Purpose, Audience, Author, and Acknowledgements

Purpose
Program participants will:

Understand successful implementation of practical changes that improve safety and reduce adverse events for hospitalized patients
Realize the importance of issues of organizational and professional culture in attempting to implement change
Understand how to foster transparency and a "culture of safety"
Learn how to analyze the root causes of an adverse event, and to transform that learning into gains in quality and safety
Recognize the potential for preventing recurring problems through process redesign
Discuss hands-on examples of changes that have improved quality and safety in hospitals in Michigan

Audience
This course is designed for clinician leaders (physicians, nurses, pharmacists, other health professionals) and administrators (CEOs, COOs, QI department leaders, risk managers) responsible for patient safety in hospital settings.

Acknowledgements

Faculty
Robert M. Wachter, MD Professor and Associate Chair Department of Medicine University of California at San Francisco San Francisco, California Shon A. Dwyer, BSN, MBA, RN Corporate Director Quality Improvement U of M Hospitals and Health Centers Ann Arbor, Michigan Darrell A. Campbell, Jr., MD Professor Section of General Surgery Department of Surgery Chief of Clinical Affairs U of M Hospitals and Health Centers Ann Arbor, Michigan	Sanjay Saint, MD, MPH Associate Professor Division of General Medicine Department of Internal Medicine Director, Patient Safety Enhancement Program U of M Health System Research Scientist Ann Arbor VA Medical Center Ann Arbor, Michigan David A. Herz, MD Director Neuroscience Program St. Mary’s Mercy Medical Center Trinity Health System Grand Rapids, Michigan
Panelists:
John W. Gosbee, MD, MS Director, Patient Safety Information Systems Department of Veterans Affairs National Center for Patient Safety Ann Arbor, Michigan Paul Conlon, PharmD, JD Trinity Health Novi, Michigan Ralph Cerny, BA, MHA President and Chief Executive Officer Munson Medical Center Traverse City, Michigan	Margaret M. Calarco, MSN, PhD Associate Hospital Director and Chief of Nursing Services U of M Hospitals and Health Centers Associate Dean for Clinical Affairs University of Michigan School of Nursing Paul O. Farr, MD Speaker of the House Michigan State Medical Scoiety
Reviewer:
John E. Billi, MD Associate Professor Division of General Medicine Department of Internal Medicine Associate Dean for Clinical Affairs University of Michigan Medical School Associate Vice President for Medical Affairs University of Michigan Ann Arbor, Michigan

Author disclosures. The University of Michigan Medical School endorses the Standards of the Accreditation Council for Continuing Medical Education and the Guidelines of the Association of American Medical Colleges that the sponsors of continuing medical education activities and the speakers at these activities disclose significant relationships with commercial companies whose products are discussed in educational presentations. Disclosure of a relationship is not intended to suggest or condone bias in any presentation, but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Significant relationships exist with the following companies whose products will be discussed.

Sponsor/Faculty Member	Nature of Relationship	Company
Sanjay Saint, MD, MPH	Grant/Research Support Consultant	AETNA Quality Care AVENTIS

All of the following speakers have informed OCME that they have no relationships with companies whose products will be discussed.

John E. Billi, MD	Margaret M. Calarco, PhD, RN
Darrell A. Campbell, Jr., MD	Paul O. Farr, MD
Ralph Cerny, BA, MHA	John W. Gosbee, MD, MS
Paul Conlon, PharmD, JD	David A. Herz, MD
Shon A. Dwyer, BSN, MBA, RN	Robert M. Wachter, MD

Other Acknowledgements
Oversight and Accreditation:	Arlene Bradford, BA Assistant Director Office of Continuing Medical Education University of Michigan Medical School
Managing Editor:	Jeanne M. Kin, JD, MHA Staff Associate Medical School Administration University of Michigan Ann Arbor, Michigan
Co-Editor:	Marilynn M. Rosenthal BA, MA, PhD Professor of Sociology Department of Behavioral Sciences Director, Program in Health Policy Studies U of M Dearborn Adjunct Professor Division of General Medicine Department of Internal Medicine Director, U of M Forum on Health Policy University of Michigan Ann Arbor, Michigan
Web site design and maintenance:	BMC Media Dept. of Medical Education University of Michigan Medical School Ann Arbor, Michigan

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