Maryland Patient Safety Center

Patient Safety Training

Patient safety is defined as “the absence of preventable harm to a patient and reduction of risk of unnecessary harm associated with health care to an acceptable minimum.” According to the World Health Organization, approximately one in every ten patients is harmed in health care and more than 3 million deaths occur annually due to unsafe care.  The Maryland Patient Safety Center convenes key stakeholders, provides education, and facilitates opportunities for networking and collaboration with the purpose of building workforce capacity to improve healthcare quality and patient safety.

Everyone plays a role in creating environments, processes and systems that support safe patient care.  MPSC will help to ensure that the tools for patient safety and quality are made available to a wide audience, including patient safety officers, healthcare leaders, as well as front-line nurses, physicians, staff, and other members of the care team.  Register for the courses and events below to learn implementable, effective, and practical applications for healthcare workers to improve patient safety systems and processes. 

Additional events, webinars, forums, and protected roundtable discussions available in three high-priority areas of focus:

ECRI identified that the process of transitioning new clinicians to practice is a top safety concern for 2024. Studies show the pandemic disrupted the traditional hands-on, in-person educational experiences of new clinicians, an issue compounded by healthcare workforce shortages. According to ECRI new clinicians may be especially prone to loss of confidence, burnout, and reduced mindfulness around a culture of safety. This  webinar  and group discussion will focus on the convergence of these factors that can result in failures to address preventable harm or incidents that cause adverse events for patients.

This webinar and group discussion highlights, Maryland Patient Safety Center Minogue Circle of Honor Award winner, Lifebridge Health Northwest Hospital & Sinai Hospital,  for creating their HIQCUPSS: High Impact Quality Crossing Upholding Practice Solutions and Sustainability rounds. Specifically, the webinar will share how Lifebridge Health sought to improve sustainability of interventions and processes to decrease hospital acquired pressure injuries (HAPIs) by developing a proactive approach to ensure RCA action items were completed in a timely manner and interventions were sustained over time.

This three-day in-person Six Sigma Green Belt course is designed for healthcare professionals who are interested in process improvement.  Participants will develop a sound technical foundation in Six Sigma tools, and will learn and apply the DMAIC (Define, Measure, Analyze, Improve and Control) improvement method. Each participant will develop a project that demonstrates understanding of the Six Sigma tools. Participants will complete the coursework, project, and exam necessary for Green Belt certification.

Specimen identification and labeling errors can  put patients at risk of transfusion-related death, medication errors, misdiagnosis, and patient mismanagement. This webinar and group discussion is focused on mistakes related to specimen identification and labeling.   

This webinar highlights Maryland Patient Safety Center Minogue Circle of Honor Award winner, University of Maryland Baltimore Washington Medical Center  for their work implementing parenteral diuretics for heart failure patients in an ambulatory care setting. Parenteral diuretics help relieve symptoms of congestion more effectively than oral diuretics during exacerbation. Increasing ambulatory access to these medications can help relieve symptoms of edema and vascular congestion without the need for extended hospitalizations.

This full-day in person course dives deep into an important foundational patient safety tool: Failure Modes and Effects Analysis.  FMEA is used for formal and systematic analysis of potential failure modes within a system and applies classifiers by severity and likelihood of failure. The goal of FMEA is to anticipate the most important design problems early in the development of process to either prevent problems or minimize their consequences. Participants will learn how to apply the tool to enhance the quality and safety of healthcare processes and operations.

Patient falls are one of the most common, costly, and harmful health events across a variety of care settings. This webinar and group discussion will apply nursing process to evaluate patient response to individualized fall prevention care planning, and integrate best practices as  common standards of practice to protect patients from fall-related injuries. In addition, the webinar will consider redesign of patient outcomes from fall and injury rates to mitigation and elimination of fall and injury risk factors for preventable falls and fall -related injuries.

MPSC operates a listserv for healthcare professionals with an interest in patient safety. The listserv offers a network for shared and experiential learning and is used by MPSC to share upcoming events and information specific to safety in this specialty. MPSC members may use the listserv to pose questions to the group in order to garner feedback, solutions, and gain consensus on topics related to quality care delivery, adverse events, and general patient safety policies and procedures. Please contact mpsc@marylandpatientsafety.org to be enrolled.