Search our Site
NPSF June 2015 e-news
Share |

June 2015 





NPSF Releases New Guidelines on Root Cause Analysis
Earlier this week, NPSF released guidelines developed to help health care organizations improve the way they investigate medical errors, adverse events, and near misses. RCA2: Improving Root Cause Analyses and Actions to Prevent Harm puts emphasis on risk-based assessment and the need to take strong actions to prevent harm in the future. Read more.

The new report is the subject of an upcoming free webcast on July 15, 2015. See below for details and registration.

  Tejal K. Gandhi

President’s Corner


NPSF President and CEO Dr. Tejal Gandhi writes about the top three things to know about the new NPSF report on RCA. Read her column.


Workforce Engagement and Safety
Members of the NPSF Lucian Leape Institute co-authored an editorial arguing that we must improve the experience of those providing care before we can achieve better outcomes and safer care. Read it on the BMJ Quality & Safety website (free full text),

Mississippi Academic Medical Center Tackles Falls
Read an article about the work of this year’s recipient of the NPSF Stand Up for Patient Safety Management Award,

2015 Young Physicians Patient Safety Awards Announced
The Doctors Company Foundation Young Physicians Patient Safety Awards, conferred in partnership with the NPSF Lucian Leape Institute, were recently announced. Read more about this year’s award recipients, or read the criteria for the 2016 awards

Upcoming Events


Professional Learning Series Webcasts
The NPSF Professional Learning Series offers the convenience of continuing education and peer-to-peer collaboration in an online learning environment.

Wednesday, July 15, 2015 | 1:00 - 2:00 pm ET
RCA²: Improving Root Cause Analyses and Actions to Prevent Harm
Free webcast, but
registration is required.
Featured Speakers:

James P. Bagian,

Director, Center for Health Engineering
and Patient Safety
University of Michigan

  Doug Bonacum, CSP, CPPS
Vice President, Quality, Safety,
and Resource Management
Kaiser Permanente

Thursday, August 6, 2015 | 1:00 - 2:00 pm ET
Reevaluating the Safe Use of Opioids

Featured Speaker:
Roy G. Soto, MD
Professor, Oakland University William Beaumont School of Medicine
Residency Program Director, Department of Anesthesiology

Register or learn more.


Thursday, September 17, 2015 | Boston, MA
NPSF Lucian Leape Institute Forum & Keynote Dinner
Guest speakers:
Mark Bonchek, Founder and Chief catalyst, thinkOrbit
Dr. Jonathan Perlin, President, Clinical Services, and Chief Medical Officer, Hospital Corporation of America, and current Chair, American Hospital Association.
Learn more about attending or supporting this event.
Registration is now open. 

Thursday, September 24, 2015 | 10:00AM – 5:00 pm ET
Certified Professional in Patient Safety Review Course Webinar
This course is open to experienced patient safety professionals who plan to take the Certified Professional in Patient Safety (CPPS) examination. This program is approved for six (6) contact hours toward the fulfillment of the requirements of CPPS recertification. Read details or register

Patient Safety News & Resources 


Health IT Safety Webinar Series
EHR Usability and Health IT Safety
Friday, June 19, 2015 | 1:00 - 2:30 pm ET
Attendance is free. Register online. This is the seventh in a 10-part webinar series presented by RTI International and funded by the ONC.


Pathways to Safer Opioid Use
The US Department of Health and Human Services Office of Disease Prevention and Health Promotion recently released an eLearning module on the subject of safer opioid use. This interactive training teaches health care providers how to implement opioid-related recommendations from the National Action Plan for Adverse Drug Event Prevention as well as patient-centered strategies to communicate the safe use of opioids in managing chronic pain. Continuing medical education (CME) is available to participants who complete the course. Launch the course or learn more.

Eliminating Patient Harm
This article from Trustee magazine argues for board involvement in the quest for high reliability in health care.

Partnering to Improve Quality and Safety: A Framework for Working with Patient and Family Advisors
Developed by the Symposium for Leaders in Healthcare Quality, a forum of the American Hospital Association, this guide presents a framework for including patients as advisors on quality and safety initiatives. Learn more or download the report, 

To Be Sued Less, Doctors Should Consider Talking to Patients More
New York Times blog post argues for physicians to improve communication with patients.

Steps to End Secrecy Put Patient Safety First
Editorial about the move in Canada for more transparency around physicians who have been disciplined for misconduct,

RightCare Action Week
NPSF encourages people to participate in this recognition week by taking action to show patients that we have not forgotten what good medical care is. Visit the RightCare Action Week website for ideas about actions you can take or to submit new ideas,

Consumer Corner: Be Med Wise
The National Council on Patient Information and Education provides detailed information about medication safety on its website,


Thinking about membership?
NPSF offers membership programs for individuals and organizations that provide valuable benefits to help you advance patient safety, achieve your professional goals, and help grow or sustain your organization’s patient safety program. Learn more about membership.


more Calendar

WIHI: Taking Acute Pain Seriously, Treating It Safely

10/24/2019 » 10/30/2019
Patient Safety Executive Development Program

Copyright ©2019 Institute for Healthcare Improvement. All Rights Reserved.

Membership Software  ::  Legal