American Medical Association
Making Strides in Safety
September 24, 2008
8:00 am – 4:30 pm
Renaissance Hotel (Chicago, IL)
8:00 – 8:05 am
8:05 – 8:15 am
Susan Nedza, MD, MBA
AMA Clinical Quality and Patient Safety
8:15 – noon
Teaching the Teachers of Patient Safety: Faculty Development Workshop
John Gosbee, MD, MS
Red Forest Consulting
Purpose: Train and develop better physicians to reduce preventable harm to patients.
Engage students and residents to learn about patient safety so that they take an active role in
safety activities, and can, in turn, teach other residents and students.
Teach some key patient safety principles and tools, such as human factors engineering, high
reliability organizations, and adverse event analysis.
Apply lessons learned and best methods from academic settings where patient safety curriculum
is implemented with residents and students.
Identify leverage points, such as guidelines and standards, that help to initiate patient safety
curriculum projects and programs (e.g., ACGME core competency, board test questions).
8:15 – 9:00 am
Patient safety tools
– The ones that really work for the frontline work that students-residents will be
– Techniques to teach these tools so they “stick”
9:00 – 9:55 am
Human factors engineering
– Tools to “diagnose” patient safety problems “hiding in plain sight”
– Concepts that are fundamental to understanding patient safety and making change
9:55 – 10:05 am
10:05 – 11:05 am Evidence-based patient safety (“treatment”)
11:05 – 11:15 am Break
11:15 – noon
Curriculum program development (starting and sustaining your efforts)
– Choosing successful formats for teaching patient safety (tools and tips)
Patient safety case conference (e.g., M&M); Patient safety on working
– Assessing your program, your faculty, and your learners
– Using leverage points, such as new test questions on