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Patient Safety and Error Reduction
Tuesday, August 4, 2009
10:15 am -
10:20 am
Chairperson's Opening Remarks
10:20 am -
11:05 am
Care Process Redesign to Prevent Medical Errors
  • Understand the circumstances that led to wrong-site surgeries in Rhode Island
  • Discuss the various approaches Lifespan hospitals have used to decrease the frequency of wrong-site surgeries
  • Learn a model for instituting a safety culture in the aftermath of significant errors
Mary Reich Cooper - Speaker Photo Mary Reich Cooper, MD, JD
Senior Vice President and Chief Quality Officer, Lifespan Corporation;
Assistant Professor of Medicine (Research), The Warren Alpert Medical School at Brown University

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11:05 am -
11:50 pm
Enhancing Provider-Patient Communications to Streamline Transitions of Care and Improve Medication Safety
Paula Griswold, MS
Executive Director
Massachusetts Coalition for the Prevention of Medical Errors

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Cheri Lattimer, RN, BSN
Executive Director, Case Management Society of America;
Project Director, National Transitions of Care Coalition (NTOCC)

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11:50 am -
1:00 pm
Luncheon with Executive Discussion Roundtables
1:00 pm -
1:45 pm
Improving Whole System Performance through Transparency of Quality and Safety Data
  • Describe performance measurement systems in correlation to strategy, through application of goals, milestones, and measures
  • Evaluate the use of clinical indexes and composites as expressions of total/system-wide measures
  • Transfer knowledge of "whole-system" dashboards as performance measures to monitor execution of strategic plans
  • Engage executive leadership in monitoring improvement in quality and service performance
Alide L. Chase, MS
Senior Vice President, Quality and Service
Kaiser Permanente

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1:45 pm -
2:30 pm
The Emerging Role of Patient Safety Organizations (PSOs)
  • Patient Safety Organizations - An introduction and overview
  • 2005 Patient Safety and Quality Improvement Act - Assessing the impact on providers
  • PSO requirements and regulations – Utilizing Common Formats to create a provider safe haven
  • Preparing for the next stage of safety using the Network of Patient Safety Database (NPSD)
  • Future plans and developments for PSOs and Common Formats
Mark Keroack, MD, MPH
Vice President and Chief Medical Officer
University Health System Consortium

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William B. Munier - Speaker Photo William B. Munier, MD, MBA
Director, Center for Quality Improvement and Patient Safety
Agency for Healthcare Research and Quality (AHRQ)

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