The PSNet Collection

The Power of Medical Malpractice Stories to Improve Patient Safety.

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The Collaborative for Accountability and Improvement. May 19, 2022.

The sharing of stories is a key approach for providing information and context to promote change. This webinar focused on stories drawn from lawsuits, the general patient and family motivation of legal action to minimize the repetition of similar errors, and the ironies involved in the adherence to legal confidentiality that can reduce learning from error.

Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief.

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National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022.

The COVID-19 crisis affected most health care processes, including diagnosis. This report recaps a session examining impacts of the pandemic on diagnostic approaches, inequities, and innovations that may inform future diagnostic improvement efforts.

Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error.

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Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022.

Organizational factors can contribute to the occurrence of patient safety events and how health systems respond to such events. This webinar highlighted lessons learned in the aftermath of a fatal medication error, and strategies to improve patient safety at the organizational level through system design and accountability.

Redesigning Event Review with RCA2

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Institute for Healthcare Improvement. Sept 7 - Nov 15, 2022.

Root cause analysis (RCA) is a widely recognized retrospective strategy for learning from failure that is challenging to implement. This series of webinars will feature an innovative approach to RCA that expands on the concept to facilitate its use in incident investigations. Instructors for the series will include Dr. Terry Fairbanks and Dr. Tejal K. Gandhi.

Improving Patient Safety with Human Factors Methods.

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Armstrong Institute for Patient Safety and Quality. Sept 19, 26, 30, 2022.

Human factors engineering (HFE) is a primary strategy for advancing safety in health care. This virtual workshop will introduce HFE methods and discuss how they can be used to reduce risk through design improvements in a variety of process and interpersonal situations.

Patient Safety Certificate Program.

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American Society for Healthcare Risk Management. Chicago, IL: July 11-16 2022.

This onsite program will cover key patient safety concepts and how to apply them to improve safety. To help prepare attendees for designing and sustaining safety initiatives at their organizations, preconference activities will discuss safety culture, human factors, communication, and leadership development.

A Conversation Among Stakeholders on Medical Malpractice.

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Collaborative for Accountability and Improvement. April 26, 2022.

Communication and resolution programs (CRP) can improve response to patients and families after a harmful medical error. This session examined how silos negatively impact transparency after error and how CRPs can reduce siloed communication. The session features Dr. Jo Shapiro as a panelist.

Diagnostic Error in Medicine 15th International Conference.

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Society to Improve Diagnosis in Medicine. Minneapolis, MN, October 16-18, 2022.

Diagnostic error reduction continues to gain momentum in the research and frontline patient safety communities. This in-person conference will focus on the theme, "The Future of Diagnosis".

Diversion is a Threat to Patient Safety: Adopting Best Practices.

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Institute for Safe Medication Practices. April 6, 2022.

Drug diversion can result in patient harm due to reduced medication availability, impaired clinician performance, and loss of trust. This webinar discussed the impact of drug diversion at a system level and outlined steps an organization can take to minimize this risk through workplace health strategies and stewardship programs.

Using Human Factors Engineering and Design Thinking to Improve Clinical Operations.

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ECRI, Thomas Jefferson University's College of Population Health, College of Health Professions, and the School of Design and Engineering. March 15, 2022; April 19, 2022; May 17, 2022. 12:30-1:30 PM (eastern).

The complexity of health care delivery requires solutions designed with daily practice workflow in mind to reduce the need for individual resilience and work-arounds to ensure safe care. This three-session workshop will examine how design thinking can be coupled with human factors engineering to reduce challenges to safety and patient-centeredness.

Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief.

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National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022.

Diagnostic errors remain an ongoing challenge in many medical specialties, including oncology. This workshop reviewed the evidence base examining challenges in cancer diagnosis, discussed suggestions for improvement in the field, and looked toward a safer future for cancer patients.

HSJ Patient Safety Congress.

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Health Service Journal. September 15-16, 2022. Manchester Central Convention Complex, Manchester UK.

Patient safety is challenged worldwide due to the daily complexity of care. This session will focus on never events. Areas of specific exploration will include what factors in the environment enable never events, the value of proactive assessment of practice to prevent never events, and the viability of never event classification schemes.

Healthcare Systems Ergonomics and Patient Safety Triennial Conference.

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Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 2022

Learning from the human factors community is a key strategy for system safety improvement. This conference, with the theme of Convergence - Breaking Down Barriers between Disciplines, will present sessions on topics such as patient safety, resilience engineering, and clinical decision making.

The International Forum on Quality and Safety in Healthcare Europe.

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Institute for Healthcare Improvement and British Medical Journal. Swedish Exhibition and Congress Centre, Gothenburg, Sweden, June 20–22, 2022.

This onsite conference offers an introduction to quality and safety improvement success and challenges drawing from international experiences. Course activities designed for a multidisciplinary audience supporting the theme of "Creating tomorrow today: how does quality improvement shape the “new normal” " will cover topics such as healthcare inequality, safety culture, and patient partnerships.

International Forum on Quality & Safety in Healthcare- Australasia

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Institute for Healthcare Improvement, British Medical Journal. ICC Sydney, Sydney Australia, June 6-8, 2022.

This onsite conference will offer an introduction to quality and safety improvement success and challenges drawing from international experiences. Course activities designed for a multidisciplinary audience will cover topics such as value, improvement methods, and leadership.

Evaluation of Patient Quality and Safety.

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Armstrong Institute for Patient Safety and Quality. June 1, 3 and 6, 2022, 9:00-11:00am each day.

Initiative appraisal is a necessary step toward shared learning and quality and safety program improvement. This virtual session will focus on the development of evaluation skills and strategies, with an emphasis on critique, design, and qualitative assessment.

World Patient Safety, Science & Technology Summit.

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Patient Safety Movement Foundation. April 29-30, 2022.

Multidisciplinary educational opportunities promote cross-industry learning to improve patient safety. This virtual session will highlight high reliability organizations and patient advocacy as topics.

Spotlight Series

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Healthcare Excellence Canada. 2020-2022

This bi-monthly webinar series focuses on a variety of topics that support patient safety and quality improvement.

Patient Safety Awareness Week.

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Institute for Healthcare Improvement.

This website provides resources for promoting patient safety during Patient Safety Awareness Week. The annual observance is held in March.

We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety.

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Patient Safety Movement Foundation. January 25, 2022.

Successful patient safety improvements engage individuals across the continuum of care and administrative processes, including patients as advocates for change. This webinar highlighted the role of the patient in influencing legislation designed to affect systems of care to ensure safe practice.

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