Vineet Arora, MD, MAPP
Dr. Arora is Director of GME Clinical Learning Environment Innovation and responsible for integrating
residents into the quality and safety mission at the University of Chicago.
Her work on quality and safety of care in teaching hospitals, including resident fatigue and
patient handoffs, has resulted in over 100 peer reviewed publications and media coverage by the New York
Times, CNN, ABC News, and Reuters, and numerous awards from professional societies such as the Society of Hospital Medicine,
the Association of American Medical Colleges, the Society of General Internal Medicine, and the American College of Physicians.
Dr. Arora's video vignettes on patient safety issues in residency training have garnered over 30,000 views on media sharing
sites YouTube and Slideshare and is used in institutions across the country by medical educators. As Assistant Dean for
Scholarship and Discovery for the Pritzker School of Medicine, Dr. Arora paved the way for the launch of a new Quality and
Safety Track, a 4-year curriculum to cultivate student leaders in these areas and has served as faculty advisor for the
Institute for Healthcare Improvement Open School. As the Director of Educational Initiatives at Costs of Care, a 501c3
non-profit organization, she helped launch TeachingValue.org, a website that houses educational modules to teach trainees
about value. She currently serves on the Editorial Board of the Joint Commission Journal of Quality and Safety, and
the Social Media Deputy Editor for the Journal of Hospital Medicine. For her body of work, Dr. Arora was named as one of
the "20 people who make healthcare better" by Health Leaders Magazine in 2011 and a "Top Hospitalist" by ACP Hospitalist
Magazine in 2009. Her work has been funded by the Agency for Healthcare Research and Quality, National Institute on Aging,
National Institute on General Medical Sciences, the John A. Hartford Foundation, the Picker Institute, Gold Foundation, ABIM
Foundation, and the ACGME. As an academic hospitalist, Dr. Arora supervises medical trainees caring for hospitalized patients.
She actively tweets about medical education at @futuredocs and blogs occasionally at futuredocsblog.com.
Pascale Carayon, PhD
Dr. Carayon is Procter & Gamble Bascom Professor in Total Quality in the Department of Industrial and Systems
Engineering and the Director of the Center for Quality and Productivity Improvement (CQPI) at the University of
Wisconsin-Madison. She leads the Systems Engineering Initiative for Patient Safety (SEIPS) at the University of
Wisconsin-Madison (http://cqpi.engr.wisc.edu/seips_home). SEIPS is an internationally known interdisciplinary
research program that brings together researchers from human factors and ergonomics with researchers from medicine,
surgery, nursing, pharmacy, and health services research. Professor Carayon received her Engineer diploma from the
Ecole Centrale de Paris, France, in 1984 and her PhD in Industrial Engineering from the University of Wisconsin-Madison
Professor Carayon’s research belongs to the discipline of human factors and ergonomics,
in particular macroergonomics. Her scholarly contributions aimed at modeling, assessing, and improving work systems
(i.e., the system of tasks performed by individuals using various technologies in a physical and organizational
environment) in order to improve system performance and worker well-being. Her research has been funded by the Agency
for Healthcare Research and Quality, the National Science Foundation, the National Institutes for Health, the National
Institute for Occupational Safety and Health, the Department of Defense, various foundations and private industry. She
is a Fellow of the Human Factors and Ergonomics Society and a Fellow of the International Ergonomics Association. She
is the recipient of the International Ergonomics Association Triennial Distinguished Service Award (2012), and is the
first woman to receive this prestigious award. She has published 100 papers and over 220 conference papers and 30
technical reports, and is currently the Co-Editor-in-Chief of Applied Ergonomics. She is the editor of the Handbook of
Human Factors and Ergonomics in Health Care and Patient Safety. She is a member of the National Research Council Board on
Michael Cohen, RPh, MS, ScD
Dr. Cohen is president of the Institute for Safe Medication Practices (ISMP), a non-profit health care organization
that operates the voluntary and confidential ISMP Medication Error Reporting Program (MERP). Through ISMP, MERP
medical professionals and consumers learn about the causes of medication errors and error-reduction strategies are
shared with the health care community, policy makers, and the public. He is a pharmacy graduate of Temple University
School of Pharmacy, holds a master's degree from Temple, and has received honorary doctor of science degrees from the
University of Sciences and Long Island University as well as a doctor of public service degree from the University of
Dr. Cohen serves as vice chair of the Patient Safety Advisory Group for The Joint Commission and is a member of
the FDA Nonprescription Drugs Advisory Committee.
In 2005, he was awarded a MacArthur Fellowship by the John D. and Catherine T. MacArthur Foundation.
He was also the 2008 recipient of the John Eisenberg Award for Patient Safety given jointly by The Joint
Commission and the National Quality Forum.
Pat Croskerry, MD, PhD, FRCP (Edin)
Dr. Croskerry is Professor of Emergency Medicine and Director of the Critical Thinking Program at Dalhousie University
Medical School in Halifax, Nova Scotia, Canada. He also holds a PhD in experimental psychology and fellowship training
in clinical psychology. His main interest lies in patient safety and clinical decision making, especially the impact of
cognitive and affective biases on the diagnostic process. He was a member of the organizing committee of the first
conference on Diagnostic Error in Medicine in Phoenix, Arizona in 2008, and has been a regular contributor to the annual
conferences since then. He has published widely in the area of patient safety and medical education reform and is senior
editor on a major text, Patient Safety in Emergency Medicine, published in 2008. He has given over 500 invited
presentations on health care safety and clinical decision making at provincial, national, and international levels.
Nancy Elder, MD, MSPH
Dr. Elder is Professor and Director of Research at the University of Cincinnati Department of Family and
Community Medicine. Dr. Elder received her medical degree from the University of Minnesota and finished a
family medicine residency at Good Samaritan Medical Center in Phoenix, Arizona. She was in practice in
Arizona and Africa for 4 years before completing an Academic Family Medicine Fellowship and receiving a
master's degree in public health at the University of Missouri–Columbia. Dr. Elder then joined the faculty
at Oregon Health and Sciences University in 1992, and in 2000 she moved to her present position at the
University of Cincinnati.
Dr. Elder's personal research has focused on quality and safety in the outpatient, primary care setting. With funding
from the National Patient Safety Foundation and the Agency for Healthcare Research and Quality, she has studied the
testing process in primary care, systems for quality and safety in the office setting, and patient empowerment for
safety and quality in primary care. Dr. Elder has served on task forces and advisory boards on ambulatory patient
safety and laboratory safety for the National Patient Safety Foundation, the Centers for Disease Control and
Prevention, the National Quality Forum, and the American Medical Association. Dr. Elder maintains an active
clinical practice caring for homeless patients through the Cincinnati Health Care for the Homeless Program.
Thomas H. Gallagher, MD
Dr. Gallagher is a general internist who is a Professor in the Department of Medicine and the Department of
Bioethics and Humanities at the University of Washington. Dr. Gallagher received his medical degree from
Harvard University, Cambridge, Massachusetts, completed his residency in Internal Medicine at Barnes Hospital,
Washington University, St. Louis, and completed a fellowship in the Robert Wood Johnson Clinical Scholars
Program, University of California, San Francisco.
Dr. Gallagher’s research addresses the interfaces between healthcare quality, communication, and
transparency. Dr. Gallagher has published over 70 articles and book chapters on patient safety and
error disclosure, which have appeared in leading journals including JAMA, New England Journal of
Medicine, Health Affairs, Surgery, Journal of Clinical Oncology, Archives of Internal Medicine,
Archives of Pediatric and Adolescent Medicine, and the Joint Commission Journal. His work in error
disclosure received the 2004 Best Published Research Paper of the Year award from the Society of General
Internal Medicine, as well as the 2012 MITSS Hope Award. He also received a Robert Wood Johnson
Foundation Investigator Award in Health Policy Research. He is the principal investigator on two grants
from the Agency for Healthcare Research and Quality, including an AHRQ patient safety and medical
liability demonstration project entitled “Communication to Prevent and Respond to Medical Injuries:
WA State Collaborative.” He also is principal investigator on grants from the National Cancer
Institute, the Robert Wood Johnson Foundation, and the Greenwall Foundation. He is senior author
of the book Talking with Patients and Families About Medical Errors: A Guide for Education and
Practice, published in 2011 by The Johns Hopkins University Press. At the University of Washington,
he directs the UW Medicine Center for Scholarship in Patient Care Quality and Safety, and also
directs the UW Program in Hospital Medicine. He is an appointed Commissioner on the National Commission
on Physician Payment Reform.
Dr. Gallagher is an active member of many professional organizations, including the American College of
Physicians (Fellow) and the American Society of Bioethics and Humanities. He was recently elected to the
Council (Board of Directors) for the Society of General Internal Medicine.
Paul A. Gluck, MD
Dr. Gluck is an Associate Clinical Professor in the Department of Obstetrics and Gynecology at the University of Miami Miller School of Medicine in Miami, FL. Dr. Gluck received his Doctor of Medicine degree from the New York University School of Medicine after earning a bachelor's of science degree in Life Sciences from the Massachusetts Institute of Technology. He completed his postgraduate training in obstetrics and gynecology at the University of Miami School of Medicine, where he remains on the voluntary faculty as Associate Clinical Professor. After 32 years, he retired from private practice to pursue his passion and completed a Patient Safety Fellowship at the University of Miami Center for Patient Safety. He is now Senior Medical Consultant for Stevens & Lee in Lancaster PA engaged in risk management and patient safety consultation for health systems, hospitals and physician practices.
Dr. Gluck has served on numerous community and state boards. He was President or Chair of the William A. Little OB/GYN Society, Miami OB/GYN Society, Florida OB/GYN Society, Baptist Health System Foundation, Health Council of South Florida, Florida Section American College of Obstetricians and Gynecologists (ACOG), and Dade County Medical Association. Currently, he is (eliminate Immediate) Past Chair of the Board of the National Patient Safety Foundation and is the initial Chair of the ACOG Council for Patient Safety.
Dr. Gluck is frequently called upon as a speaker on quality improvement, patient safety, and professional liability. Specifically on the topic of patient safety, he has given over 200 presentations, authored 8 articles and 5 book chapters, edited a Clinics of North America monograph, moderated an ACOG Audio Update, given postgraduate courses, and developed web-based learning modules. He served on two National Quality Forum Technical Advisory Committees to standardize error reporting and two AHRQ committees to award research grants for safety implementation and simulation initiatives and was a consultant to RAND for evaluating team function in high-risk environments.
Caprice Christian Greenberg, MD, MPH
Dr. Greenberg is an Associate Professor of Surgery at the University of Wisconsin, where she is the Director for the Wisconsin Surgical Outcomes Research Program and the inaugural recipient of the endowed WARF Professor of Surgical Research. Dr. Greenberg maintains a federally funded research program with active mentorship of graduate students and post-doctoral research fellows. Her research focuses on both patient safety and comparative effectiveness research. At UW, she collaborates closely with the systems and industrial engineering department to study the role of system, team and individual performance in surgery, as well as devising novel approaches to improving performance in the operating room. She is also studies practice patterns, quality of care and comparative effectiveness in surgical oncology, particularly related to breast cancer. Her research has been funded by NCI, AHRQ, UW CTSA, and several foundations. Dr. Greenberg is currently the President of Surgical Outcomes Club, a national organization that she co-founded and serves on the AAS Executive Council and the Editorial Advisory Board for the Pennsylvania Patient Safety Advisory.
John L. Haughom, MD
Dr. Haughom is corporate Senior Vice President of Clinical Quality and Patient Safety for PeaceHealth. In this role, he is responsible for clinical improvement, patient safety initiatives, health services research, outcomes measurement, and all information systems initiatives including the Community Health Record, a computer-based medical record system providing support across the continuum of care to physician groups and regional health care facilities in three states (Oregon, Washington, and Alaska). In addition to an electronic medical record, features of the Community Health Record include physician order entry, real-time decision support, chronic disease registries, a robust analytical environment supported by an advanced data warehouse, and advanced secure access to clinical information for patients online. Dr. Haughom previously served as Chairman of the Board for the Health Technology Center (HealthTech), a research organization focused on improving health care through technology-enabled innovation. He is also a Clinical Assistant Professor in the Department of Medical Informatics at the Oregon Health Sciences University in Portland, OR.
Prior to this, Dr. Haughom served as the corporation's Chief Medical Officer and the Director of Health Services Research and Development. He also has 15 years of clinical practice experience.
Dr. Haughom received a bachelor's degree in economics from the University of Colorado and his medical degree from University of California, San Francisco. He completed a year of study in medical informatics at the University of Utah in 1996. Dr. Haughom has dual board certification in internal medicine and gastroenterology. Under Dr. Haughom's leadership, PeaceHealth was selected as a finalist among 226 applicants for the Robert Wood Johnson Pursuing Perfection grant to work with Don Berwick's Institute for Healthcare Improvement to systematically improve health care quality. Dr. Haughom has also been selected by 60 national experts as one of the nation's Top Ten Health Care IT Innovators.
David R. Hunt, MD, FACs
Dr. Hunt joined the Office of the National Coordinator (ONC) for Health Information Technology in October 2007. He currently serves as Medical Director in the Office of Provider Adoption and Support (OPAS).
Prior to joining ONC, he served at the Centers for Medicare & Medicaid Services (CMS) in Baltimore from 2002 through 2007. There, he led the measure development, design, testing, and implementation of the Surgical Care Improvement Project (SCIP) as well as the Medicare Patient Safety Monitoring System (MPSMS), a nationwide surveillance project aimed at identifying the rates of specific adverse events within the Medicare population.
Dr. Hunt, a native of Baltimore, MD, attended public schools and graduated high school from the Baltimore Polytechnic Institute. After receiving an undergraduate degree from the University of Rochester in New York, he attended Howard University College of Medicine, and graduated with a medical degree in 1984. A diplomate of the American Board of Surgery, Dr. Hunt completed his residency in surgery at Howard University and is licensed to practice medicine in the District of Columbia. Practicing in both private and academic settings, Dr. Hunt served as a Clinical Assistant Professor of Surgery at Howard University and as chair of surgical peer review at various hospitals in the Washington metropolitan area, and has been a fellow of the American College of Surgeons since 1993. He has served on the Safe Practices Consensus Committee of the National Quality Forum since 2005, and in March 2009 he was appointed to the Federal Coordinating Council for Comparative Effective Research.
Susy Jeng, MD
Dr. Jeng is an Assistant Clinical Professor of Child Neurology at Stanford University. She received a
bachelor's degree from Harvard College and her medical degree from the University of California,
San Diego. She completed her pediatrics and child neurology training at University of California,
San Francisco and is board-certified in pediatrics and in neurology. She currently serves on the
Long-Range Planning Committee of the Child Neurology Society.
Ashish Jha, MD, MPH
Dr. Jha is Professor of Health Policy at the Harvard School of Public Health and a practicing internal
medicine physician at the VA Boston Healthcare System. Over the past five years, he has served as Special
Advisor for Quality and Safety to the Department of Veterans Affairs.
Dr. Jha received his MD from Harvard Medical School and trained in Internal Medicine at the University
of California, San Francisco where he also served as Chief Medical Resident. He completed his General
Medicine fellowship from Brigham and Women’s Hospital and Harvard Medical School and received his MPH
from Harvard School of Public Health.
Dr. Jha’s major research interests lie in improving the quality and costs of healthcare with a specific
focus on the impact of current state and federal policy efforts. His work has focused on four primary areas:
public reporting, pay-for-performance, health information technology, and leadership, and the roles they play
in fixing the U.S. healthcare delivery system.
Christopher Landrigan, MD, MPH
Dr. Landrigan is Associate Professor of Medicine and Pediatrics at Harvard Medical School, Research and Fellowship Director of the Inpatient Pediatrics Service at Boston Children's Hospital, Director of the Sleep and Patient Safety Program at Brigham and Women's Hospital, and a practicing pediatric hospitalist. He has been studying the quality and safety of hospital care for 15 years. His research has evaluated efficiency and outcomes of care in pediatric hospitalist systems, as well as patient safety across pediatric and adult inpatient settings. His primary focus has been studying the effects of resident sleep deprivation, teamwork, and handoffs on patient safety. Dr. Landrigan has also led a series of studies evaluating the epidemiology of medical error and adverse events, the relationship between resident depression and patient safety, and the effects of computerized order entry systems on rates of medication errors. His current work focuses on evaluating the effectiveness of diverse approaches to reducing fatigue-related error, improving handoffs of care, and translating safety research into policy and practice.
Peter Pronovost, MD, PhD, FCCM
Dr. Pronovost is a world-renowned patient safety champion and a practicing critical care physician.
His scientific work leveraging checklists to reduce catheter-related bloodstream infections has saved
thousands of lives and earned him high-profile accolades, including being named one of the 100 most
influential people in the world by Time Magazine
and receiving a coveted MacArthur Foundation
“genius grant” in 2008. Elected to the Institute of Medicine in 2011, Dr. Pronovost is an advisor to
the World Health Organizations’ World Alliance for Patient Safety and regularly addresses the U.S.
Congress on patient safety issues. He is Senior Vice President of Patient Safety and Quality and Director
of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine. Dr. Pronovost blogs
about eliminating preventable patient harm and achieving low-cost outcomes at his blog
Points from Pronovost
Stephen Raab, MD
Dr. Raab is Professor of Pathology, University of Washington, Seattle, Washington. Dr. Raab practices
anatomic pathology and performs health services research in laboratory medicine patient safety, culture, and
implementation and dissemination science. Dr. Raab and his team have received funding from AHRQ, Centers
for Disease Control and Prevention, Jewish Healthcare Foundation, and College of American Pathologists (CAP).
Dr. Raab has received the international Papanicolaou Award and the CAP Lansky and Humanitarian Awards for his
national and international focus on laboratory medicine quality outcomes and commitment to patient care.
Dr. Raab received his undergraduate degree in philosophy at the University of Pennsylvania and his medical
degree at the State University of New York at Syracuse. His postgraduate training was completed at
Washington University, East Carolina University, and Stanford University. Dr. Raab has published over
190 articles on quality and safety in diagnostic testing and is the Editor-in-Chief of Pathology and
Laboratory Medicine. His current research involves the implementation of Lean practices, transformational
leadership, and the development of simulation training in diagnostic testing services.
William M. Sage, MD, JD
Dr. Sage, an authority on health law and policy, is Vice Provost for Health Affairs and James R. Dougherty
Chair for Faculty Excellence at the University of Texas at Austin. He is a member of the Institute of
Medicine of the National Academies and serves on the Fellows Council of the Hastings Center on bioethics
and the editorial board of Health Affairs. He holds degrees from Harvard and Stanford and has practice
experience in both medicine and law. In 1993, he headed four working groups of the Clinton
Administration's Task Force on Health Care Reform.
Before joining the UT faculty in 2006, he was professor of law at Columbia University, and has had visiting
appointments at Yale, Harvard, and Duke. Dr. Sage's edited books include Medical Malpractice and the U.S. Health
Care System and Uncertain Times: Kenneth Arrow and the Changing Economics of Health Care. He has written over
125 articles in publications such as JAMA, Health Affairs, the Journal of Health Politics, Policy and Law, and
the law reviews of Columbia, Duke, Georgetown, Texas, and Vanderbilt.
Eduardo Salas, PhD
Dr. Salas is University Trustee Chair and Pegasus Professor of Psychology at the University of Central Florida (UCF). He is also Program Director for Human Systems Integration Research Department at UCF's Institute for Simulation & Training. Previously, he was a Senior Research Psychologist and Head of the Training Technology Development Branch of NAVAIR Orlando for 15 years.
Salas has co-authored over 350 journal articles and book chapters and has
co-edited over 20 books. He has been on 20 editorial boards, was Editor of Human Factors, and is currently
Associate Editor for the Journal of
Applied Psychology. In addition, he has edited three Special Issues (on
training, patient safety, and decision making in complex environments) for the Human Factors journal. He has edited
other Special Issues on team training and performance and training evaluation (Military Psychology), shared cognition (Journal of Organizational Behavior), and
simulation and training (International
Journal of Aviation Psychology). He is also very active with Society for
Industrial and Organizational Psychology (SIOP). He is currently the President
of the Society and Series Editor of the Organizational Frontier book series.
Dr. Salas is a Fellow of the American Psychological Association (SIOP and
Divisions 19, 21 & 49), the Human Factors and Ergonomics Society, and the
Association for Psychological Science. In 1984, he received his PhD in
industrial and organizational psychology from Old Dominion University.
His expertise includes helping organizations foster teamwork, design and implement team training strategies, facilitate training effectiveness, manage decision making under stress, develop performance measurement tools, and design learning- and simulation-based environments. He is currently working on designing tools, instructional strategies, and techniques to minimize human errors in aviation, law enforcement, and medical environments.