Patient Safety Conference:

Each year, the Center brings together over 1200 healthcare professionals and nationally recognized speakers and presenters to learn and exchange best practices related to current issues surrounding patient safety. Held each year in the spring, the Center’s annual patient safety conference is a must attend event for anyone interested in improving patient care and expanding their knowledge or best patient safety practices.

Day at a Glance

Ballroom A The Ecosystem of Errors
Don't Let Your Culture Eat Your Cost Reduction Efforts for Lunch
Where Improving Safety Begins
Where Improving Safety Begins Handout

Ballroom B Innovations in Fall and Fall-Injury Prevention and Reduction Strategies for Older Adults


Ballroom C Improving Dementia Care in Maryland Nursing Homes: A Patient Safety Initiative
Office of Health Care Quality Annual Update on Reported Adverse Events

Ballroom D Using IMPRV Methodology to Decrease Door-to-Needle Time in Stroke Patients
Improving Spesis Outcomes Through Coordinated Early Recognition, Assessment and Treatment

2014 Annual Conference Solutions

A Multidisciplinary Approach to Code Blue and Patient Safety
A Multidisciplinary Approach to Improving Patient Education
A System Approach to Enhancing Safety Through Patient Engagement A Team Approach to Saving Lives for Patients with Severe Sepsis
Ambulance Immediate Offload Project: Leading to Increased Safety and Improved Care for the Entire Community
An Evaluation of Environmental Terminal Cleaning in the Operating Room
Antimicrobial Stewardship: Creating a "Time Out" for Antibiotic Therapy
Barriers to Performing Hourly Rounding: Using the A3 Process to Develop a Successful Approach
Building an Organizational Bed-Ahead Culture to Improve Throughput and Eliminate Ambulance Diversions
Can Critical Care Become a Restraint Free Environment
Caring for the Caregiver
Case for Calm: Creating a Safe Environment Through Care and Location Management
Clinical Decision Unit: Increasing Collaboration to Reduce Variability and Expedite Care
Clinical Pathway Translates to Best Practice in the Pediatric ED
Daily Patient Roadmap
Discharge Planning and Preparation on the Behavioral Health Unit - Recovery Action Plan: We RAP
Driving the CLBSI Rate to ZERO, a Team Effort
Early Predictor of Postictal Delirium After Outpatient Electro Convulsive Therapy
Eliminating Ripening Agents for Elective Inductions
Establishing an Evidence Based Practice Patient Education Program
Falls Prevention: Engaging Volunteers that CARE
Family Presence
From Secrecy to Transparency: Transforming Culture Using a Standardized Patient Safety Event Report System
Getting to the "Core" of Core Measures: A Concurrent Review Approach
Got Milk? 100% Human Milk Diet
Implementation of a Closing Process for Colo-rectal Surgeries Improves Surgical Site Infection Outcomes
Implementation of a Pocket Card Resources Center in the Emergency Department
Implementation of Bedside Shift Report
Improving Hand Hygiene and Patient Safety by Integrating the Use of Evidence-Based Tools with Participation in the Maryland Hand Hygiene Collaborative
Improving Immunization Assessment and Core Measure Compliance Through the Use of Technology
Improving Inpatient Influenza Immunization Rates
Improving Patient Safety Through Bar Code Medication Administration (BCMA)
Improving Sepsis Outcomes Through Coordinated Early Recognition, Assessment, and Treatment
Increased Communication & Teamwork Equals Decreased Seclusion Events in Inpatient Psychiatric Patients
Keeping Medication Safety in Focus with an Annual Fair at UM BWMC
Knowledge is Power: Hospital's Quest to Fight Sepsis
Lean Daily Management Rounds Drives Safety and Quality Improvements
Medical Equipment Availability: The RTLS Patient Safety Effect
Moving Toward Zero Harm: 31 Months with Zero CLABSIs
Nursing to the Rescue
Obstetrical Rapid Response Team
One Hospital Pharmacy's Response to the National Compounding Tragedy of 2012
Optimizing Care: An Integrated Collaboration to Reducing C-Diff
PI & EOC: Collaborative Rounding for Success
Predicting Care Using Informatics
Preventing Respiratory Depression & Sedation with Opioid Use
Quality and Safety Patient Care: Pre-Shift Safety Brief
Quiet at Night
Reducing 30 Day Hospital Readmissions
Reducing Postpartum Hemorrhage
Reducing the Frequency of Immediate Use Sterilization
Reduction of CLABSI Through the Use of a Designated Unit-Based Infection Control Nurse
Reduction of Peripheral Vascular Bypass Infections in the Vascular Operating Room
Reduction of Pharmacy Transcription Errors
Resident Safety Rounds: Teamwork Beats Inexperience in Resident Safety Tug of War: Patients Win
Risk Management: Effective Collaboration & Helping to Ensure the Delivery of Safe Patient Care
Safe From Falls: Steps to Move to Zero
Safer Sign Out: A Tool for Achieving High Reliability in Physician Hand-off Communication in Emergency Care
SPIRIT (Sheppard Pratt Improvement Resources Inspired by Toyota)
Standardizing Resident Hand-off Training: A Standardized Approach Across Multiple Disciplines
Standardizing Scheduling Procedures to Eliminate <39 Week Gestation Scheduled Cases
Sustaining Fall Prevention Over Time, is it Possible?
Taking the Pressure Off: Reducing the Incidence of HAPUS's
Team Safety Rounds for Direct Care Staff: Be Proactive, Prepared and Prevent
The Establishment of an IHI Open School: A Multidisciplinary Approach to Improve Quality and Safety
The Path to High Reliability: How One Community Hospital Chases Zero Every Day
Timely Telemetry Reattachment
Using IMPRV Methodology to Decrease Door-to-Needle Time in Stroke Patients
Using Isolation Precautions Initiation as a Communications Tool for Staff and Patients
Using Lean to Improve Quality Outcomes-DVT Case Study
Using the Evolution of Data Collection Methods "2" Drive the Revolution in the Reduction of Hospital Acquired Pressure Ulcers