7th Annual Patient Safety Conference – 2013


Did you miss our live conference during Patient Safety Awareness Month in March?  It’s not too late to bring these nationally recognized speakers to your organization! 

Take advantage of this opportunity and continue the focus on patient safety 24/7/365!

Don’t miss this great opportunity to bring national patient safety speakers to your organization!  Select from one or more of the following sessions and receive downloadable recordings to use for training, at your next safety meeting, or to distribute house-wide at your organization(s).  There is no limit to the number of times each recording can be viewed!!


I M P OR T A N T  T O P I C S  –  N A T I O N A L  S P E A K E R S

Each session was recorded in March 2013 during Patient Safety Awareness Month 2013.  Additional session information can be found below.

Healthcare Safety in 2013: How the lessons of the past inform the future

The Emily Jerry Story

The 2nd Victims Program: Taking Care of Our Own – An Executive Primer

The More Things Change… the More They Stay the Same

Continuing the Journey, Recognizing Successes

CONTINUING EDUCATION:  continuing education credits are no longer available for these sessions.

Consider these tips to maintain awareness for safe care 7/24/365!

Tip 1 – Check out resources available at www.centerforpatientsafety.org for health care providers, and the following consumer resources:  Consumer Resources 2013 and Guidance for Consumers 2013

Tip 2 – Purchase recordings for one or more of the Center’s recorded sessions.

Tip 3 Schedule open sessions for your colleagues to join you to watch the recorded sessions, or present during a safety committee meeting or other meeting.  Follow up with time to debrief and share take aways.  What can you implement at your organization?

Tip 4 Use recordings for ongoing learning with others at your facility to celebrate safe care!

Healthcare Safety in 2013: How the lessons of the past inform the future (Running time: 1 hour 27 minutes)


Sharing the principles of safe care, as highlighted in his book series, Understanding Patient Safety.

This session is sponsored by Mercy

Professor and Associate Chair of the Department of Medicine
University of California, San Francisco

Robert M. Wachter, MD is Professor and Associate Chairman of the Department of Medicine at the University of California, San Francisco, where he holds the Lynne and Marc Benioff Endowed Chair in Hospital Medicine. He is also Chief of the Division of Hospital Medicine, and Chief of the Medical Service at UCSF Medical Center. He has published 250 articles and 6 books in the fields of quality, safety, and health policy. He coined the term €œhospitalist€ in a 1996 New England Journal of Medicine article and is past-president of the Society of Hospital Medicine. He is generally considered the academic leader of the hospitalist movement, the fastest growing specialty in the history of modern medicine.

He is also a national leader in the fields of patient safety and healthcare quality. He is editor of AHRQ WebM&M, a case-based patient safety journal on the Web, and AHRQ Patient Safety Network, the leading federal patient safety portal. Together, the sites receive nearly one million unique visits each year. His 2004 book on medical errors, Internal Bleeding: The Truth Behind America’s Terrifying Epidemic of Medical Mistakes was a national bestseller. He is also author of Understanding Patient Safety, the leading primer in the field; the 2nd edition was published in 2012. Dr. Wachter has appeared on many television and radio shows, including Good Morning America, PBS’s NewsHour, and NPR’s Fresh Air, and been quoted in virtually every major newspaper and newsmagazine. He received one of the 2004 John M. Eisenberg Awards, the nation’s top honor in patient safety and quality. In 2012, he was named the 14th most influential physician-executive in the U.S. by Modern Healthcare magazine, the fifth year in a row in which he was the most highly ranked academic physician on the list. He is chair of the American Board of Internal Medicine, and has served on the healthcare advisory boards of several companies, including Google.

Visit Dr. Wachter’s Blog

Interested in purchasing the Second Edition of Bob Wachter’s book, Understanding Patient Safety?  Click on the image above to visit Amazon.com.

Bob Wachter’s quest to improve the safety of American healthcare represents the very essence of a physician’s duty to put the patient first. His unflinching candor about the nature and magnitude of our current safety problems is matched only by his passion for improvement.”

— Mark R. Chassin, MD, MPP, MPH, President, The Joint Commission

The Emily Jerry Story (Running time: 1 hour 17 minutes)


Sharing a poignant personal story about a tragic, preventable medication error that resulted in the loss of Chris’s daughter and significantly impacted the pharmacist involved in the mistake. The session will focus on how the tragedy and collaboration between family and professionals is positively improving medication safety.

The Emily Jerry Foundation

Chris Jerry shares his daughter, Emily’s, tragic story. “This does not get any easier, in fact even though over [six] years have gone by since her death, my life still seems so surreal. There is no pain greater than losing a child. My beautiful Emily’s death was senseless and preventable. However, by establishing Emily’s Foundation, I genuinely hope to prevent any other family from having to endure the pain that I live with every day.”  — emilyjerryfoundation.org

The 2nd Victims Program: Taking Care of Our Own – An Executive Primer (Running time: 1 hour 25 minutes)


Sharing the leadership imperative to support programs to help clinicians who are impacted by unexpected clinical events.

University of Missouri Healthcare

Most health care providers adjust well to the multitude of demands encountered during an unexpected or traumatic clinical event. Providers often have strong emotional defenses that carry them through and let them “get the job done.” Yet sometimes the emotional aftershock (or stress reaction) can be difficult. Signs and symptoms of this emotional aftershock may last a few days, a few weeks, a few months, or longer.

Second victims are “healthcare providers who are involved in an unanticipated adverse patient event, medical error and/or a patient related injury and become victimized in the sense that the provider is traumatized by the event.”

Frequently, second victims…

  • Feel personally responsible for the unexpected patient outcomes.
  • Feel as though they have failed the patient.
  • Second-guess their clinical skills.
  • Second-guess their knowledge base.


The More Things Change… the More They Stay the Same  (Running time: 1 hour 28 minutes)


Sharing the role of governance, management, and front-line staff in providing safe care.


This session is sponsored by Quantros

James B. Conway, FACHE, is an adjunct lecturer at the Harvard School of Public Health in Boston, and a principal of the Governance and Leadership Group of Pascal Metrics in Washington DC. From 2006-2009 he was Senior Vice President of the Institute for Healthcare Improvement (IHI) and from 2005-2011, Senior Fellow. During 1995-2005, Jim was Executive Vice President and Chief Operating Officer of Dana-Farber Cancer Institute, Boston. Prior to joining DFCI, he had a 27-year career at Children’s Hospital, Boston in Radiology Administration, Finance, and as Assistant Hospital Director. His areas of expertise and interest include governance and executive leadership, patient safety, change management, crisis management, and patient-/ family-centered care. A Fellow of the American College of Healthcare Executives, he is a Distinguished Advisor to the Lucian Leape Institute for the National Patient Safety Foundation and a member of the IOM Committee on a Learning Healthcare System. Board service includes: board member, Winchester Hospital and board member American Cancer Society, New England Region. In government service, he served since 2006-2010, as a member of the Commonwealth of Massachusetts Quality and Cost Council.

Continuing the Journey, Recognizing Successes (Running time: 1 hour 27 minutes)


Includes Missouri Excellence in Safe Care Award winners and virtual poster sessions.

Speaker:  BECKY MILLER MHA, CPHQ,FACHE and the Center for Patient Safety Team
Center for Patient Safety

As the executive director of the Center for Patient Safety, Becky Miller is leading critically important efforts to bring healthcare providers together to use data, information, and evidence-based practices to improve the safety of care.

Becky’s experience stems from management of hospital-based quality, safety, compliance, medical staff and customer relations efforts and statewide health policy activities. As Executive Director, Becky uses this experience to direct a successful nonprofit organization, including Patient Safety Organization (PSO) services within a federal-based program aimed at improving patient safety across the nation, and lead efforts to establish statewide clinical collaborative activities.

Becky holds a Masters of Healthcare Administration degree from the Executive Program in Health Management and Information at the University of Missouri-Columbia. She is a Fellow in the American College of Health Care Executives, certified as a Professional in Health Care Quality, and certified as a TeamSTEPPS„¢ Master Trainer.





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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.