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.

Diagnostic Excellence.

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JAMA. 2021-2022.

Diagnostic excellence achievement is becoming a primary focus in health care. This article series covers diagnosis as it relates to the Institute of Medicine quality domains, clinical challenges, and priorities for improvement across the system.

Advancing Equity Through Quality and Safety.

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Massachusetts Health and Hospital Association. July 13, 2022, 12:00 PM (eastern).

Systemic improvement strategies can be leveraged to address overarching issues affecting health care quality such as safety, timeliness, and equity, given how lasting solutions must consider a wide range of factors to ensure success. This webinar will examine holistic approaches to align established safety initiatives to enhance equity efforts.

TeamSTEPPS Master Training Virtual Course.

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AHA Team Training. September 22 -- November 17, 2022.

The TeamSTEPPS program was developed to support effective communication and teamwork in health care. This online series will prepare participants to guide their organizations through implementation of the TeamSTEPPS program. It is designed for individuals that are new to TeamSTEPPS processes.

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.

CUSP Implementation Training.

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Armstrong Institute for Patient Safety and Quality.

The comprehensive unit-based safety program (CUSP) approach emphasizes improving safety culture through a continuous process of reporting and learning from errors, improving teamwork, and engaging staff at all levels in safety efforts. Available on demand and live, this session covers how to utilize CUSP, including understanding and addressing challenges to implementation.

ISMP Medication Safety Intensive.

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Institute for Safe Medication Practices. August 4-5, 2022.

This virtual workshop will explore tactics to ensure medication safety, including strategic planning, risk assessment, and Just Culture principles.

Engaging Physicians in Teamwork Training for Quality and Safety - Or Why Don’t Your Physicians Get Engaged?

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AHA Team Training. June 8, 2022, 1:00 – 2:00 PM (eastern).

Physicians are instrumental to the success of health care improvement efforts, and yet their involvement in safety work can be a challenge. This seminar highlighted strategies to motivate physician engagement that address barriers to those actions which include skill development and team training. Slides and a recording of the seminar are available.

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.

Advancing Diagnostic Excellence for Older Adults.

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National Academies of Sciences, Engineering, and Medicine. Arnold and Mabel Beckman Center, Irvine, CA. July 21, 2022, 11:30 AM-6:30 PM (eastern).

The care of older adult patients can be complicated due to comorbidities and polypharmacy. This session will examine diagnostic challenges unique to the older adult population. The existing evidence base and research strategies for the future will be discussed.

The Color of Care.

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Chicago, IL: Harpo Productions, Smithsonian Channel: May 2022.

The COVID-19 pandemic revealed the impact of racial disparities and inequities on patient safety for patients of color. This film shares stories of families whose care was unsafe. The cases discussed highlight how missed and dismissed COVID symptoms and inattention to patient and family concerns due to bias reduces patient safety.

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.

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.

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.

Understanding SOPS Surveys--A Quick Primer for New Users.

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Rockville, MD: Agency for Healthcare Research and Quality. January 12, 2022.

An organization’s understanding of its culture is foundational to patient safety. This webinar introduced the AHRQ Surveys on Patient Safety Culture™ (SOPS®) program. The session covered the types of surveys available and review resources available to best use the data to facilitate conversations and comparisons to inform improvement efforts.

Perioperative Safety Collaborative.

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ECRI and Institute for Safe Medication Practices. January 2022 through May 2022.

Collaboratives provide teams with active learning and improvement opportunities based on the experiences of others working toward a collective goal. This collaborative will target safety during surgical procedures. The discussions protected under the sponsors’ Patient Safety Organization status will explore improvement topics such as medication errors and surgical site infections.

Can hospitals learn about safety from airlines?

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Pasztor A. Wall Street Journal. September 2, 2021.

Aviation continues to serve as an exemplar for healthcare safety efforts. This story highlights work toward the development of a National Patient Safety Board for medicine to establish a neutral centralized body to examine errors and share improvements driven by a robust self-reporting culture similar to that in commercial aviation.

Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief.

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National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2021.

Misdiagnosis of severe cardiovascular events is a primary concern to the diagnostic safety community due to its prevalence and potential for harm. This report summarizes a session discussion on the existing evidence base on improving diagnosis for these conditions and explore opportunities for improvement.

Unite for Safe Care.

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Patient Safety Movement. September 17, 2021.

Patient safety is a global challenge for the health care community. This webinar coincided with World Patient Safety Day and presented two tracks for both the profession and the public that highlighted issues impacting maternal care safety and high reliability. Those who have lost their lives to medical error were also honored during the event. The session speakers included Tedros Adhanom Ghebreyesus, PhD, MSc, Jeff Brady, MD, and Albert Wu, MD.

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