Battling a snowstorm on February 3rd, residents, nurses, faculty and administrators of New York’s Health and Hospitals Corporation gathered for a one-day conference to plan how to implement a system-wide approach to educating healthcare professionals in patient safety and promoting just culture. The goals of the conference were threefold: 1) Understand what it means to be truly “patient-centered”. 2) Improve patient safety outcomes by understanding the root causes of errors. 3) Improve communication and teamwork amongst the interdisciplinary teams.
Three CIR regional vice presidents presented at the conference. Dr. David Eshak of Jacobi Medical Center began the conference with opening remarks. Dr. Samrina Kahlon of Metropolitan Hospital Center presented alongside HHC’s Vice President of Patient Safety and Registered Nurse Mei Kong to reveal the results of a resident-led survey project to assess the level of resident understanding of patient safety literature and best practices across the HHC system. Dr. Say Salomon of Woodhull Medical Center gave a presentation on just culture and patient safety barriers to reporting.
Keynote speaker Dr. James Pelegano led attendees through a discussion and series of exercises on root cause analysis. Multi-disciplinary teams of residents, attendings, nurses and administrators workshopped scenarios to identify root causes of patient safety problems. The teams plan to take the concepts they worked through back to their respective facilities and implement root cause analyses on their services.