Patrice L. Spath, BA, RHIT, President, Brown-Spath & Associates

Disaster Preparedness, Are We Really Ready? (3.16MB)

David Jaimovich, M.D., FAAP, Chief Medical Officer, Joint Commission Resources and Joint Commission International

An Update on OHCQ's Maryland Patient Safety Program (332KB)

Wendy Kronmiller, Director
Renee B. Webster, Assistant Director
Anne Jones, RN, B.S.N, M.A., Nurse Surveyor
Office of Health Care Quality

Maryland Patient Safety Center’s Adverse Event Reporting Tool Update (425KB)

Vahé Kazandjian, Ph.D, M.P.H., President, Center of Performance Sciences; Professor (Adj), The Johns Hopkins University Bloomberg School of Public Health
Vivian Miller, CPHQ, CPHRM, LHRM, Research Project Manager, Maryland Patient Safety Center

Marlene R. Miller, M.D., M.Sc., Director of Quality and Safety Initiatives, Associate Professor, Department of Pediatrics, Johns Hopkins Children’s Center

Enhancing Patient Safety through Electronically Based Medication and Allergy Reconciliation (3.27MB)

Robin Yarnall, Project Manager, Information Services
Robert A. Yocubik, RN, B.S.N., AANG, IT Clinical Analyst
Will Smith, Development Manager, Information Services
Atlantic General Hospital

Medication Reconciliation and Safety

Combining Discharge Medication Reconciliation and Discharge Instructions to Improve Patient Safety: A Multidiscipline Approach (372KB)
   Jackie Rice, RN, EMR Team Supervisor, Frederick Memorial Hospital
Enhancing Medication Safety at the Point of Care (339KB)
   Cate O’Connor-Devlin, RN, Nurse Educator, Greater Baltimore Medical Center
Medication Reconciliation: Celebrating Milestones (1.88MB)
   Kikelola Gbadamosi, PharmD, Clinical Pharmacy Specialist, Holy Cross Hospital 
Medication Safety: A Multidisciplinary Approach to Automated Medication Reconciliation (1.41MB)
   Kathleen Thomas, RN, M.S.N., IT Analyst, Mercy Medical Center

Medical Device, Product Recalls and Alerts

Increasing Health Care Provider’s Awareness of Adverse Event Reporting of Medical Devices as a Model For Patient Safety (1.32MB)
   Suzanne Rich, RN, MA, CT, Senior Project Manager
   Donna Engleman, BSN, Project Manager
   Food and Drug Administration
Product Recalls/Alerts: Two Not-For-Profit Organizations Partnering for Patient Safety (545KB)
  Beatrice Haupt, JD, CPHQ, Recall and Safety Manager, Inova Health System

Shared Solutions - Lessons from the Maryland Patient Safety Center Emergency Department Collaborative *

Stephen Schenkel, M.D., M.P.P., Chair, MPSC ED Collaborative; Assistant Professor, Emergency Medicine, University of Maryland School of Medicine

Conversation with Lucian Leape, M.D.  (no handouts were used)

Lucian Leape, M.D., Adjunct Professor of Health Policy, Department of Health Policy and Management, Harvard

Bold Leadership in Patient Safety (213KB)

Edward D. Miller, M.D., CEO, Johns Hopkins Medicine; Dean, The Johns Hopkins University School of Medicine; & Vice President for Medicine, The Johns Hopkins University
William G. Robertson, President & CEO, Adventist HealthCare
Carl J. Schindelar, President & CEO, Franklin Square Hospital Center
Moderator: William F. Minogue, M.D., Executive Director, Maryland Patient Safety Center

Patient Safety Through the Eyes of a Physician Chief Executive Officer (5.14MB)

Samuel Lee Ross, M.D., M.S., CEO, Bon Secours Baltimore Health System

Removing Insult from Injury: Disclosing Adverse Events (963KB)

Albert W. Wu, M.D., M.P.H., Professor, Bloomberg School of Public Health, The Johns Hopkins University
Sorrel King, Patient Advocate, Josie King Foundation

Implementation of Rapid Response Team in a Community Hospital Setting (542KB)

Julia Blackburn, RN, Clinical Manager, Critical Care/Cath Lab, Washington County Hospital

Physician Education, New Technology, and Patient Safety: First Do No Harm *

Timothy J. Babineau, M.D., M.B.A., FACS, Chief Medical Officer and Designated Institutional Official, University of Maryland Medical Center

Improving Safety and Efficiency of CPMOE – A Six Sigma Approach (2.01MB)
CPMOE - Appendix (71KB)

Barbara Sabatino, Pharm.D., CACP, Coordinator for Patient Safety, Accreditation, and Performance Improvement
Ingrid Connerney, Dr.PH., RN, Director, Clinical Effectiveness
Elora Hilmas, Pharm.D., BCPS, Pediatric Pharmacy Manager
University of Maryland Medical Center

Updates to the State Operations Manual (SOM) and Implications for Medication Management in Nursing Homes (248KB)

Nicole Brandt, Pharm.D., CGP, BCPP, FASCP, Associate Professor, Geriatric Pharmacotherapy, Pharmacy Practice and Science UMB School of Pharmacy; Director, Clinical and Educational Programs of Peter Lamy Center Drug Therapy and Aging
Julie Caler, Pharm.D., Geriatric Pharmacotherapy Resident, Pharmacy Practice and Science, UMB School of Pharmacy

Creating a Culture of Safety (161KB)

Jackie Fleming, B.S.N., RN, Director of Nursing, Augsburg Lutheran Home
Jennifer Goldsborough, RN, B.S.N., M.S.N., CRNP, Nurse Practitioner, Beacon Institute
Jane Haynes, B.S.N., RN, Director of Education, Saint Elizabeth’s Rehabilitation and Nursing Center
Michele Buscher, Charles County Nursing Center & Rehab Center
Nancy Posey, St. Catherine’s Nursing Center

Hey, Help Me Here! Managing Challenging Behaviors Including Falls (49KB)

Diana F. Waugh, RN, Long Term Care Consultant, Waugh Consulting

Cases and Claims in Long Term Care (1.74MB)

Thomas V. Monahan, JD, Goodell, DeVries, Leech & Dann, LLP

Perspectives on Patient Safety and Strategies for Error Reduction (499KB)

Ellen L. Barton, J.D., CPCU, Risk Management Consultant

Eliminating MRSA: It Takes a Region (796KB)

Jon C. Lloyd, M.D., FACS, Regional MRSA Prevention Coordinator, Centers for Disease Control and Prevention, VA Pittsburgh Healthcare System
Margaret Toth, M.D., Chief Quality Officer, Delmarva Foundation

Reducing Health Hazards in the Hospital Setting *

Moderator: Joan Plisko, Ph.D., Technical Coordinator for the Maryland Hospitals for a Health Environment initiative
Panelists: Steve Ashkin, President, Ashkin Group, Anna Gilmore-Hal, RN, M.S.N., Executive Director, Health Care Without Harm, and Jay Feldman, Executive Director, Beyond Pesticides