER-DS V1.0), Common Formats for Event Reporting - Hospital Version 1.2 (CFER-H V1.2), Common Formats for Event Reporting - Hospital Version 2.0 (CFER-H V2.0) and Common Formats for Event Reporting - Nursing Home Version 1.0 (CFER-NH V1.0) describe the steps necessary for a Patient Safety Organization (PSO) or vendor to submit patient safety concerns to the PSOPPC and to the Network of Patient Safety Databases (NPSD).
PSE Data Submission Process Overview Posted on: 05/14/2014, 63 KB
The PSOPPC compiled a list of common questions associated with the patient safety data submission process. The following document is updated as additional questions are received.
Data Submission FAQs Posted on: 04/20/2020, 151 KB
The PSOPPC is responsible for the non-identification and aggregation of data received from PSOs. To assist in the creation of non-identifiable data, PSOs assign a unique provider identifier to each healthcare provider contracting with the PSO.
The PSO-Assigned Provider Identifier Code (Provider ID Code) serves as a surrogate Provider ID Code. When the PSO assigns a surrogate ID code to the provider, the identity of the submitting provider is not revealed to the PSOPPC, thus providing anonymity to the healthcare providers. The Educational Brief Issue 40 - Recommended Practices for PSOs Assigning Pseudo Provider IDs for Data Submission to the PSOPPC provides guidance on creating Pseudo Provider ID codes.
It is imperative that the same PSO-Assigned Provider ID Code be used for all files submitted to the PSOPPC for that particular provider. Using the same PSO-Assigned Provider ID Code allows for data aggregation by the provider.
Before a PSO can submit Patient Safety Work Product to the PSOPPC, the PSO must sign a PSO Data Use Agreement. For PSOs choosing to submit patient safety information, an agreement must be executed to specify the respective rights and responsibilities of the PSO and the PSOPPC. The agreement specifies the types of patient safety information, format of data elements, explains how the data may be used, which elements will be transferred to the NPSD, how long the PSOPPC may use the data, and how the data will be protected. Educational Brief Issue 34 - Completing the Data Use Agreement (DUA) provides guidance on completing the Data Use Agreement.
Data Use Agreement Posted on: 11/26/2021, 2,215 KB
A PSO may designate a PSO Vendor to act on their behalf for certain functionalities on the PSOPPC website such as submitting patient safety data. A PSO Vendor must register with the PSOPPC in order to submit patient safety data on behalf of a PSO. PSO Vendors may complete the Vendor Registration Form prior to contracting with any PSOs.
Vendor_Registration_Form Posted on: 11/26/2021, 195 KB
Organizations preparing patient safety data in the AHRQ Common Formats should use the following resources provided on the PSOPPC website:
These resources provide in-depth information on the technical specifications, necessary data elements with related answer values, and validation rules. Included are the report types and event modules associated with the patient safety data report.
For more information on these resources, see the following pages:
Patient safety data can be submitted to the PSOPPC in the following report formats:
SRDS enables PSOs to submit patient safety data via a simple form directly on the PSOPPC website. Using the SRDS tool provides the following benefits:
For detailed instructions on how to use SRDS, please refer to the following resources:
Single Report Data Submission Users Guide Posted on: 01/19/2023, 2,749 KB
SRDS Training Video Posted on: 01/19/2023, 119.8 MB
CDA XML is recommended for large volume data submissions to the PSOPPC.
The PSOPPC accepts patient safety data in XML format that conforms to the Health Level Seven (HL7) Clinical Document Architecture, Release 2.0 (CDA R2) standard.
CDA XML documents submitted must be well-formed and meet the structural and semantic constraints of both the CDA R2 base standard and CFER event-specific models. Further guidance regarding CFER data constraints is provided in an Implementation Guide, specific to the type of event report being submitted.
For detailed instructions on how to implement and use the HL7 CDA Submission process, please refer to the following resources:CFER-Hospital
CFER-H_V1.2_Implementation_Guide Posted on: 04/20/2020, 907 KB
CFER-H_V2.0a_Implementation_Guide Posted on: 04/20/2020, 651 KB
CFER-CP_V1.0_Implementation_Guide Posted on: 04/20/2020, 494 KB
CFER-NH_V1.0_Implementation_Guide Posted on: 04/20/2020, 801 KB
CFER-DS V1.0 Implementation Guide Posted on: 01/19/2023, 813 KB
The Alternate Data Submission file format enables PSOs and vendors to submit patient safety data in basic XML or Delimiter-separated values (DSV) format. Alternate Data Submission is recommended for large volume data submissions to the PSOPPC.
For detailed instructions on how to implement and use the Alternate Data Submission process, please refer to the following resources:CFER-Hospital
CFER-H_V1.2_Alternate_Data_Submission_Users_Guide Posted on: 11/26/2021, 363 KB
CFER-H_V1.2_Alternate_Data_Submission_File_Samples Posted on: 10/18/2019, 21 KB
CFER-H_V1.2_Alternate_Format_XML_Schema_Definition Posted on: 12/15/2022, 1 KB
CFER-H_V2.0a_Alternate_Data_Submission_Users_Guide Posted on: 11/26/2021, 410 KB
CFER-H_V2.0a_Alternate_Data_Submission_File_Samples Posted on: 08/03/2018, 13 KB
CFER-H_V2.0_Alternate_Format_XML_Schema_Definition Posted on: 12/15/2022, 1 KB
CFER-CP_V1.0_Alternate_Data_Submission_Users_Guide Posted on: 11/26/2021, 389 KB
CFER-CP_V1.0_Alternate_Data_Submission_File_Samples Posted on: 04/27/2018, 4 KB
CFER-CP_V1.0_Alternate_Format_XML_Schema_Definition Posted on: 12/15/2022, 1 KB
CFER-NH_V1.0_Alternate_Data_Submission_Users_Guide Posted on: 11/26/2021, 386 KB
CFER-NH_V1.0_Alternate_Data_Submission_File_Samples Posted on: 09/11/2019, 9 KB
CFER-NH_V1.0_Alternate_Format_XML_Schema_Definition Posted on: 12/15/2022, 1 KB
CFER-DS_V1.0_Alternate_Data_Submission_Users_Guide Posted on: 01/19/2023, 473 KB
CFER-DS_V1.0_Alternate_Data_Submission_File_Samples Posted on: 01/19/2023, 3 KB
CFER-DS_V1.0_Alternate_Format_XML_Schema_Definition Posted on: 01/19/2023, 1 KB
PSOs and vendors may utilize the PSOPPC web interface or Secure File Transfer Protocol (SFTP) to submit CDA XML or Alternate Data Submission files. SRDS reports can only be submitted via the web interface.
Submitting data via the SFTP system will require the same prerequisites as submission through the PSOPPC website; additionally, users will need to register for an SFTP account by contacting the PSOPPC Help Desk at email@example.com.
For detailed instructions on how to submit data via SFTP, please refer to the PSOPPC SFTP Data Submission User's Manual.
PSOPPC SFTP Data Submission Users Manual Posted on: 01/19/2023, 832 KB
Helpful hints for submitting files to the PSOPPC:
Once patient safety data files are successfully submitted to the PSOPPC, the user submitting the files receives an email detailing the results. It is important to review these results. Only files with a status of "Accepted" are made non-identifiable and sent to the NPSD. Users can also review results via the Submission Management reports on the PSOPPC website or utilize the Web Service detailed below. Furthermore, users are encouraged to run the Common Formats Clinical Dashboards Reports or Common Formats Aggregate Report to confirm the data submitted accurately reflects what they received from providers.
The Submission Management Summary Report displays summary file processing information for submitted files. This is the report used to determine whether a file was "Accepted" or "Rejected".
The Submission Management Detail Report provides information on the specific errors that occurred in a "Rejected" file, including the message code, description, and type.
The Common Formats Data Submission Error Messages document provides all possible error messages for patient safety data submissions. The validation rule that failed is presented alongside the error message to assist PSOs in the revisions of the file. There are Error Messages documents for each Common Format available for reporting, which can be found under the Technical Specifications section.
The clinical dashboards offer a user-friendly, interactive method for PSOs to review their data. PSOs can view their data in graphs and use filters for manipulation. Clinical dashboards allow PSOs to see only the data they have submitted to the PSOPPC.Common Formats for Event Reporting - Hospital Clinical Dashboards
The clinical dashboards for the Common Formats for Event Reporting - Hospital Version 1.2 (CFER-H V1.2) and the Common Formats for Event Reporting - Hospital Version 2.0 (CFER-H V2.0) include dashboards across the Generic and Event-specific modules. Each dashboard presents data reported by a PSO on one or more data elements. The dashboards include a figure, data table, filters for manipulating the data, and hover-over icons with contextual information. The PSOPPC has developed two dashboard types for CFER-H V1.2 and CFER-H V2.0: trend and relational dashboards.
Educational Brief Issue 46 - PSO Specific Clinical Dashboard provides guidance on the clinical dashboards for data reporting.Comparative National Dashboard
The Comparative National Dashboard (CND) facilitates the comparison of PSO frequency distributions while maintaining the non-identification of those contributing to the aggregate database. The CND provides PSOs with a visualization of their data and a color-coded metric comparing the PSO's frequency distributions to the average of all PSOs. The PSOPPC has released the CND for use with CFER-H V1.2 data. The dashboard graphic presents the distribution of reports for a PSO as a percentage and how that PSO compares to all PSOs submitting data.
Educational Brief Issue 48 - Comparative National Dashboard provides guidance on using the CND for data comparison.
The PSOs are encouraged to generate and review the appropriate Aggregate Reports following the "Test" submission of their data to ensure the data reported to the PSOPPC accurately reflects the data received from providers. As the data is passed from providers to the PSO and then to the PSOPPC, data transformation and/or mapping issues may occur. This report provides PSOs and vendors the opportunity to validate their data. The following document provides suggestions for evaluating the data and may be used as a starting point for the PSOs to develop their own method for reviewing and interpreting the data submitted by the providers.
How to Use the Aggregate Report Posted on: 04/20/2020, 221 KB
The Web Service provides PSOs and vendors the ability to query the submission status and other information of their patient safety data submissions. In addition to an existing Level 3 User account, an additional username and password will be required to access the Web Service.
The following document provides information on how to utilize the Web Service:
PSOPPC_Web_Service_User_Manual Posted on: 11/26/2021, 827 KB