The Quality Quarterly


The Quality Quarterly

HQI produces a quarterly newsletter intended to support health care quality and patient safety professionals’ work by providing information on clinical developments, opportunities to learn from your peers, and new technologies to help you work more effectively. The newsletter is distributed in March, June, September, and December. To subscribe, please email

Quality Quarterly Article

Helping Hospitals Address Implicit Bias in Maternity Care

While California hospitals have made strides in improving overall maternity care, we continue to witness strong racial disparities in maternal mortality and morbidity in our state — as in the rest of the nation. Disparities persist even after accounting for age, income, education, health insurance status, and other socio-economic attributes, and evidence points to implicit bias and racism as major factors in these inequities.   

Quality Quarterly Article

Even Heroes Need Help

For the women and men on the front lines of healing those afflicted with coronavirus, the past several weeks have tested not only their clinical skills, but also their physical limits and their emotional fortitude. 

And with many more weeks, possibly months, before they can exhale again, they need all the help they can get — now. 

Quality Quarterly Article

133 Hospitals Join HQI’s New Perinatal Mental Health Learning Community

Postpartum depression and other perinatal mood and anxiety disorders are the most common complication of childbirth, affecting approximately one in five birthing women, with prevalence rates even higher in low-income communities and communities of color.  Unfortunately, few women are diagnosed and even fewer receive treatment.   

Quality Quarterly Article

Lessons Learned: Retained Surgical Items

About twice a month, CHPSO hosts a Safe Table forum focused on a specific clinical topic. These members-only forums are designed to empower providers to engage in robust, meaningful patient safety and quality improvement activities.  The group explores situations in which there are systematic concerns or issues that member organizations have encountered and the opportunity to share solutions and/or obtain advice. 

Quality Quarterly Article

Members Encouraged to Join Legal Counsel Discussion Group Calls

 As one of the many complementary services offered to members, CHPSO hosts a regularly scheduled Legal Counsel Discussion Group Call designed to support an ongoing exploration of the legal privileges and challenges of the Patient Safety & Quality Improvement Act of 2005 (PSQIA). These calls, which are typically held quarterly, are designed to assist our members and their legal counsel in developing a deeper understanding of the PSQIA. These calls also offer members and their legal counsel the opportunity to hear about current cases and stay abreast of recent legal de

Quality Quarterly Article

Look for the CHPSO 2019 Annual Report in Mid-April

Every year CHPSO provides members with an annual report, which highlights patient safely related activities, analytics, and a review of membership and database status. This annual report will cover the period January 1–December 31, 2019. It will be available  on the CHPSO website and all members and newsletter subscribers will receive an email from CHPSO with the link to the annual report by mid-April. 

For more information, contact

Quality Quarterly Article

Early Enrollment Ramping Up for New HQI Data Analytics Platform
Contact us for a demo

Early adoption has surged for HQI’s new Hospital Quality Improvement Platform — a quality analytics system that consolidates disparate data sources into a single, statewide platform. The platform is available free of charge to all California Hospital Association members.  

Since launching in October 2019, 33 hospitals have already completed the participation process and 128 have participation agreements under review to join them.  

Quality Quarterly Article

Lessons Learned: Improving Patient Safety with Smart Pumps

Health care providers must provide precision care, perform highly complex procedures and treatments, and cope with increasingly stressful care environments. To support their work, a variety of innovations have been devised to increase patient safety by decreasing preventable harm related to human factors, technological advances, and complex care environments. Certain types of infusion pumps, often called “smart pumps,” are one such innovation.

Quality Quarterly Article

CHPSO Job Board

Quality and patient safety positions at your organization can be listed on the CHPSO Job Board. If you are a member of CHPSO, the California Hospital Association, or a key partner of the Hospital Quality Institute and would like to list your opportunities on this page, please contact

The following guidelines apply:

  • Opportunity must be health care-related
  • Organization must be a partner of CHPSO, HQI, or CHA
  • Each organization is limited to three opportunities at a time
  • Postings automatically expire after 30 days
  • Contact us to remove a posting, or to repost a position after it expires

Opportunities at CHPSO and the Hospital Quality Institute will also be listed on the job board as well. If there are no current openings listed, feel free to share your resume or CV with us at, and we will keep it on file.

Quality Quarterly Article

Register Today for 2020 World Patient Safety, Science & Technology Summit

The 8th Annual World Patient Safety, Science & Technology Summit is co-convened with the International Society for Quality in Health Care (ISQua), the American Society of Anesthesiologists (ASA), and the European Society of Anesthesiology (ESA). This event will bring together all stakeholder groups to discuss novel solutions to the leading challenges facing hospitals today.

The summit will feature:

  • Keynote addresses from public figures and patient safety experts
  • Plenary sessions with healthcare luminaries and patient advocates
  • Announcements from organizations who have made their own commitments to reach the Patient Safety Movement Foundation’s goal of ZERO preventable deaths by 2020.

Date & Time

Mach 5 – 7, 2020. Click here for the agenda.


Click here to register. HQI member hospitals will receive 10% off. Contact Hailey Golden to receive the discount code.


The 2020 Summit will be held at the stunning Waterfront Beach Resort, a Hilton Hotel, situated across the street from one of California’s finest coastal spots, Huntington Beach. All Summit events will take place on the property.

More Information

Click here for more information. 

Quality Quarterly Article

Patient Safety Authority Launches Publication

As collaborative partners, CHPSO and the Patient Safety Authority (PSA) share resources and tools to help our members improve quality and advance their patient safety efforts. As part of these collaborative efforts, CHPSO is pleased to announce that the PSA has launched a new publication, Patient Safety, a journal unlike any other you’ve seen.

Quality Quarterly Article

2019 C. Duane Dauner Award Winners Announced

HQI received 33 applications for 2019 C. Duane Dauner Quality Award.  Through a careful review via an external panel of judges, three applicant organizations were recognized:

Santa Clara Valley Medical Center was the winner of 2019 C. Duane Dauner Quality Award, with a program to improve safety and care of patients upon discharge by actively supporting their follow-up care in the community.  Since 2018, their Post-Acute Care Transitions (PACT) initiative reduced the hospital length of stay for non-acute patients by approximately 50% (from 70 days to 35 days), increased hospital bed capacity by over 5,000 hospital bed days, and reduced the 30-day readmission rate for patients in the PACT program from 19% to 5.5%.

Keck Medicine of USC was a 2019 C. Duane Dauner Quality Award finalist with their program to implement Enhanced Recovery After Surgery (ERAS), positively impacting postoperative pain, opioid use, length of stay, and readmission rates.

John Muir Health was a 2019 C. Duane Dauner Quality Award finalist with a new predictive analytics approach to identify and manage sepsis patients, which resulted in reducing code blues by 35% and saving 54 lives.

More information about the winner and two finalists is available on HQI website.

Quality Quarterly Article

CHPSO Provides Recap of 2019 Safe Tables

Safe Tables are designed to empower providers to engage in robust, meaningful patient safety and quality improvement activities. CHPSO hosts these meetings via a web-based, teleconference format approximately twice a month. Safe Tables generally have clinical focus on a topic requested by members or found during periodic analysis of the CHPSO database. 

Quality Quarterly Article

HQI Conference Draws Patient Safety Leaders to Sacramento
Conference highlights, C. Duane Dauner Award winners, update on next year’s event

More than 350 health care professionals gathered at the 2019 Hospital Quality Institute (HQI) Annual Conference in Sacramento Oct. 14 and 15 to discuss the successes that have positioned California as the quality improvement leader and the challenges remaining to advance patient safety.

The conference featured 20 speakers from across the country, an opening day of keynote addresses, and a half day with nine breakouts that took a deep dive into some of the most pressing patient safety issues facing California hospitals. Also featured were 28 poster sessions highlighting best practices in quality improvement and patient safety across California.

The HQI Annual Conference is also home to the C. Duane Dauner Quality Awards, which recognize outstanding achievement in the area of patient safety, quality improvement and experience. This year’s winner is the Santa Clara Valley Medical Center (SCVMC). The winning entry was entitled “Making an Impact with Post-Acute Care Transitions (PACT).” PACT embraces patient-centered care, looking beyond hospital stays and discharge to meet the ongoing needs of patients affected by homelessness, substance use disorders, and other mental health conditions.

Also recognized during the HQI conference were two C. Duane Dauner Award finalists. Keck Medicine of the University of Southern California was honored for their entry “Surgical Care and Recovery: Impacting Postoperative Pain and the Opioid Crisis.” John Muir Health was recognized for their entry “Sepsis Management for the 21st Century: Clinicians and Technology.”

HQI recognizes traveling to events can be time-consuming and costly, so next year will represent an exciting evolution for our annual conference. In 2020, our annual conference will be held twice — in both Northern and Southern California locations. The new event format will be one-day long with multiple breakout sessions and wow-factor keynotes to open and close the event. If you are coming in the night before, plan to join us for a welcome reception and to honor C. Duane Dauner Award recipients. Dates will be announced soon for this fall conference.

Quality Quarterly Article Julia Slininger, RN, BS, CPHQ

Teamwork: The Road to Respect, Reliability, and Resilience

Everyone in health care is in the business of saving lives, whether you are a front line caregiver, an equipment supplier, an environmental engineer, an executive, an analyst, or any other position that touches the processes, systems, environment, or evaluation of health care. We are all in the business of saving lives, and we must function with reliability every day. It is not “OK” in health care to do a better job on some days, more than others. We have to get it right — provide the highest quality of care, and prevent harm and me

Quality Quarterly Article Julia Slininger, RN, BS, CPHQ

HQI Announces Perinatal Mental Health Initiative

In February 2020, HQI will launch a perinatal mental health (PMH) initiative aimed at continuing the strides California hospitals have made in improving maternity care. The initiative will help hospital perinatal staff understand, recognize, and effectively respond to mental health issues in the perinatal period. It will also help hospitals comply with a new law — Assembly Bill 3032 (Chapter 773, Statutes of 2018) — that, effective Jan.

Quality Quarterly Article

CHPSO Expands to 19 States

CHPSO was established by the California Hospital Association (CHA) in 2009. The longest-listed patient safety organization (PSO) in the United States, CHPSO is also one of the largest — it began in California, and over the years added members in Arizona, Hawaii, New Mexico, Nevada, Oregon, Texas, and Washington. In the last quarter of 2019 and into early 2020, CHPSO will see a major expansion to a total of 19 states and nearly 550 members. The vast majority of CHPSO facilities are acute care facilities, but CHPSO members also include ambulatory clinics, home health agencies, hospice care providers, and specialty hospitals.


As CHPSO membership grows, so will the CHPSO database. CHPSO currently has nearly 2.5 million safety event reports that it utilizes to provide feedback to members via safe tables, newsletter articles, alerts, custom research, and periodic reports. We anticipate that 2020 will bring one of the biggest single-year increases in the number of event reports that CHPSO receives. The chart below outlines increases in reported events over the past year. 

Safety event reports submitted to CHPSO Jan - Oct 2019

With the vast number of potential members, new members, and current members with renewed interest in PSO participation, CHPSO has seen a significant increase in the number of organizations seeking out education and support regarding PSOs, the value PSOs provide, and how to go about adapting their patient safety-related activities to maximize the value of PSO participation. To meet these educational needs and ensure health care providers are knowledgeable about PSO participation, CHPSO will continue to offer free educational webinars on a variety of topics. For a list of upcoming events as well as archived webinars, visit Don’t see what you’re looking for? Contact us to request new content.