11:15 am-12:15 pm
Room: 301 ABC West
Using High Reliability Processes to Structure and Optimize Patient Safety Programs
Presenters: Cathy E. Duquette, PhD RN NEA-BC CPHQ FNAHQ, and Nidia Williams, PhD MBB CPHQ FNAHQ
This session will outline how Lifespan redesigned and optimized event review workflow processes, and introduced high-reliability concepts and tools for comprehensive root cause analysis and serious event investigation. The optimized event review processes have enabled Lifespan to improve identification of the causal failures responsible for reported incidents and medical errors. By using TapRooT, Apparent Cause Analysis (ACA), and Failure Mode and Effects Analysis (FMEA), process failure points are more readily identified so that specific corrective actions aimed at process and system redesign can be implemented. This session will also describe how to develop and implement a structure of accountability for tracking, review, and approval of associated corrective action plans along with mechanisms to measure the effectiveness of improvement efforts and minimize event recurrence. Data to demonstrate the effectiveness of the program will be shared.
- Optimize your event reporting and serious event investigation processes as part of your patient safety program
- Craft corrective action plans that are aimed at eliminating the root causes of failure(s) leads to implementing more robust and effective improvements
- Design a structure of accountability for tracking improvement plans in order to measure the effectiveness of corrective actions, and mitigate the opportunity for event re-occurrence
Dr. Cathy Duquette is currently Executive Vice President for Nursing Affairs for Lifespan. In this role, she is responsible for co-leading the system strategy for quality, safety and patient experience, as well as leading the organization's efforts to implement Lean and Six Sigma across the health system. Dr. Duquette was certified as a Six Sigma Black Belt in 2014. She is an active member of NAHQ and was inducted as a NAHQ Fellow in 2013. Since 2010, she has served on the editorial board of the Journal for Healthcare Quality, currently serving as Associate Editor. She authored the leadership and management module of Q Solutions: Essential Resources for the Healthcare Quality Professional, 3rd edition (2012) and has been published in professional journals. She has served on a number of state and national task forces involving leadership development, hospital performance measurement, quality improvement, public reporting, and nursing workforce.
Dr. Nidia Williams is Vice President of Operational Excellence (OpX) for Lifespan in Providence, RI, where she is responsible for providing operational oversight for core quality and patient safety functions, including coordinating process and performance improvement initiatives for achieving clinical, operational, and service excellence. She received her Bachelor and Master degrees in Speech/Language Pathology from UMass/Amherst and completed post-graduate level studies at Boston University School of Medicine. Additionally, she is a certified TapRooT® Instructor and has participated as a Baldrige examiner in the Massachusetts MassExcellence program. Dr. Williams earned her Lean certification and Six Sigma Black Belt and Master Black Belt at the Executive Development Center at Bryant University in Rhode Island and received her PhD in Population Health at Northeastern University in Boston, MA. Dr. Williams was awarded fellowship in NAHQ in 2017 and currently serves on the editorial board for the Journal for Healthcare Quality, and chairs the NAHQ Competencies Commission.