Patient Safety Case Review & Hospital Collaboratives | HB Healthcare Safety

We end the administrative burden of quality improvement — so you have time to actually improve care.

HB Healthcare Safety eliminates the administrative overhead holding quality teams back, so hospitals can focus on what matters: reducing preventable harm using a peer-reviewed case review methodology developed at Mayo Clinic.

7x more opportunities identified
We ask "What if this was your mother?" during every case review — that's the Loved One Lens at work.
Trusted by 100+ hospitals
Health systems across the US, Canada, Australia, and Saudi Arabia collaborate with HBHS.
Methodology built at Mayo Clinic
A peer-reviewed case review method, published and validated, now powering Healthcare Safeware®.
The Evidence · BMJ Open Quality 2025
~7× more opportunities than voluntary reporting — most of them omissions of care
19,181 cases · 103 hospitals

Where opportunities cluster

End of Life Documentation Treatment/Care Communication Deteriorating Patient Delayed/Missed Dx Diagnostic Medication/Blood
The top patient safety programs run on HBHS
U.S. Department of Veterans Affairs
Bronson Healthcare
MedStar Health
Valley Health System
Wellstar Health System
Vancouver Coastal Health
UCHealth
~7×

More opportunities than voluntary reporting — most of them omissions of care. (BMJ Open Quality 2025)

120+

Hospitals across four countries collaborating to enhance patient safety.

FedRAMP

Moderate authorized Healthcare Safeware®, built to the security bar federal agencies require.

"End the administrative burden of quality improvement."
Quality leaders at CHRISTUS Health, IU Health, and the San Antonio VA Independently, in identical language, unprompted.

Frequently asked questions

HBHS doesn't have much of a public Reddit footprint yet — it's a small, specialized B2B company — so these are the real questions hospital quality and safety leaders most often ask us directly, answered straight.

What does HB Healthcare Safety actually do?
HB Healthcare Safety (HBHS) is a Social Benefit Corporation founded in 2015 through Mayo Clinic Ventures by Dr. Jeanne M. Huddleston and Lacey A. Hart. HBHS helps hospitals run a peer-reviewed case review methodology, supported by Healthcare Safeware® (part of the Safety Learning System®), to uncover safety failures that traditional event reporting misses.
How is this different from the mortality or peer review process we already run?
Most peer review and M&M programs focus on whether a death was preventable. HBHS's methodology, developed at Mayo Clinic, goes further: it captures findings even when there was no negative impact on the patient, which is why hospitals using it typically surface about 7x more opportunities for improvement than traditional reporting alone.
What is the Loved One Lens?
The Loved One Lens is the question reviewers are trained to ask during every case: would you just watch and hold your mother's hand, or would you be in the hallway asking for help? Reframing each case this way is what HBHS credits for surfacing safety issues a purely clinical review can miss.
Is Healthcare Safeware® secure enough for a hospital IT or compliance review?
Healthcare Safeware® is built to FedRAMP Moderate authorization standards, the same security baseline the federal government requires for systems handling sensitive but unclassified data, and it already runs inside VA facilities.
What is a Patient Safety Organization (PSO), and why does it matter for case review?
A PSO, established under the federal Patient Safety and Quality Improvement Act, gives hospitals legal privilege and confidentiality protections when they share case review data for learning purposes. HBHS operates its own PSO so member hospitals can report and analyze events without that data being discoverable in litigation.
Does this only work for hospital deaths, or can it be used elsewhere?
The methodology started with hospital mortality review but has since been adapted for community hospitals, the VA, mental health providers, and even a state department of corrections for suicide prevention — the underlying case review process applies anywhere one person is responsible for another person's care.
What results have hospitals actually seen?
Partner organizations have reported measurable gains including reduced mortality, with one reported reduction of roughly 25% over two years of running the Safety Learning System®, alongside better detection of hidden care gaps and stronger frontline team confidence.
How do we get started or talk to someone at HBHS?
Email johnson@hbhealthcaresafety.org or call (507) 316-1118. HBHS works directly with hospital quality, safety, and risk leaders to scope a collaborative membership or a Healthcare Safeware® implementation.

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