Jbara Patient safety Quality and Leadership Program

Training To Become A Healthcare Leader

The Jbara online Patient Safety Quality and Leadership Program delivers core concepts and tools to be an effective patient safety champion in your hospital, clinical department or unit/clinic. The program’s 10 modules, which can be taken anywhere and at any time, delve into core concepts in such areas as:

  1. Safety leadership: what would you do the first day as a patient safety officer
  2. Systems and cultures of care–clinical microsystems
  3. Engagement of clinicians and management
  4. Designing safer care delivery systems a human factors approach
  5. Recognize the importance of collaboration and effective communication
  6. Assessing and improving teamwork performance
  7. Successful event investigation and analysis
  8. Understanding variation statistical process control charts
  9. Qualitative methods in safety and quality
  10. Evaluating Safety and Quality Interventions

1. What would you do the first day as a Patient Safety Officer

Tucker A, Nembhard I, Edmondson A. Implementing New Practices: An Empirical Study of Organizational Learning in Hospital Intensive Care Units, 2006.

Barach P and Phelps G. Clinical sensemaking: a systematic approach to reduce the impact of normalised deviance in the medical profession. Journal of the Royal Society of Medicine 2013; 106(10) 387–390 DOI: 10.1177/0141076813505045.

Wang A; Ahmed, R; Ray J; Hughes P; Eric McCoy E; Marc A. Auerbach, A, Barach P. Supporting the Quadruple Aim Using Simulation and Human Factors During COVID-19 Care. American Journal of Quality, AJMQ-2020-289.R1.

2. Understanding variation Statistical Process Control Charts

Perla, JP; Provost, LP; Murray, SK. The Run Chart: A Simple Analytical Tool for Learning from Variation in Healthcare Processes. BMJ Qual Saf 2011;20:46e51. doi:10.1136/bmjqs.2009.037895.

Mohammed, MA; Worthington, P; Woodall, WH. Plotting Basic Control Charts: Tutorial Notes for Healthcare Practitioners. Qual Saf Health Care 2008;17:137–145. doi:10.1136/qshc.2004.012047.

How to choose the right control chart

When to recalculate the control limits

Control Chart Tutorial

Carey RG. Improving Healthcare with Control Charts: Basic and Advanced SPC Methods and Case Studies. Milwaukee: ASQ Press. 2003

3. Successful event investigation and analysis

Cassin B, Barach P. Making Sense of Root Cause Analysis Investigations of Surgery- Related Adverse Events. Surg Clin North America 2012, 1-15, doi:10.1016/j.suc.2011.12.008.

Cassin B, Barach P. Balancing Clinical Team Perceptions of the Workplace: Applying ‘work domain analysis’ to Pediatric Cardiac Care. Progress In Pediatric Cardiology, 10.1016/j.ppedcard.2011.12.005.

Nebeker, J., Samore, M., Barach, P. Clarifying Adverse Drug Events: A Clinicians guide to Terminology, Documentation, and Reporting. Annals of Internal Medicine, 2004; 140(10):1-8.

Barach, P., Small DS. Reporting and preventing medical mishaps: Lessons from non- medical near miss reporting systems. British Medical Journal 2000; 320:753-763.

Dekker S. Drift into Failure: From Hunting Broken Parts to Understanding Complex Systems, 2011, Ashgate, ISBN-10: 1409422216.

4. Systems of Care--Clinical microsystems

Mohr, J., Batalden, P., Barach, P. Integrating Patient Safety into the Clinical Microsystem, Quality and Safety in Healthcare 2004;13:34-38.

Barach P, Johnson J. Safety by Design: Understanding the dynamic complexity of redesigning care around the clinical microsystem. Qual Saf Health Care 2006; 15 (Suppl 1): i10-i16.

5. Engagement of Clinicians and Management

Implementation Guide AHA/HRET HEN Implementation Guide Part 1. Updated September 2014

6. Recognize the importance of collaboration and effective communication

Abraham J, Kannampallil TG, Vimla L. P, Bridging gaps in handoffs: A continuity of care based approach. Journal of Biomedical Informatics 45 (2012) 240–254.

V Arora, J Johnson, D Lovinger, HJ Humphrey, DO Meltzer. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Health Care. 2005 Dec;14(6):401-7. PMC1744089.

Hesselink G, Schoonhoven L, Barach P, Spijker A, Gademan P, Kalkman C, Liefers J, Vernooij- Dassen M, Wollersheim W; Improving Patient Handovers From Hospital to Primary Care. A Systematic Review. Annals of Internal Medicine. 2012 Sep;157(6):417- 428.

Hesselink G , Vernooij-Dassen M, Barach P, Pijnenborg L, Gademan P, Johnson JK, Schoonhoven., Wollersheim H. Organizational culture: an important context for addressing and improving hospital to community patient discharge. Medical Care, 2012; doi: 10.1097/MLR.0b013e31827632ec.

7. Patient Safety- A Human Factors Approach

Barach, P., Johnson, J., Ahmed, A., Galvan, C., Bognar, A., Duncan, R., Starr, J., Bacha, E. Intraoperative Adverse Events and their impact on Pediatric Cardiac Surgery: A Prospective Observational Study. Journal of Thoracic and Cardiovascular Surgery 2008 Dec; 136 (6): 1422-1428.

Rostenberg B, Barach P. Design of Cardiac Surgery Operating Rooms and the Impact of the Built Environment, In Barach P, Jacobs J, Laussen P, Lipshultz S. (Eds), Outcomes Analysis, Quality Improvement, and Patient Safety for Pediatric and Congenital Cardiac Disease. Springer Books, New York, NY, 2014, ISBN 978-1-4471-4618-6.

Warm E, Ahmad Y, Benjamin Kinnear B, Kelleher M, Sall D, Wells A, Barach P. A Dy anamic Risk Management Approach for Reducing Harm from Invasive Bedside Procedures for Internal Medicine Residency Programs, accepted Academic Medicine, Dec 7, 2020.

8. Qualitative methods in safety and quality

Sofaer, S. Qualitative Research Methods. International Journal for Quality in Health Care. 2002: 14(4): 329-336.

Magilv JK, Thomas E. A first qualitative project: qualitative descriptive design for novice researchers. J Spec Pediatr Nurs. 2009 Oct;14(4):298-300. doi: 10.1111/j.1744-6155.2009.00212.x. PubMed PMID: 19796329

Weiner BJ, Amick HR, Lund JL, Lee SYUD, Hoff TJ. Use of Qualitative Methods in Published Health Services and Management Research: A 10-Year Review. Medical Care Research and Review 2011;68(1) 3–33.

Parry GJ. Recommendations for evaluation of health care improvement initiatives. Academic Pediatrics. 2013;13(6S):S23-S30.

Green, J and Thorogood, N. Qualitative Methods for Health Research, 3rd Edition. Los Angeles, CA: Sage Publications, 2014.

9. Assessing and improving teamwork performance

Baker, D. Battles J, King H, Salas, E., Barach, P. The Role of Teamwork in the Professional Education of Physicians: Current Status and Assessment Recommendations. Joint Commission Journal on Quality and Safety 2005; 31:4:185- 202.

Entin E, Lei F, Barach P. Teamwork Skills Training for Patient Safety in the Peri- operative Environment: A Research Agenda, Surgical Innovation 2006;3:3-13.

Schraagen JM, Schouten A, Smit M, van der Beek D, Van de Ven J. Barach P. Improving methods for studying teamwork in cardiac surgery. Qual Saf Health Care 2010;19:1-6 doi:10.1136/qshc.2009.040105

The Five Dysfunctions of a Team by Patrick Lencioni, 2002

De Bie Dekker A., Barach P, et al. Testing the Effects of Checklists on Team Behaviour During Emergencies on General Wards: An Observational Study using High-Fidelity Simulation, Resuscitation, 2020.

10. Evaluating Safety and Quality Interventions

Yao GL, Novielli N, Manaseki-Holland S, Chen FY, Klink van der M, Barach P, Chilton P, Lilford R. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. BMJ Qual Saf. 2012; 21(s1): i29-38.

Lilford R, Chilton PJ, Hemming K, Brown C, Girling A, Barach P. Evaluating policy and service interventions: framework to guide selection and interpretation of study end points. BMJ 2010; 341:c4413.

Ramaswamy R, Barach P. Towards a Learning System for Enhanced Recovery After Surgery (ERAS): Embedding Implementation and Learning Evaluation, Enhanced Recovery After Surgery - A Complete Guide to Optimizing Outcomes, Olle Ljungqvist, Rich Urman and Nader Francis, (eds), Ch. 39. 361-372, 2020, ISBN 978-3-030-33443-7.

Bruce C, Barach P, et al. Assessing the Impact of Patient-Facing Digital Technology on Patient Outcomes: A Retrospective Observational Cohort Study", Journal of Medical Internet Research, 2020. 2020 Jun; 8(6): e19333. Published online 2020 Jun 26. doi: 10.2196/19333

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