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Want to Advance Patient Safety and Your Professional Goals? 0 P. McTiernan Prepare for Certification in Patient Safety The Certified Professional in Patient Safety credential (CPPS) distinguishes health care professionals who meet competency requirements in patient safety science and who demonstrate the ability to apply this knowledge to effectively plan and implement patient safety initiatives.   Get help preparing for the exam Certified Professional in Patient Safety (CPPS) Review Course Webinar Thursday, September 14, 2017 10:00 am – 4:30 pm Eastern Time Register now or learn more. The course can help participants prepare for the exam by reviewing domain content areas and test-taking strategies. It provides participants with the opportunity to: Review the patient safety domain content areas, following the exam content outline Evaluate patient safety scenario examples similar to actual exam questions Assess their own level of preparedness for the exam and address additional areas for self-study Already certified? This program is approved for six (6) contact hours toward the fulfillment of the requirements of CPPS recertification.
by P. McTiernan
Thursday, August 17, 2017
Submit Your Improvement Story 0 P. McTiernan We invite you to submit your improvement work for display as a storyboard at the 2017 IHI National Forum. The submission process is now open, and the deadline for submitting a general storyboard for display at the National Forum is September 29, 2017, 11:59 PM ET. Learn more at
by P. McTiernan
Wednesday, August 9, 2017
8/8 Webcast: Patient Flow and Patient Safety 0 K. Rowbotham Thank you to those who attended the August 8, 2017 Professional Learning Series webcast titled Patient Flow and Patient Safety with Pat Rutherford, RN, MS of the Institute for Healthcare Improvement, Marti Taylor, MSN of The Ohio State University Wexner Medical Center, and Frederick Ryckman, MD of Cincinnati Children's Hospital Medical Center.   Additional resources: Download a 2003 IHI white paper on the topic of patient flow. Listen to a WIHI Replay. Register for the live Hospital Flow Professional Development Program held on October 30-November 2 in Boston, MA.   We encourage you to continue the discussion by adding your comments or questions below.
by K. Rowbotham
Tuesday, August 8, 2017
Request for Proposals: Reducing Diagnostic Error 0 P. McTiernan Interested in addressing diagnostic error in your organization? Please consider applying to become a member of the first SIDM-IHI collaborative to develop and prototype interventions in your own practice setting. The Society to Improve Diagnosis in Medicine (SIDM) and the Institute for Healthcare Improvement (IHI), with funding from the Gordon and Betty Moore Foundation, are jointly sponsoring a prototyping collaborative project that will engage six selected health care organizations to trial one or more interventions aimed at improving the diagnostic process and its outcomes. The National Academy of Medicine’s landmark report, Improving Diagnosis in Health Care, identified diagnostic error as a major, unaddressed patient safety issue, noting that “most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences.”   The SIDM-IHI initiative will directly address one of the major goals from the report, to “Develop and deploy approaches to identify, learn from, and reduce diagnostic errors and near misses in clinical practice.” The selected health care organizations will each be asked to join a six-month collaborative during which they will learn improvement skills and test one or more interventions to reduce diagnostic error. Using the unique “IHI Collaborative” approach that has successfully advanced safety and quality work over the past decade, the participating organizations will work and learn together in this effort, sharing problems, insights, and lessons learned.   Full details can be found in the RFP: Download the RFP at   The deadline for applications is Sept 8, 2017,and the deadline for questions is August 11, 2017. Address questions to
by P. McTiernan
Thursday, August 3, 2017
Patient Flow & Patient Safety: Webcast August 8 0 P. McTiernan Patient Flow & Patient Safety Professional Learning Series Webcast Tuesday, August 8, 2017 | 1:00 PM Eastern Time Register or learn more at Optimizing patient flow throughout the hospital is essential to ensuring safe, high-quality, patient-centered, value-based care. Providing timely access to appropriate care and optimizing hospital flow are both critical levers to increasing value for patients, clinicians, and health care systems.   Conversely, poorly managed hospital-wide patient flow has critical implications for both patients and providers. Delays in treatment and failing to provide the right care, in the right place, at the right time puts patients at risk for potential harm and suboptimal care. It also increases the burden on clinicians and accelerates burnout. In this webcast we will explore high-leverage strategies and interventions to improve hospital-wide patient flow -- making sense of the variety of hospital-wide strategies and approaches needed to deliver the right care, in the right place, at the right time.
by P. McTiernan
Thursday, July 27, 2017
Complimentary Session on Communication and Resolution Programs 0 P. McTiernan Communication and Resolution Programs: Achieving the Benefits, Avoiding the Pitfalls Complimentary Program Tuesday, August 29, 2017 | 8:30 AM – 4:30 PM The Fairmount | Chicago, IL Presented by the Collaborative for Accountability and Improvement and IHI/NPSF   Communication and Resolution Programs (CRPs) are rapidly becoming the best practice across health care for preventing and responding to adverse events. An effective CRP can improve health care quality and safety, patient trust and satisfaction, and lower liability costs. Yet important barriers can reduce the likelihood of a CRP’s success. Learn more about this complimentary session.   To register, contact Caroline Bell at or 650-206-3052.
by P. McTiernan
Wednesday, July 26, 2017
Patient Advocate Scholarships to IHI National Forum 0 P. McTiernan The Institute for Healthcare Improvement (IHI) recognizes the importance of working in partnership with patients and family members to improve the quality and safety of health care.   This year, IHI is proud to provide funding to support the registration, up to $500 toward travel, and three nights’ lodging for a limited number of exceptional Patient/Family Advisors who are contributing to the field of person-and family-centered care. A Patient/Family Advisor is a person with lived experience as a patient or family member who is collaborating with a health care organization and shows success, drive, and interest in improving the patient experience.   To learn more and apply for this opportunity or download the application, visit this page and scroll to the bottom.
by P. McTiernan
Wednesday, July 19, 2017
AHRQ Antibiotic Stewardship Project 0 P. McTiernan AHRQ is seeking hospitals to join a national project that aims to reduce harms related to inappropriate use of antibiotics while preserving antibiotics’ effectiveness for future generations. Learn how participation can benefit your patients and hospital. The 12-month project, which is offered at no charge to hospitals, will begin in December 2017.   Upcoming Webinars for Hospitals Interested in AHRQ Antibiotic Stewardship Project
by P. McTiernan
Tuesday, July 18, 2017
Making the Business Case for Patient Safety 0 P. McTiernan This new resource toolkit from the IHI/NPSF Patient Safety Coalition, Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance, offers guidelines and tools to use in assessing organizational readiness for a safety initiative, gathering information and data, drafting a business case for the work, and delivering a compelling presentation to decision makers.   Read more and download the guide and tools.   Read a blog post by Tejal Gandhi, MD, MPH, CPPS, 3 Keys to a Compelling Business Case for Patient Safety Work,
by P. McTiernan
Thursday, July 13, 2017
Patient Safety Department 0 T. Parker Greetings!   I am new in my role as Patient Safety Officer at Hendrick Medical Center in Abilene, TX.  The Hendrick name reigns over a 522-bed medical center, a women’s center, rehabilitation hospital, cancer center and numerous other innovative services. Within your patient safety department, how many staff members and what roles do your employees play? 
by T. Parker
Wednesday, July 5, 2017
exam application 4 S. Calzada Gil Quote: Originally posted by G. yehia saad: How I will apply for the exam   Thank you for your inquiry. For information on how to apply to take the CPPS examination, please see
by A. Spielman
Thursday, June 29, 2017
2017 IHI National Forum 0 P. McTiernan Where can you find 200 workshops, 9 keynotes and featured speakers, 10 new topic tracks, and 5,000 of your brilliant peers? At the 2017 IHI National Forum this December 10-13 in Orlando. Learn more and register now: Have you been to the Forum in past years? Tell us what the best part is. Will you be coming for the first time? What are you most looking forward to?
by P. McTiernan
Thursday, June 29, 2017
Optimizing a Business Case for Safe Health Care 1 P. McTiernan A bigger challenge might be safety that isn't "cost effective", an issue which includes how you calculate cost, and cost to whom? This challenge includes the often used but not viable "if we could save just one life" argument. But it also creates the trap of trying to explain safety not achieved as being too expensive. This invites a scrawled $ with the faux outrage of "you mean Mr X died because of this???"   Some might remember the late and unlamented exploding car that attracted so much of Ralph Nader's attention for which the manufacturer had documented that the cost of solving the problem exceeded the probable payouts to those that were killed by it. This position proved to be unattractive once revealed.   An analogy I have used before, and maybe here, is that I live in a large apartment building that includes many older people (including me). Lives might be saved if there was an ambulance parked in front of the building at all times. But this isn't practical, so we collectively settle for some arbitrary response time, risking life to limit cost.
by W. Hyman
Tuesday, June 27, 2017
6/21 Webcast: Shared Decision Making and Patient Safety 0 K. Rowbotham Thank you to those who attended the June 21, 2017 Professional Learning Series webcast titled Shared Decision Making and Patient Safety: Making the Connections with Ben Moulton, JD, MPH, Senior Vice President, Advocacy & Policy, Healthwise.    For more information about Healthwise, please click here.   We encourage you to continue the discussion by adding your comments or questions below.
by K. Rowbotham
Wednesday, June 21, 2017
Patient Safety Event Reporting Policies 1 V. Enter I am currently reviewing our process for this as well. I would appreciate feedback also. Thank you.   Denise M. QI/IC RN
by D. Mente
Tuesday, June 20, 2017
Post-event Drug testing 0 A. Swindler Are there any organizations out there that practice mandatory post-event drug testing? If so, how do you define "event"? (Serious Safety Event? Harm score threshold?) Also, what has been the effect on the reporting culture? Would anyone be willing to share a policy related to this with me? Thank you in advance for any assistance!   Ann Marie Swindler, BSN, JD, LLM, CPHRM, CPPS, CPHQ Executive Director Corporate Risk Management & Insurance         Memorial Health University Medical Center
by A. Swindler
Tuesday, June 20, 2017
Patient Safety Program Staffing Estimates 1 C. Blalock Have you gotten any response for your question? I am interested as well. I am a new Patient Safety Officer and I am by myself with my Risk Manager.
by T. Parker
Friday, June 9, 2017
Trivia question 0 W. Hyman In what industry might one see the sign "CAUTION Handle Doctor Blades With Extreme Care?" I will send a picture of such a sign seen on site to anyone who requests it at
by W. Hyman
Thursday, May 11, 2017
Can't Travel? Stream NPSF Congress Keynotes Live 0 P. McTiernan Be a part of the NPSF Patient Safety Congress without leaving home!   You can catch any or all four keynote sessions live by joining us virtually with our Keynote Speaker Series.   Learn more and register at   Speakers include: Donald M. Berwick, MD, MPP, FRCP, former Administrator of the Centers for Medicare and Medicaid Services (CMS) under President Obama (2010-2011) and President Emeritus and senior fellow at the Institute for Healthcare Improvement (IHI) Zubin Damania, MD, an internist and founder of Turntable Health, an innovative health care startup that was part of an ambitious urban revitalization movement. His videos, created under the pseudonym ZDoggMD, have gone epidemically viral with over 160 million views on Facebook and YouTube, educating patients and providers while mercilessly satirizing our dysfunctional health care system. See the full list of speakers and view session details at Continuing education and continuing medical education credit will be available. Check out the Keynote Speaker Series and learn at your desk,
by P. McTiernan
Wednesday, May 10, 2017
ECRI Patient Safety Inventory 0 C. Blalock Does anyone have a copy of the ECRI Patient Safety/Risk Inventory? I read about it in this article. Patient Safety recently transitioned out of Risk and we have a new Risk Manager starting and we'd like to determine responsibilities.   Thanks, Casey
by C. Blalock
Monday, May 1, 2017
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