Harvard internist Dr. Jha is a national leader in policy issues related to safety and quality. Wed, 01 May 2013 00:00:00 GMT http://webmm.ahrq.gov/podcasts/01_May_2013_Landrigan.mp3 Christopher P. Landrigan, MD, MPH, of Brigham and Women's Hospital has performed key studies on how sleep deprivation affects clinicians and strategies to mitigate such fatigue to improve patient safety, including seminal articles published in the New England Journal of Medicine in 2004 and 2010. Mon, 01 Apr 2013 00:00:00 GMT http://webmm.ahrq.gov/podcasts/01_April_2013_Landrigan.mp3 Stanford anesthesiologist David M. Gaba, MD, helped introduce the modern full-body patient simulator and the concept of crew resource management training to health care. Fri, 01 Feb 2013 00:00:00 GMT http://webmm.ahrq.gov/podcasts/01_March_2013_Gaba.mp3 Beverley Johnson is President and Chief Executive Officer of the Institute for Patient- and Family-Centered Care. Fri, 01 Feb 2013 00:00:00 GMT http://webmm.ahrq.gov/podcasts/01_February_2013_Johnson.mp3 http://webmm.ahrq.gov The AHRQ WebM&M Perspectives on Safety audio series features excerpts of interviews with patient safety experts conducted by AHRQ WebM&M Editor Dr. Robert Wachter. en-us Thu, 30 Aug 2007 12:44:13 GMT Tue, 11 Dec 2007 12:44:13 GMT http://blogs.law.harvard.edu/tech/rss AHRQ WebM&M/UCSF AHRQ WebM&M/UCSF A leading expert in geriatrics research and innovation, Dr. Inouye developed and validated a widely used tool, the Confusion Assessment Method (CAM), to identify delirium. Sat, 01 Dec 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/03_December_2012_Inouye.mp3 A passionate advocate for the importance of the physical exam, Dr. Verghese is a Professor at Stanford University School of Medicine and a bestselling author. Thu, 01 Nov 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_November_2012_Verghese.mp3 Dr. Reiling consults with hospitals nationwide regarding facility designs that emphasize safety, error reduction, and quality. Mon, 1 Oct 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_October_2012_Reiling.mp3 Prof. Needleman has performed some of the key studies on how the nursing workforce influences health outcomes, including seminal articles published in the <i>New England Journal of Medicine</i> in 2002 and 2011. Sat, 1 Sep 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_September_2012_Needleman.mp3 An expert on patient safety in nursing homes, Dr. Castle is a Professor at the University of Pittsburgh in the Department of Health Policy and Management. Wed, 1 Aug 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_August_2012_Castle.mp3 Dr. Blumenthal recently returned to Harvard after a 2-year stint as the National Coordinator for Health Information Technology, where he was responsible for implementing the “Meaningful Use” health care IT incentive system in American hospitals and clinics. Sun, 1 Jul 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_July_2012_Blumenthal.mp3 Professor Vincent, a psychologist by training, is one of the world’s leading patient safety researchers. Tues, 1 Jun 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_June_2012_Vincent.mp3 One of the pioneers of the trigger tool methodology for detecting adverse events, Dr. Classen is Chief Medical information Officer at Pascal Metrics and Associate Professor of Medicine at the University of Utah. Tues, 1 May 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_May_2012_Classen.mp3 An attorney and chief risk officer for the University of Michigan Health System, Mr. Boothman developed a pioneering approach to medical mistakes and risk management, emphasizing an honest approach to errors, early apology, and rapid settlement offers when the system was at fault. Tues, 20 Mar 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_March_2012_Boothman.mp3 The founding Dean of Hofstra North Shore-LIJ School of Medicine, Dr. Smith has held numerous senior leadership positions within the field of medical education and residency training. Thu, 02 Feb 2012 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_February_2012_Smith.mp3 A leading expert on health care–associated falls, Ms. Hendrich developed one of the most widely used risk assessment tools. Mon, 05 Dec 2011 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_Dec_2011_Hendrich.mp3 Dr. Salas is one of the world’s leading experts in the use of simulation and teamwork training, having studied these areas extensively in a variety of fields. Thu, 03 Nov 2011 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_Nov_2011_Salas.mp3 An international leader in evidence-based medicine and quality improvement, Dr. Shekelle led an AHRQ-funded effort to better define the role of context in patient safety. Tue, 04 Oct 2011 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_Oct_2011_Shekelle.mp3 Kaveh G. Shojania, MD, is the Canada Research Chair in Patient Safety and Quality Improvement and the Director of the University of Toronto Centre for Patient Safety. Dr. Shojania is a leading expert on evidence-based patient safety strategies and translating research into practice. He led the team that produced the 2001 AHRQ evidence report, Making Health Care Safer, and was awarded a 2004 John M. Eisenberg award for his contributions to safety research. This year, he became the editor of BMJ Quality and Safety (formerly Quality and Safety in Health Care), one of the world's leading safety journals. He has written extensively about many issues in safety, including the role of incident reporting and other strategies for measuring errors and harm. Wed, 31 Aug 2011 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_Sept_2011_Shojania.mp3 William B. Munier, MD, MBA, is the Director of the Center for Quality Improvement and Patient Safety (CQuIPS) at the U.S. Agency for Healthcare Research and Quality. Dr. Munier is an experienced health care leader, having served as the president of a health care information technology software company, a partner at Ernst&Whinney, the director of the Department of Defense Civilian Peer Review of Military Care program, and the Executive Vice President of the Massachusetts Medical Society, publishers of the New England Journal of Medicine. Among his many responsibilities as Director of CQuIPS is to implement the 2005 U.S. law that authorized the formation of Patient Safety Organizations (PSOs). Thu, 14 July 2011 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_July_2011_Munier.mp3 Edward Tenner is an independent writer, speaker, and consultant on technology and culture. He received his PhD from the University of Chicago and has held visiting positions at Chicago, Princeton, Rutgers, the Smithsonian, and the Institute for Advanced Study, as well as a Guggenheim Fellowship. His book Why Things Bite Back: Technology and the Revenge of Unintended Consequences is a seminal work in patient safety and is generally credited with introducing the concept of unintended consequences, including those surrounding "safety fixes," to a general audience. His most recent book is Our Own Devices: The Past and Future of Body Technology. He is completing a new book on positive unintended consequences. Fri, 17 June 2011 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_June_2011_Tenner.mp3 Albert Wu, MD, MPH, is Professor of Health Policy and Management at the Johns Hopkins School of Public Health. A leading expert on disclosure and the psychological impact of medical errors on both patients and caregivers, he may be best known for coining the term "second victim" in a 2000 British Medical Journal article. We discussed the second victim phenomenon with him, including what is known about efforts to ameliorate the toll that serious medical errors take on providers. Wed, 11 May 2011 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_May_2011_Wu.mp3 Vineet Arora, MD, MA, is Associate Program Director for the Internal Medicine Residency and Assistant Dean of Scholarship & Discovery at the Pritzker School of Medicine for the University of Chicago. Dr. Arora's research focuses on resident duty hours, patient handoffs, medical professionalism, and quality of hospital care. She also writes a popular blog, FutureDocs, focused on issues relevant to physicians in training. We asked her to speak with us about handoffs and patient safety. Thurs, 17 March 2011 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_March_2011_Arora.mp3 Brent C. James, MD, MStat, is Chief Quality Officer and Executive Director of the Institute for Health Care Delivery Research at Intermountain Healthcare. In addition to his work for Intermountain in research and training, through his frequent and highly respected courses, he has probably educated more leaders in health care quality and systems change than anyone else in the United States. In November 2009, he was the subject of a widely read profile, entitled "Making Health Care Better," in the New York Times Sunday magazine. Wed, 2 Feb 2011 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_February_2011_James.mp3 Geri Amori, PhD, is Vice President for the Education Center at The Risk Management and Patient Safety Institute, and a popular writer and speaker. She is past president of the American Society of Healthcare Risk Management, and former director of risk management at Fletcher Allen Health Care in Burlington, VT. Her teaching about patient safety and risk management has been shaped, in part, by her previous experience as a mental health professional and as an actress. Fri, 10 Dec 2010 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_December_2010_Amori.mp3 Patrick S. Romano, MD, MPH, is Professor of Medicine and Pediatrics at the University of California, Davis, School of Medicine. His research interests include comparative effectiveness; the use of outcomes data to improve the quality and effectiveness of health care; and the role of physicians, nurses, and other professionals in optimizing the quality and safety of health care. For the past 8 years, he has served as the Clinical Lead for the Agency for Healthcare Research and Quality's Quality Indicators program, and his work has also helped inform the development of AHRQ's Patient Safety Indicators. We asked him to speak with us about measuring patient safety. Wed, 13 Oct 2010 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_October_2010_Pronovost.mp3 Peter J. Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and Health Policy at Johns Hopkins University and Director of the Johns Hopkins Quality and Safety Research Group. He may be best known for having led the Michigan Keystone project, which used checklists and other interventions to markedly reduce catheter-associated bloodstream infections in ICUs throughout the state. For this work and more, he received a MacArthur Foundation Fellowship, and Time Magazine named him as one of the 100 most influential people in the world. We asked him to speak with us about checklists and other thoughts about the science of improving patient safety. Wed, 11 Aug 2010 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_October_2010_Pronovost.mp3 Richard P. Shannon, MD, is the Frank Wister Thomas Professor of Medicine at the University of Pennsylvania School of Medicine and Chairman of the Department of Medicine. Although he was trained as a traditional academic cardiologist, Dr. Shannon is now best known for his pioneering work in reducing health care–associated infections, first at Allegheny General Hospital and now at Hospital of the University of Pennsylvania. Since he is one of the first chairs of a major academic department whose career has focused on quality and safety improvement, we asked him to speak with us about safety in academic medical centers. Wed, 11 Aug 2010 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_August_2010_Shannon.mp3 Pat Croskerry, MD, PhD, is a professor in emergency medicine at Dalhousie University in Halifax, Nova Scotia, Canada. Trained as an experimental psychologist, Dr. Croskerry went on to become an emergency medicine physician, and found himself surprised by the relatively scant amount of attention given to cognitive errors. He has gone on to become one of the world's foremost experts in safety in emergency medicine and in diagnostic errors. We spoke to him about both. Wed, 2 Jun 2010 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_May_2010_Croskerry.mp3 Janet M. Corrigan, PhD, MBA, is president and CEO of the National Quality Forum (NQF), a private, not-for-profit organization established in 1999 to develop and implement a national strategy for health care quality measurement and reporting. In 11 years, through its endorsement of measures that have fueled public reporting and pay-for-performance initiatives, and its compilation of NQF-endorsed "safe practices" and "serious reportable events," the NQF has become a key player in the safety and quality landscape. Prior to joining NQF, Dr. Corrigan was Senior Board Director at the Institute of Medicine, where she had a major hand in crafting the IOM's reports on quality and safety, including the seminal reports To Err Is Human and Crossing the Quality Chasm. Tue, 14 Apr 2010 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_April_2010_Corrigan.mp3 Thomas J. Nasca, MD, is the executive director and chief executive officer of the Accreditation Council for Graduate Medical Education (ACGME). Prior to joining the ACGME in 2007, Dr. Nasca, a nephrologist, was dean of Jefferson Medical College and Senior Vice President for Academic Affairs of Thomas Jefferson University. We asked him to speak with us about the role of the ACGME in patient safety. Tue, 9 Feb 2010 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_October_2009_Ornstein.mp3 Charles Ornstein is a senior reporter at ProPublica, a nonprofit news organization in New York. Formerly with the Los Angeles Times, he co-wrote a series of articles about medical errors at Martin Luther King Jr./Drew Medical Center, which closed in 2007; the series earned the newspaper a Pulitzer Prize for Public Service. He is also the president of the Association of Health Care Journalists. We asked him to speak with us about the role of the media in patient safety. This interview was conducted while he was still at the Times. Thu, 1 Oct 2009 12:00:00 GMT http://webmm.ahrq.gov/podcasts/01_October_2009_Ornstein.mp3 Steven Spear, DBA, MS, MS, is Senior Lecturer at Massachusetts Institute of Technology and Senior Fellow at the Institute for Healthcare Improvement. He is the author of Chasing the Rabbit: How Market Leaders Outdistance the Competition and How Great Companies Can Catch Up and Win and of many academic and consumer articles, which focus on optimizing organizational effectiveness through lessons from the auto industry and others. His work focuses on how companies can groom excellent management that leads the way to market innovation and efficient problem-solving. We asked him to speak with us about how observations from industry apply to health care. Thu, 7 May 2009 12:44:13 GMT http://webmm.ahrq.gov/podcasts/01_August_2009_Spear.mp3 William B. Weeks, MD, MBA, is Associate Professor of Psychiatry and of Community and Family Medicine at Dartmouth Medical School. His research centers on business and economics in health services delivery and how they apply to physician education, veterans in rural settings, and the quality and safety of care. We asked him to speak with us about the business case for improving patient safety. Thu, 7 May 2009 12:44:13 GMT http://webmm.ahrq.gov/podcasts/01_May_2009_Weeks.mp3 Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent standard setting and accrediting organization in health care in the United States and, increasingly, the world. Over the course of his notable career, Dr. Chassin, an emergency medicine physician, has held a variety of key positions, including New York State Health Commissioner and chair of the department of health policy at Mt. Sinai. He has published several seminal papers and was a member of the team that authored the IOM report, "To Err Is Human." We asked him to speak with us about his role at The Joint Commission, as well as future directions for the organization. Thu, 2 Apr 2009 12:44:13 GMT http://webmm.ahrq.gov/podcasts/01_April_2009_Chassin.mp3 Dean Schillinger, MD, is a Professor of Medicine at University of California, San Francisco, Director of the UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention and Control Program. His role as a practicing clinician at a safety net hospital (San Francisco General Hospital) has put him in a unique position to pursue influential and relevant research related to health literacy and improving care for vulnerable populations. Mon, 2 Mar 2009 12:44:13 GMT http://webmm.ahrq.gov/podcasts/01_March_2009_Schillinger.mp3 Thomas H. Gallagher, MD, is Associate Professor in the Department of Medicine and the Department of Medical History and Ethics at the University of Washington in Seattle. Dr. Gallagher's current research covers the disclosure of medical errors, examining patients' and doctors' attitudes about disclosure, how best to train providers to disclose and apologize for errors, and how to create a system that promotes appropriate disclosure. We asked him to speak with us about new developments in the field of patient disclosure and apologies. Wed, 28 Jan 2009 12:44:13 GMT http://webmm.ahrq.gov/podcasts/01_Jan_2009_Gallagher.mp3 Sanjay Saint, MD, MPH, is Professor of Medicine at the University of Michigan and the Ann Arbor VA Medical Center in Ann Arbor, Michigan. Dr. Saint's research has focused on reducing health care–associated infections, with a particular focus on preventing catheter-related urinary tract infections (UTIs). We asked him to speak with us about how research on UTI prevention provides broader lessons for patient safety. Fri, 14 Nov 2008 12:44:13 GMT http://webmm.ahrq.gov/podcasts/01_Nov_2008_Saint.mp3 At the University of California, San Francisco, Robert M. Wachter, MD, is Professor and Chief of the Division of Hospital Medicine; Associate Chairman of the Department of Medicine; Lynne and Marc Benioff Endowed Chair in Hospital Medicine; and Chief of the Medical Service at UCSF Medical Center. He is also Editor of AHRQ WebM&M and AHRQ Patient Safety Network. A leading expert on hospital medicine as well as patient safety, he was lead author on a recent commentary in the Joint Commission Journal on Quality and Patient Safety and coauthored a recent commentary in the Journal of the American Medical Association (JAMA) on insurers not paying for preventable complications. We asked him to speak with us about the benefits and limitations of such changes. Wed, 01 Oct 2008 12:44:13 GMT http://webmm.ahrq.gov/podcasts/01_Oct_2008_Wachter.mp3 Eric G. Poon, MD, MPH, is Director of Clinical Informatics at Brigham and Women’s Hospital and Assistant Professor of Medicine at Harvard Medical School. Dr. Poon’s research has focused on using health information technology to improve patient safety. He oversees the development and implementation of clinical applications including computerized physician order entry (CPOE) and barcode-assisted electronic medication administration record, and was lead author on the first rigorous study demonstrating the impact of a bar coding system in a hospital pharmacy. We asked him to speak with us about how such technology can augment medication safety. Tue, 26 Aug 2008 12:44:13 GMT http://webmm.ahrq.gov/podcasts/26_Aug_2008_Poon.mp3 Albert Wu, MD, MPH, is Professor of Health Policy and Management at the Johns Hopkins School of Public Health and is presently working with the World Health Organization's World Alliance for Patient Safety, based in Geneva. He is a leading expert on several aspects of patient safety, including disclosure and evaluation. He recently wrote a commentary on the use of root cause analysis in patient safety in the Journal of the American Medical Association (JAMA). Wed, 02 Jul 2008 12:44:13 GMT http://webmm.ahrq.gov/podcasts/01_July_2008_Wu.mp3 Dr. David Bates is a Professor at Harvard Medical School, Medical Director of Clinical and Quality Analysis at Partners HealthCare System, and Chief of the Division of General Internal Medicine at the Brigham and Women's Hospital. He is the Board Chair of the American Medical Informatics Association (AMIA), a member of the Institute of Medicine, and External Program Leader, Patient Safety Research, WHO World Health Alliance for Patient Safety. Dr. Bates is one of the world's preeminent researchers in the areas of medication safety as well as the implementation of information technology (IT) systems and their impact on patient safety outcomes. Through his many roles at Harvard, he has also trained and mentored many of the leading lights in the information technology field. He has won numerous awards in the patient safety and IT worlds, including the John M. Eisenberg Award for Excellence in Patient Safety Research and the Award of Honor from the Association of Health-Systems Pharmacists. We spoke to him about the present state of information technology. Wed, 14 May 2008 12:44:13 GMT http://webmm.ahrq.gov/podcasts/14_may_2008_bates.mp3 Dr. Rosen is Medical Director of the Inpatient Specialty Program (ISP) Hospitalist service at Cedars-Sinai Medical Center. He also assists with the operation of Cedars-Sinai's innovative Procedure Center, which provides numerous procedural services for inpatients and outpatients. This Center and Dr. Rosen's work have been featured in articles in the Wall Street Journal and elsewhere. In this conversation, we explore the value of a dedicated procedure center and the emergence of specialized physicians to staff them ("proceduralists") and the challenges inherent in teaching novices how to perform risky procedures without harming patient safety. Thu, 06 Mar 2008 12:44:13 GMT http://webmm.ahrq.gov/podcasts/03_mar_2008_rosen.mp3 Jennifer Daley, MD, is the Chief Medical Officer of Partners Community Healthcare Inc., the organization for the 6000 physicians employed/affiliated with Partners HealthCare System (which includes Massachusetts General and Brigham & Women's Hospitals). From 2002 to 2007, she was the Chief Medical Officer for Tenet Healthcare, one of the nation's largest hospital systems, where she was responsible for the development and implementation of Tenet's Commitment to Quality (C2Q). Her academic background (including her previous directorship of the Center for Health Systems Design and Evaluation in the Institute for Health Policy at Massachusetts General Hospital and Partners HealthCare) and her years of leadership at a huge multistate private sector system provide her with a unique perch from which to view patient safety implementation in complex systems. Thu, 24 Jan 2008 12:44:13 GMT http://webmm.ahrq.gov/podcasts/01_jan_2008_daley.mp3 Eric A. Coleman, MD, MPH, is Associate Professor of Medicine at the University of Colorado. Trained in both geriatrics and health services research, Dr. Coleman has emerged as one of the world's leading authorities on issues surrounding transitions of care, particularly between acute and postacute settings. His care model, the Care Transitions Intervention, is being adopted by leading health care organizations around the country. The Intervention has been associated with significant decreases in rehospitalization rates. Tue, 11 Dec 2007 12:44:13 GMT http://webmm.ahrq.gov/podcasts/12_dec_2007_coleman.mp3 An engineer and an attorney by training, David Marx, JD, is president of Outcome Engineering, a risk management firm. After a career focused on safety assessment and improvement in aviation, he has spent the last decade focusing on the interface between systems engineering, human factors, and the law. In 2001, he wrote a seminal paper describing the concept of just culture, which became a focal point for efforts to reconcile notions of "no blame" and "accountability." He has gone on to form the "Just Culture Community" to address these issues at health care institutions around the country. Tue, 30 Oct 2007 12:44:13 GMT http://webmm.ahrq.gov/podcasts/10_oct_2007_marx.mp3 Atul Gawande, MD, MA, MPH, Associate Professor of Surgery at Harvard Medical School and the Harvard School of Public Health, is an accomplished surgeon and writer and is the recipient of a 2006 MacArthur Fellowship. He is an active clinician at Brigham and Women's Hospital and the Dana Farber Cancer Institute. Dr. Gawande has written two acclaimed and best-selling books: Complications: A Surgeon's Notes on an Imperfect Science and Better: A Surgeon's Notes on Performance. A staff writer for the New Yorker, he also recently completed a stint as a guest columnist for the New York Times. Dr. Gawande is leading the World Health Organization's Second Global Patient Safety Challenge: "Safe Surgery Saves Lives." We asked him to speak with us about professionalism, training, patient safety, and the writing process. Thu, 30 Aug 2007 12:44:13 GMT http://webmm.ahrq.gov/podcasts/09_sept_2007_gawande.mp3 James L. Reinertsen, MD, heads the Reinertsen Group, a prominent health care consulting firm based in Wyoming. Prior to that, he was CEO at Beth Israel Deaconess Medical Center, where he developed a reputation for his unwavering focus on safety and quality. He is also a senior faculty member at the Institute for Healthcare Improvement (IHI), where he has taken a role in teaching leadership skills and promoting the engagement of health care boards and "C-suites" in patient safety efforts. He was a prime driver behind the IHI's decision to include the "Boards on Board" initiative as part of its recent 5 Million Lives Campaign. We asked him to speak with us about the role of boards in improving patient safety. Wed, 01 Aug 2007 12:44:13 GMT http://webmm.ahrq.gov/podcasts/09_sept_2007_reinertsen.mp3