Safe Table Forum

CHPSO Safe Table Forum – An Evidence-Based Approach for Improving Patient Safety, Enhancing High Reliability, and Reducing Malpractice Risk – Structured Handoff Communication

September 11, 2024 | 10:00 - 11:00AM PT

Despite efforts over the past 20 years, the patient safety movement still struggles to establish lasting prevention strategies for adverse outcomes, with miscommunication being a major contributor to medical errors.

Healthcare continues to face vulnerabilities like inconsistent processes, skills, and communication. To address this, many organizations are reviving efforts to become High Reliability Organizations (HROs), led by quality and patient safety leaders.

This session will focus on reducing process and communication variability, particularly during handoffs. We’ll explore data from malpractice carriers, findings from the Joint Commission, and research on the impact of variation on patient safety. By implementing structured communication models, especially in handoffs, healthcare can enhance reliability and significantly improve safety, quality, and patient experience outcomes.

Presentation topics include:

  • Understand the prevalence of variation in healthcare – in patients, providers, skills, and in processes and communication.
  • Learn to what degree communication lapses are a primary or contributing factor in patient harm events – medical errors, or malpractice cases – on a national level.
  • Understand how structured handoff programs can simultaneously bolster HRO efforts and reduce the potential of harm events reaching the patient.

Register via GoToWebinar.

Wednesday, September 11, 2024: 10:00 a.m.- 11:00 a.m. (PT)

Marshall Burkhart is the VP of Client Engagement at I-PASS, bringing over a decade of patient safety experience. He leads client engagement, market strategy, and organizational growth. Previously, as a Regional Director at Press Ganey, he developed strategic plans and earned the President’s Club Award four times. Marshall holds a bachelor’s degree from Johns Hopkins and is pursuing an MBA at Babson College. He also chairs the advisory board for the IB13 Foundation, supporting individuals with spinal cord injuries, and is a former professional lacrosse player.

Christopher P. Landrigan, MD, MPH, is the Chief of General Pediatrics at Boston Children’s Hospital and a Professor at Harvard Medical School. He directs the Sleep and Patient Safety Program at Brigham and Women’s Hospital and co-founded the I-PASS Study Group and Patient Safety Institute. Dr. Landrigan’s research focuses on medical error reduction, patient safety interventions, and the impact of resident work hours on safety. His work on the I-PASS handoff program, now a national gold standard, has been widely adopted and recognized with the John M. Eisenberg Award. He has authored over 200 publications and received numerous accolades for his contributions to patient safety and healthcare innovation.

Robert Hanscom, Strategic Advisor at the I-PASS Institute, retired in September 2022 after serving nine years as Vice President of Risk Management and Analytics at Coverys. There, he led efforts to establish the company as a data-driven organization and developed a benchmarking database with root-cause factors from 30,000 malpractice claims, driving a proactive risk management model. Prior to Coverys, Robert spent 14 years at CRICO, leading loss prevention and patient safety initiatives. He also held leadership roles at Lahey Clinic and Massachusetts General Hospital. Robert holds a B.A. in History from Pacific Union College and a J.D. from Pepperdine University School of Law.

Theresa Murray, MSN, RN-CPPS, LSSBB, is a consultant with the I-PASS Patient Safety Institute, where she facilitates the implementation of evidence-based handoff programs across U.S. healthcare organizations. She also serves as a Performance Improvement Consultant at Dartmouth Health, leading Lean Six Sigma initiatives and contributing to curriculum design for leadership training. With extensive experience in patient safety, quality improvement, and clinical education, Theresa has spearheaded key initiatives such as I-PASS implementation, safety event analysis, and COVID-19 response efforts. She holds advanced degrees from Norwich University and the University of Vermont, along with certifications in patient safety and Lean Six Sigma.

HQI is an approved continuing education (CE) provider by the California Board of Registered Nursing and will provide CHPSO members an opportunity to earn CEs. Provider Number CEP16793 for 1.0 contact hour.

Please contact CHPSO at info@chpso.org if you have any questions.