The PSNet Collection

Healthcare Safety Investigations Conference 2022.

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September 21, 2022. 5:00 AM – 11:00 AM (eastern).

Incident investigations are important tools for uncovering latent factors that facilitate patient harm. This conference will draw from experience in the United Kingdom to discuss how adverse event examinations can improve care provision and will highlight efforts in the United Kingdom to focus on maternity care safety.

Finding & Creating Joy in Work.

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Institute for Healthcare Improvement. September 14--November 22, 2022.

Burnout among health care workers negatively affects system improvement. This webinar series will highlight strategies to establish a healthy work environment that strengthens teamwork, staff engagement, and resilience. Instructors include Dr. Donald Berwick and Derek Feeley.

Improving Patient Safety & Care 2022.

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Collaboration for Better Care. September 13, 2022, Royal Society of Medicine, London, England.

Achieving sustained patient safety improvement is an ongoing goal. This conference will feature a keynote address on the National Health Services’ Patient Safety Strategy and sessions on a variety of patient safety topics including infection prevention and control, remote patient monitoring for patient safety, leadership role in speaking up culture, and learning from patient safety incidents and investigations.

TeamSTEPPS Master Training Course.

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Armstrong Institute for Patient Safety and Quality. October 4 and 6, 2022.

Team training programs seek to improve communication and coordination among team members to reduce the potential for medical error. This virtual workshop will train participants to design, implement, and evaluate team training programs in their organizations based on the TeamSTEPPS model.

Patient Safety Executive Development Program.

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Institute for Healthcare Improvement. Boston, MA and online. August 31-October 14, 2022.

Organization executives influence the success of patient safety improvement. This hybrid workshop will highlight how leaders can use assessments, planning, and evidence to improve the safety culture at their organizations.

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.

Certified Professional in Patient Safety Review Course.

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Institute for Healthcare Improvement.

This online class prepares individuals to apply for the Institute for Healthcare Improvement patient safety certification program. The on-demand or live sessions cover key patient safety concepts to enhance participants' knowledge about safety culture, systems thinking, leadership, risk identification and analysis, information technology, and human factors. The next live session is October 7, 2021.

SOPS Surveys.

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Agency for Healthcare Research and Quality.

Surveys are established mechanisms for organizational assessment of safety culture. This collection of webinars provides an overview of the AHRQ Surveys on Patient Safety Culture™ (SOPS®) and a range of content related to the successful use of the surveys. Topics covered include organizational characteristics required for successful web-based distribution of the survey and best practices for formatting, programming, and administering the surveys in a variety of environments.

Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety.

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Institute for Safe Medication Practices. September 15, 2020.

Medication error reporting is key to understanding failures, identifying risk and informing improvement. This webinar discussed approaches to internal reporting and challenges to reporting success.

Principles for Improving Patient Safety Measurement.

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Institute for Healthcare Improvement. Principles for Improving Patient Safety Measurement.

The measurement of patient safety is a persistent challenge across the health care continuum. This webinar will summarize a set of 8 foundations to guide patient safety measurement improvement that include capitalizing on data in real time and engaging patients in the measurement development process. Speakers will include Dr. Donald Berwick and Helen Haskell. The recording of the session is available until September 23, 2020.

Deprescribing Guidelines: Special Section on Symposium Results.

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Res Social Adm Pharm. 2019;15(6):780-810.

Appropriate deprescribing can reduce the risks associated with polypharmacy, overuse, and accidental overdose. Articles in this special section cover findings from a symposium discussing guidelines for safe discontinuation of medications and research needed to support further understanding of deprescribing practices.

Patient Safety: A Health Affairs Briefing.

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Project Hope.

To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person and streaming event covered topics discussed in a special issue that explored progress since the report was released, new challenges, and success stories such as communication-and-resolution programs and the use of checklists.

Building the Case for Health Literacy: Proceedings of a Workshop.

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National Academies of Sciences, Engineering, and Medicine; NAS.

Health literacy affects patients' ability to comprehend information about their health and participate effectively with clinicians to ensure their care is safe, appropriate, and effective. This workshop report summarizes discussions about health literacy programs and provides case studies of health organizations that have adopted such programs. A PSNet perspective discusses the intersection of patient safety and health literacy.

The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries.

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Simul Healthc. 2018;13(3S suppl 1):S1-S55.

Simulation strategies can help examine team interaction and care activities. Articles in this special issue explore the themes presented at an international research symposium on the use of simulation in health care. Topics covered include patient-centered simulation, adaptive learning, and communities of practice.

Health IT Patient Safety Supplemental Items for Hospitals.

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Agency for Healthcare Research and Quality. July 25, 2018.

Tracking the intersection of organizational culture with health information technology use can inform patient safety improvement efforts. This webinar introduced supplemental items to the AHRQ Hospital Survey on Patient Safety Culture and discussed the results of a pilot project integrating the items into assessment efforts. Featured speakers included Dr. Jeff Brady and Dr. Tejal Gandhi.

Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement?

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Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41.

Skills in studying, designing, implementing, and measuring improvement initiatives are necessary to ensure broad transfer of innovations. Articles in this special issue offer insights from an international consensus-building session that explored methods of creating actionable information from health care improvement work. In the editorial, the authors suggest that guidance is needed to help investigators to enhance the rigor and transferability of results to support systemwide learning and improvement.

Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.

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van Pelt M, Weinger MB. Anesth Analg. 2017.

Distractions and interruptions are prevalent in health care delivery. This conference report reviews types of distractions in anesthesiology, their likelihood to introduce significant risks into care processes, and strategies to help manage distractions.

Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief.

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National Academies of Sciences, Engineering, and Medicine; NAS.

Medication safety is a global health care concern. This workshop proceedings report highlights expert opinion on how to improve the clarity of medication information and the way it is communicated to patients. Panelists focused on elements of the process such as the patient experience, health literacy, medication instructions, and design of medication packaging.

A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation.

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Agency for Healthcare Research and Quality. February 7, 2017.

Incomplete clinical notes create potential for treatment errors. This webinar discussed voice-generated electronic records as a strategy to augment clinical documentation and highlight natural language processing technologies as a component of this strategy.

Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief.

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Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse; Health and Medicine Division. Washington, DC: National Academy of Science; 2016. ISBN: 9780309451901.

Efforts to ensure safe pain management in the context of the opioid epidemic have focused on prescribing behaviors and policies. This publication reports on the results of a workshop convened to explore factors that contribute to opioid overuse and to identify areas for improvement that require further research.

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