The PSNet Collection

Root Cause Analysis: Advanced Principles and Practices.

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ECRI and the Institute for Safe Medication Practices. September 29, 2022. 12:00pm-5:00pm (EST)

Root cause analysis (RCA) is an established adverse event identification method. This webinar will highlight the importance of a just culture to ensure reporting is robust. It will introduce RCA techniques, patient communication strategies and the importance of appropriate post-analysis response to support improvement.

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.

Root Cause Analysis-in-Action: Building Foundations.

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ECRI, Institute for Safe Medication Practices. October 4 and 6, 2022.

Root cause analysis (RCA) is a recognized approach to examining failures by identifying causal factors to target improvement work. This session will build on a Patient Safety Organization's experience in conducting 450 RCAs to aid participants in leading RCAs and planning implementation strategies to address detected contributors to failure.

NAHQ NEXT 2022.

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National Association for Healthcare Quality. September 12–14, 2022.

Quality and safety improvement efforts need to address intersecting influences to achieve lasting change. This conference will provide content on seven themes that contribute to improvement. Topics discussed specific to patient safety will include culture assessment, safety science, and event reporting.

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.

Using TeamSTEPPS Tools and Strategies to Activate a Culture of Diagnostic Safety by Improving Communication and Teamwork

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CHPSO. July 13, 2022 - 2:00 PM – 3:00 PM (eastern).

Health care is recognizing that diagnostic accuracy is a team activity. This session will highlight the importance of teamwork in diagnosis and the role of the team leader to ensure safe diagnosis. The discussion will focus TeamSTEPPS strategies to improve diagnostic safety.

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.

Virtual Caring for the Caregiver: RISE.

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Armstrong Center for Patient Safety and Quality. September 29, 2022.

The Resilience in Stressful Events (RISE) program provides peer assistance for healthcare workers who experience psychological effects after involvement in stressful adverse care events. This virtual session presents RISE implementation education and orientation for staff to respond when peer support is needed.

2022 IHI Forum and Scientific Symposium.

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Institute for Healthcare Improvement. Orlando, FL, December 4-7, 2022.

This hybrid conference will offer workshops and interactive sessions exploring strategies from within health care and beyond to improve health care quality. A symposium will be held focusing on improvement science research and application.

Virtual Ambulatory CUSP Training.

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Armstrong Institute for Patient Safety and Quality. September 22-23, 2022.

The comprehensive unit-based safety program (CUSP) approach emphasizes active teamwork as a core element of improving safety culture through reporting and learning from errors. This virtual conference will cover how to engage teams in the ambulatory environment, address barriers to safe care, and learn from the experiences of others.

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.

Part 2 of the 9th Annual Communication, Apology, and Resolution (CARe) Forum.

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Betsy Lehman Center for Patient Safety. June 2, 2022.

Communication and resolution programs are a promising strategy for successful management of relationships and actions after medical error occurrence. This session explored elements of effective discussions after an adverse event through case simulation and dialogue.

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 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 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.

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