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2014 Patient Safety Congress
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2014 Congress: 1 FOCUS

The 16th Annual NPSF Patient Safety Congress took place in Orlando, Florida, May 14–16, 2014. The theme for the year was 1FOCUS, emphasizing the NPSF Congress as the only meeting with a global reach and a singular focus — safety in health care. In a time when there are so many competing priorities in health care, the NPSF Congress is the only conference where health care safety is the center of attention for every session, presenter, and networking opportunity.


See the library at the bottom of this page for the Supporter and Exhibitor Guide, Schedule at a Glance, Simulations Guide, Supporter Prospectus, and Exhibitor Prospectus.


The Pre-Congress day included six full- or half-day programs:

  • Certified Professional in Patient Safety (CPPS) Review Course
  • Exploring New Pathways for Health Care Simulation
  • Just Culture and Safety Science: Optimizing the Root Cause Analysis Process
  • Leadership Day: Keeping Quality and Safety Front and Center – Managing Your Influence in the Right Direction. Read more or download the Executive Summary of this session [PDF].
  • Patients and Families: The Essential Partners for Safer Care
  • Using Patient Safety Organizations to Improve Quality, Safety, and Efficiency in Health Care 

The Congress featured four keynote sessions:

      Dr. Gregg Meyer (left) and Dr. Bob Wachter (right) debate the merits and challenges of accountability in a culture of safety, moderated by NPSF President Dr. Tejal Gandhi (center)
      Click here to view the video. 
    Lucian Leape Institute Keynote: Patient Safety Is Not Elective, Drs. Robert Wachter and Gregg Meyer. Debating the merits and challenges of accountability with respect to key issues in patient safety.
  • Just As I Am, Regina Holliday
  • Hot Topics in Patient Safety: Selected Papers Advancing the Field in the Past Year, Kaveh Shojania, MD
  • Thriving vs. Surviving During Times of Change, J. Bryan Sexton, PhD 

Thirty breakout sessions were held in six tracks:

  • Track 1. Safety Event Identification, Analysis, and Feedback
  • Track 2. Teamwork and Communication
  • Track 3. Operationalizing Joy and Meaning
  • Track 4. Patient Engagement
  • Track 5. Safety across the Continuum of Care
  • Track 6. Safety Best Practices 


Again this year, NPSF provided live, interactive simulations of health care scenarios in our Learning & Simulations Center. The three simulation scenarios followed one patient through several components of the continuum of care, with each simulation offering different opportunities for demonstration and discussion of crucial patient safety issues. The demonstrations are designed to include active participation from Congress attendees as an integral part of the learning experience


Continuing Education

This educational conference offered a maximum of: 

  • 17.0 contact hours for physicians
  • 17.0 contact hours for pharmacists
  • 17.0 contact hours for nurses in 49 states; 20.0 for nurses in Iowa
  • 17.0 contact hours for health care quality professionals
  • 17.0 contact hours for professionals in health care risk management
  • 17.0 contact hours for health care executives 


NPSF Stand Up for Patient Safety Management Award

The Stand Up for Patient Safety Management Award is granted by the National Patient Safety Foundation to a member hospital of the Foundation’s Stand Up for Patient Safety program in recognition of the successful implementation of an outstanding patient safety initiative that was led by, or created by, mid-level management. The initiative will have demonstrated evidence of patient safety improvement, with involvement of staff at all levels of the organization. The recipient hospital shall be able to demonstrate measurable, positive changes in care delivered at their facility as a result of this initiative.On May 15, at the 16th Annual NPSF Patient Safety Congress, in Orlando, the Stand Up for Patient Safety Program Management Award was conferred on:


General Leonard Wood Army Community Hospital, Fort Leonard Wood, Missouri
For an initiative designed to improve the safety of medication administration


Vidant Health, a regional health system serving eastern North Carolina
For system-wide efforts to improve patient safety and patient experience of care


John Q. Sherman Award for Excellence in Patient Engagement

The award is conferred by Standard Register Healthcare in partnership with the National Patient Safety Foundation’s Lucian Leape Institute, on behalf of, the online community that sponsored the award.The John Q. Sherman Award recognizes one individual and one health care organization or provider institution for their successful work in engaging patients and families to improve care and patient outcomes. Achievements in patient and family engagement are evaluated in six possible categories: innovation, transformation, collaboration, communication, inspiration and system change.  On May 15, at the 16th Annual NPSF Patient Safety Congress, in Orlando, the John Q. Sherman Award for Excellence in Patient Engagement was conferred on:

Nasia Safdar, MD, hospital epidemiologist, University of Wisconsin Hospital
For her successful initiatives in engaging patients and staff to develop interventions at every level of the care delivery process to reduce hospital-associated infections


The OpenNotes Collaborative
For its bold, innovative initiative to engage patients through transparency by providing them access to the visit notes written by their doctors, nurses, or other clinicians


Find out more about the awards given at the 2014 NPSF Congress.


Special events held at the Congress included:

Conferral of the 2014 Stand Up for Patient Safety Management Award and the John Q. Sherman Award for Excellence in Patient Engagement.


The Walking Gallery: Keynote speaker Regina Holliday’s artwork has become part of the national health care discussion and has been covered in the mainstream press, as well as reviewed by such journals as BMJ and APA. She has used her art to start an advocacy movement called “The Walking Gallery,” in which medical providers and advocates wear paintings on the backs of business suits and jackets that depict individual patient stories. She painted two paintings during the Congress, interpreting her experience of the meeting’s events. The works were raffled to two attendees at the close of the Congress.


Certified Professionals in Patient Safety (CPPS) Networking Event

Member Networking Event for members of ASPPS (American Society of Professionals in Patient Safety) and members of the NPSF Stand Up for Patient Safety program


Special Interest Breakfast: Partnership for Promoting Health IT Patient Safety






Hospital Corporation of America (HCA)




CRICO Strategies


Laerdal Medical


The Doctors Company Foundation


Mallinckrodt Pharmaceuticals




FUJIFILM SonoSite Inc.


Zynx Health


Synensis Health


Pacira Pharmaceuticals Inc.


Society for Simulation in Healthcare (SSH)




Stryker SurgiCount


American Organization of Nurse Executives (AONE)
Michigan Hospital Association
Graduate Programs in Healthcare
Quality and Patient Safety
Northwestern University
Ventana Medical Systems Inc.


Patient Safety & Quality Healthcare (PSQH)


Agency for Healthcare Research & Quality (AHRQ)
Antimicrobial Copper
Baxter Healthcare Corporation
BD Medical
B-Line Medical
Centurion Medical Products
Clarity Group Inc.
CRICO Strategies
Datix (USA) Inc.
DNV Healthcare
Doctella .com – Checklists for Patients
ECRI Institute
Endur ID Inc.
FUJIFILM SonoSite Inc.
Gaumard Scientific
Hospital Corporation of America (HCA)
Hygenix Inc
KBCore by CRG Medical
Laerdal Medical
Limbs & Things
Mallinckrodt Pharmaceuticals
Medline Industries Inc.
MEPS Real-Time Inc.
Midas+, a Xerox Company
National Board of Surgical Technology and Surgical Assisting (NBSTSA)
National Patient Safety Foundation
Nuance Communications Inc. 500
OB Hospitalist Group
Pacira Pharmaceuticals
Pascal Metrics
Pavisse–RGP Healthcare
PharMEDium Services LLC
RASMAS–EXP Pharmaceutical Services Corp
RL Solutions
Sedgwick Claims Management Services
Sentec by Master Distributor Bemes
Skylight Healthcare Systems
Society for Simulation in Healthcare
Standard Register Healthcare
Stryker SurgiCount
The Joint Commission
Thomas Jefferson University Jefferson School of Population Health
UHC (University HealthSystem Consortium)
University of Illinois at Chicago College of Medicine Department of Medical Education
Vanderbilt University Center for Patient and Professional Advocacy
Ventana Medical Systems
Virginia Mason Institute
Welch Allyn
Xenex Disinfection Services
Your Patient BOARDS



 View Media Coverage of the 2014 Congress


2014 Congress Materials

Item Name Posted By Date Posted
2014 Congress Supporter-Exhibitor Guide PDF (1.15 MB) Administration 1/21/2015
2014 Congress Schedule at a Glance PDF (217.87 KB) Administration 11/28/2014
2014 Congress Simulations Guide PDF (309.17 KB) Administration 11/28/2014
2014 Congress Supporter Prospectus PDF (452.72 KB) Administration 11/28/2014
2014 Congress Exhibitor Prospectus PDF (208.51 KB) Administration 11/28/2014
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