Edwin Boudreaux, PhD, is a Professor of Emergency Medicine, Psychiatry, and Quantitative Health Sciences and the Vice Chair of Research for the Department of Emergency Medicine at the University of Massachusetts Chan Medical School.
This piece discusses the role that healthcare providers and organizations can play in suicide prevention, including identifying suicide risk in patients and responding effectively.
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This innovation describes the Veteran Health Administration (VHA) National Center for Patient Safety (NCPS) development of a technique to combine proactive risk assessments with reactive risk assessments with the goal of improving patient safety on a single topic across multiple facilities.
Innovation Patient Safety Focus
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Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ, is a high reliability subject matter expert at Aptive Resources and a faculty member at the Institute for Healthcare Improvement (IHI) working on educational programs, including Root Cause Analysis and Action – or RCA Squared (RCA2).
This piece provides an overview of root cause analysis and how it has changed over the years. It also discusses how the introduction of RCA2 hopes to solve issues with traditional RCA.

