Medication Safety Collaborative

[107-L05] Using System Safety Engineering and Human Factors Safety Science to Create Meaningful Change, Part 2: The Next Generation of RCAs: Event Reviews That Actually Make a Difference

Monday, June 4
2:00 PM - 3:30 PM
Room: Mile High Ballroom 1, Level 3 (Lower Level)


ACPE Activity #0204-0000-18-107-L05-P /0204-0000-18-107-L05-T
1.50 Contact Hours | Application-based

Learning Objectives:

Cynthia Von Heeringen, M.D., FACP, R.Ph.

Director, Educational Programs II
ASHP
Bethesda, MD

I will be your ASHP point of contact as you plan your session. Please do not hesitate to contact me with any questions or concerns. I look forward to working with you.

Presentation(s):

Send Email for Cynthia Von Heeringen

Natasha Nicol, R.Ph., Pharm.D., FASHP

Director of Global Patient Safety Affairs
Cardinal Health
Pawleys Island, SC

Natasha Nicol is Director of Global Patient Safety Affairs for Cardinal Health, Inc.

She received her doctorate of pharmacy degree from the University of Maryland School of Pharmacy. She is faculty for the Institute for Healthcare Communication, a certified Just Culture trainer, and invited professor for the South Carolina and Presbyterian Colleges of Pharmacy.

She is past-President of the South Carolina Society of Health-System Pharmacists. She is a Fellow of the American Society of Health-System Pharmacists and served on the Council on Education and Workforce Development, as well as the House of Delegates. She is Program Chair for the ASHP Medication Safety Collaborative. She was recognized for her work with the ASHP Award for Excellence in Medication-Use Safety and was named Pharmacist and Mentor of the Year by SCSHP.

She is a frequent presenter to professional groups, primarily focusing on safety as it relates to culture, use of technology and development of processes.

Presentation(s):

Send Email for Natasha Nicol

Natasha Nicol, Pharm.D., FASHP, Pharm.D., FASHP

Director of Global Patient Safety Affairs
Cardinal Health
Pawleys Island, SC

Natasha Nicol is Director of Global Patient Safety Affairs for Cardinal Health, Inc.

She received her doctorate of pharmacy degree from the University of Maryland School of Pharmacy. She is faculty for the Institute for Healthcare Communication, a certified Just Culture trainer, and invited professor for the South Carolina and Presbyterian Colleges of Pharmacy.

She is past-President of the South Carolina Society of Health-System Pharmacists. She is a Fellow of the American Society of Health-System Pharmacists and served on the Council on Education and Workforce Development, as well as the House of Delegates. She is Program Chair for the ASHP Medication Safety Collaborative. She was recognized for her work with the ASHP Award for Excellence in Medication-Use Safety and was named Pharmacist and Mentor of the Year by SCSHP.

She is a frequent presenter to professional groups, primarily focusing on safety as it relates to culture, use of technology and development of processes.

Presentation(s):

Send Email for Natasha Nicol

Kathryn M. Kellogg, Pharm.D., FASHP, M.D., M.P.H., CCPS

Associate Medical Director, Assistant Professor
National Center for Human Factors in Healthcare; Quality & Safety, MedStar Health; Georgetown University School of Medicine
Washington, DC

Dr. Kellogg is a researcher and patient safety professional with significant experience applying human factors principals to patient safety issues. As the Associate Medical Director, she provides clinical expertise for grants and contracts at the National Center for Human Factors in Healthcare. She also directs the human factors event reviews and hazard analyses and serves as a liaison between the Human Factors Center and the MedStar Safety team, and was recently named Associate Medical Director for Quality and Safety at MedStar Health. Dr. Kellogg also conducts research on patient safety issues and is currently the principal investigator for the Center's pilot test of the Agency for Healthcare Research and Quality's Quality and Safety Review System. Dr. Kellogg's research interests include adverse event review and physician stress and burnout. She studied medicine at the University of Rochester School of Medicine and Dentistry and earned her Master's in Public Health from The Dartmouth Institute, with a focus in systems approach to healthcare improvement. She completed her residency in Emergency Medicine at Vanderbilt University. Dr. Kellogg is a Certified Professional in Patient Safety through the National Patient Safety Foundation. Dr. Kellogg is also a board-certified Emergency Medicine physician who practices and teaches at MedStar Washington Hospital Center, and she is an Assistant Professor of Emergency Medicine at Georgetown University.

Presentation(s):

Send Email for Kathryn Kellogg

Seth Krevat, M.D., M.P.H., CCPS, M.D., FACP

Assistant Vice President, Safety
MedStar Health
Washington, DC

Seth A. Krevat, MD, FACP, is the assistant vice president, safety at MedStar Health, an assistant professor of clinical medicine at Georgetown University, and an attending physician of palliative medicine at MedStar Georgetown University Hospital. Dr. Krevat is board certified in both internal medicine and hospice and palliative medicine.

Dr. Krevat was recruited to MedStar Health to lead the development of a comprehensive safety program. He is responsible and accountable for all patient safety and risk reduction programs across MedStar Health. Under Dr. Krevat’s guidance, MedStar has implemented the tools and behaviors of a High Reliability Organization, implemented a new event review process, and leveraged the value of increasing numbers of incident reports.

Prior to joining MedStar, Dr. Krevat worked as a hospitalist and physician advisor at Virginia Mason Medical Center in Seattle where he was selected to participate in ongoing leadership training focused on the principles and tools of a management methodology based on principles of Lean management.

Dr. Krevat was selected to participate in the MedStar Leader of the Future, Physician Leadership Development Program. This 18-month program is a highly competitive program administered in conjunction with the University of Pennsylvania’s Wharton School of Executive Education.

Dr. Krevat received a Bachelor of Arts in Economics and English cum laude from Tufts University and a medical doctorate from Georgetown University School of Medicine.

Presentation(s):

Send Email for Seth Krevat


Assets

[107-L05] Using System Safety Engineering and Human Factors Safety Science to Create Meaningful Change, Part 2: The Next Generation of RCAs: Event Reviews That Actually Make a Difference

Audio

MP3 Audio

Presentation Slides

Slides

Handouts

Handout

Synchronized Presentation + Audio

Presentation + Audio


Attendees who have favorited this

Please enter your access key

The asset you are trying to access is locked. Please enter your access key to unlock.

Send Email for Using System Safety Engineering and Human Factors Safety Science to Create Meaningful Change, Part 2: The Next Generation of RCAs: Event Reviews That Actually Make a Difference