Close-up shot of hands of health workers in scrubs - one holds file and pen, other holds tablet

Serious Safety Events: Getting to Zero™

 

Serious Safety Events: Getting to Zero™ provides healthcare leaders with a framework for defining, identifying, investigating, measuring, and ultimately preventing serious safety events (SSEs). The paper advocates for a standardized approach to patient safety, emphasizing that achieving zero preventable harm requires consistent definitions, thorough investigations, meaningful measurement, and organizational learning. 

Who It’s For

This white paper is designed for:

  • Healthcare risk managers
  • Patient safety professionals
  • Quality leaders
  • Healthcare executives
  • Clinical leaders
  • Compliance and accreditation professionals
  • Healthcare board members and trustees 
     

What It Can Be Used For

Use this resource to answer:

  • What is a Serious Safety Event (SSE)?
  • How should healthcare organizations consistently define and classify SSEs?
  • What distinguishes an SSE from a near miss or adverse event?
  • How should organizations investigate serious safety events?
  • What role do risk managers play in SSE response and prevention?
  • How can healthcare organizations measure safety performance and track progress toward zero preventable harm?
  • What governance, leadership, and cultural practices support safer care delivery? 

Why It Matters

This foundational ASHRM white paper helps organizations move beyond reacting to individual events and toward building a proactive, high-reliability approach to patient safety. It offers practical guidance for establishing common definitions, conducting credible investigations, and using data to drive continuous improvement and harm reduction. 
 

Related Resources

Toolkits/Methodology
Read the recommendations to proactively develop and maintain a program that educates staff to identify and support victims of adverse events at every…
ASHRM News
Read the recommendations to improve medication safety.
White Papers
This white paper will graphically display the Framework and describe key structural components necessary in any health care setting.
ASHRM News
The final paper of the Recognizing and Managing Bias series is designed to assist health care organizations and health care risk professionals with…
On-Demand Educational Webinars
Discover how PDSA cycles drive rapid experimentation and iterative improvements, enabling health care systems to deliver more effective interventions…
Webinars
Tackle the pressing issue of workplace violence within health care and discover why traditional approaches fall short and how to refocus your…