Share Your Story

Be an Integral Part of the Narrative

You may have a personal story about patient safety or medical error. Whether you lost someone you loved, have been personally affected, or cared for someone where patient safety was compromised, we would like to express our deepest sympathy. And, we’d like to extend an invitation to you to join patient advocates, mothers, and fathers, wives and husbands, sons and daughters, doctors and nurses, who are working passionately towards a single goal – ZERO preventable patient harm and death. Your story will become an integral part of the narrative driving the Patient Safety Movement forward.

Please consider sharing your story with us and we will share it on our website so that people can see the human toll of medical errors. Complete the form below and we will contact you to learn more.

Your Information
Name*
First Last
Email*
Phone Number
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organization You Represent (if applicable)

If you are affiliated with an organization that relates to this story, please share that with us.
Organization's Website

If applicable, please indicate whether this event launched an organization or group that you'd like to share with us.
Details about the Story
Hidden
NO LONGER VISIBLE PUBLICLY: Whose story are you interested in sharing?
Name of the person featured in this story
First Last
Is this person still alive?*
- Yes
- No
When did this event take place?*
Month
Day
Year

This may be the date that the event occurred in the hospital or the date a loved one passed away.
Where did this event take place?*
City State / Province / Region Country
Was this person's care affected by COVID-19?
- No
- Yes, directly.
- Yes, indirectly.
Tell us the story*
You have 3,500 characters (or about two pages of text) to tell your story. If you need more space please email [email protected]
Does this story align with any of the Foundation's Patient Safety Challenges?
If you are unsure you may leave this blank. If you'd like to select more than one choice below, please hold down the COMMAND key (mac) or CTRL key (pc).
Upload an Image
Accepted file types: jpg, png, Max. file size: 1 MB.
Please upload an image of the person who is represented in the story. Provide us with the highest resolution image as possible, and please upload a color photo.
Acknowledgement*
- I hereby authorize The Patient Safety Movement Foundation (PSMF) and assign the rights to display, publicly perform, exhibit, transmit, broadcast, reproduce, record, photograph, digitize, modify, alter, edit, adapt, create derivative works, otherwise use, and permit others to use, the name, logo(s), publicly available data and images of the person listed above and its relevant affiliates on any platform and for any purpose including, but not limited to, advertising, public relations, publicity, packaging, and promotion of the PSMF without further consent or consideration from the person listed above.

Creating a Foundation for Safe and Reliable Care
Workplace Safety
Person and Family Engagement
Hand-off Communications
Patient Safety Curriculum
Mental Health
Collaborative Care Planning in Mental Health
Delirium
Post-Operative Delirium in Older Adults
Pain Management
Monitoring for Opioid-Induced Respiratory Depression
Restraint Safety
Airway Safety
Community-Acquired Severe Upper Respiratory Tract Infection
Pediatric and Neonatal Airway Safety
Unplanned Extubation
Safer Airway Management
Ventilation Management
Embolic Events
Air Embolism
Venous Thromboembolism
Cardiopulmonary Emergencies
Rapid Response Teams
In-Hospital Cardiac Arrest
Patient Blood Management
Enteral Tube Safety
Nasogastric Tube Placement and Verification
Blood Glucose Management
Obstetric Safety
Reducing Unnecessary Cesarean Sections (C-Sections)
Severe Hypertension in Pregnancy and Postpartum
Postpartum Hemorrhage
Neonatal Safety
Optimal Neonatal Oxygen Targeting
Detecting Critical Congenital Heart Disease in Newborns
Support Care
Palliative Care
Healthcare-Associated Infections
Isolation Precautions and Environmental Safety
Non-Ventilator Hospital-Acquired Pneumonia
Central Line-Associated Bloodstream Infections
Clostridioides difficile Infection
Ventilator-Associated Pneumonia
Catheter-Associated Urinary Tract Infections
Hand Hygiene
Sepsis
Early Detection and Treatment of Sepsis
Safe Surgery
Moderate Sedation
Surgical Site Infection
Prevention of Skin Breakdown
Pressure Ulcers
Falls and Mobility
Early Mobility Management
Falls and Fall Prevention in Adults
Medication Management
Drug Shortages
Standardize and Safeguard Medicine Administration
Antimicrobial Stewardship
Opioid Safety Stewardship
Pediatric Adverse Drug Events
Medication Errors

Share Your Story

Be an Integral Part of the Narrative

Your Information

Details about the Story