Safer Healthcare and the System Safety Group
Identification of risks and facilitation of corrective measures
Provision of Presentations and Workshops
We facilitate the identification of risks to organizational safety and efficacy. We are committed to advancing systems safety and coproduction learning health systems for the benefit of rural communities.
Example Presentations and Workshops:
University of Southern Maine Patient Safety Academy: Systems safety, cognitive systems engineering, and human factors. The application of these concepts and practices to managing the safety and efficacy of health and health care for rural communities. September 17, 2018
Maine Quality Counts Conference: Patients, Families, Providers, and Rural Communities--the heart of High Reliability Healthcare. A discussion of the improvement facets of the Community Circle Model for community engagement. With Holly Gartmayer-deYoung. April 05, 2017.
Maine Sentinel Event Program, a case-based presentation on human factors in safety across high-risk domains. Topics included organizational accident concepts, and discussion of learning and improvement through adverse event investigation with representatives from all of Maine's healthcare systems and community hospitals. Hallowell, Maine, May 06, 2016.
Pascal Metrics 2013 Culture & Adverse Event Conference, Presentation: The Role of Human Factors and Cognitive Systems Engineering in providing safe and reliable care. Pascal Metrics, an Agency for Healthcare Research and Quality accredited Patient Safety Organization. Washington, D.C., April 09-10, 2013.
Webinar for the National Patient Safety Foundation. The Institute of Medicine Report on Health Information Technology and Patient Safety. Co-presented with David Classen, MD. May 31, 2012
The American Congress of Obstetricians and Gynecologist,
Provision of a post-graduate workshop on clinical incident and accident investigation. 58th Annual Clinical Meeting. With Ken Milne, MD, May 15, 2010. San Francisco, California.
3rd Annual Duke University Medicine Patient Safety and Quality Conference.
Presentation of research for the book, Safety Ethics. Subtitled “Accidents as Decision Side Effects”. December 07, 2007.
Durham, North Carolina.
American College of Clinical Engineers Symposium on Clinical Engineering
Building a Better Healthcare System: Clinical Engineering’s Role. Keynote panelist. June 24, 2006. Washington, D.C.
National Patient Safety Foundation Congress: Initial Findings of a Study to Evaluate Role-based Information Needs and Preferences in Collaborative Clinical Practice. A panel session with Paul Uhlig, MD, Cynthia, Dominquez, PhD, and Lorri Zipperer, MA. A research initiative of the Care Process Innovation Laboratory, Department of Biomedical Engineering, Massachusetts General Hospital/Partners Healthcare, Boston, Massachusetts. May 2005.
Safety Across High Consequence Industries Conference: Similarities, Differences and Opportunities Across Flight Decks and Operating Rooms. A panel session at the 2004 Safety Across High Consequence Industries Conference. Examination of cross-domain application of safety management principles and practice. (Panelists from cardiothoracic surgery, airline, and research communities.) St. Louis, Missouri. March 10, 2004.
Oregon Medical Association Socioeconomic and Political Forum: System-based approaches to Safety. Keynote address. Portland, Oregon. November 07, 2003.
Mayo Clinic:Safety in Team-based Systems. With Paul Uhlig, MD, MPH. December 13, 2002, Rochester, Minnesota.
Kaiser Permanente Healthcare System: The Concord Hospital Human Factors Initiative, Post-Surgical care of Open Heart Surgery Patients. Keynote address for the Human Factors Project Leader Training Program, an initiative of the University of Texas Human Factors Research Project and Kaiser Permanente. June 24-26, 2002, Berkeley, California.
Society of Thoracic Surgeons
Reporting Systems: Considerations and Concerns in the Classification and Analysis of Human, Technical and Organizational Factors in Near Misses and Adverse Events. Presented to the Patient Safety Research Committee. May 06, 2000. San Diego, California.
We support clients in their efforts to identify and mitigate risks to patient safety. The expertise resides with those individuals who perform the work of the organization--we assist in eliciting their knowledge of their work system to strengthen improvement initiatives. Healthcare projects have included creation of an Agency for Healthcare Research and Quality Patient Safety Organization, assessment of readiness for value-based payment in community hospitals; identification of post-implementation risk issues with a smart intravenous pump infusion system; training and facilitation of team-based practice in primary care and inpatient settings, and facilitating interprofessional teams in their improvement of perioperative care in general surgery service. Ask us about your concern or focus--we can quickly assess if we are able to assist.
Learning System Strength Assessment and Development
Detecting, analyzing, and learning from problems and anomalies in frontline operations is the grist of safety mangement. We assist clients in recognizing essential features of learning system capability in their organizations. Our aim is to help clients build from existing strengths of practice in their organizations.
A key goal is to apply the tenets of learning health systems for continuous monitoring of all factors contributing to individual, population, and community health.
Services
Ph 603-674-0687 USA