About the Learning Update

The Learning Update delivers an upcoming schedule of Department of Defense Patient Safety Program and other patient safety activities, tools and resources to help you increase your patient safety knowledge and skills.

Please note that information about patient safety activities are continuously updated. Check out the Calendar of Events on the DoD PSP web site to get the latest details and confirm information provided here.

Patient Safety On-Demand eLearning Courses
Patient Safety Learning Circles



Instructor-led or self-paced online learning sessions focused on a specific product On-Demand eLearning: Joint Patient Safety Reporting Training Videos Access the JPSR Video Knowledge Base, a collection of brief videos in Joint Knowledge Online, demonstrating the following JPSR functionalities: How to Enter a Patient Safety Event. Investigation Form. Searching. Reporting. Hotspots. Learn more On-Demand eLearning: Root Cause Analysis This self-paced module outlines the DoD Patient Safety Program’s suggested practices for conducting a root cause analysis, from the initial reporting of a patient safety event through the formation of the RCA Team to the identification of contributing factors and root causes and the recommendation of corrective actions. Register now

In-person or web-based forums focused on a specific topic

TeamSTEPPS^® Webinar – American Hospital Association (AHA)

Please check our Calendar of Events for updates on this webinar.

The Joint Commission

There are multiple opportunities to attend accreditation and certification webinars offered by The Joint Commission.

Learn more

The How and Why of Deprescribing – Institute for Healthcare Improvement (IHI)

Sep. 13, 2018 from 2-3 p.m. EDT

There’s much talk and publicity about weaning people off drugs, or what is referred to as “deprescribing,” a process that entails taking patients off some of their medications or tapering down the dosages. A growing number of healthcare organizations are working on how to safely implement deprescribing. At Ascension, one hospital is focusing on deprescribing (or, whenever possible, not introducing) opioids and sedatives among a targeted group of patients; three other hospitals are zeroed in on deprescribing proton pump inhibitors for gastrointestinal problems because of potential harm caused by long-term use. Listen in as the panelists share what they’ve learned about deprescribing initiatives.

Speakers:

Nicole Brandt, PharmD, MBA, BCGP, BCPP, FASCP, executive director, Peter Lamy Center on Drug Therapy and Aging; professor, University of Maryland School of Pharmacy
Florian Daragjati, PharmD, BCPS, director, Ascension Centerof Excellence for Antimicrobial Stewardship and Infection Prevention
Lynn Deguzman, PharmD, BCGP, regional clinical operations manager, Kaiser Permanente
Leslie J. Pelton, MPA, director, IHI
Leanne Phillips, PharmD, BCPS, clinical pharmacy coordinator, St. Vincent’s East, Ascension

Learn more

Working Together to Address Global Drug Safety Issues with Packaging and Labeling – Institute for Safe Medication Practices (ISMP)

Sep. 26, 2018 from 11 a.m. -12 p.m. EDT

Many of the product container labeling and packaging issues are common across the world. To achieve a reduction of overall harm related to medication errors, industry and regulator response at the global level is desired. Also, in many countries and regions throughout the world, domestic drug manufacturing does not exist, so drugs are commonly imported, often with features that can result in safety issues. Join to hear an update on successful packaging and labeling changes that have been undertaken in some countries to reduce the risk of errors. Highlights from a recent international summit on drug labeling and packaging held by global regulators and the International Medication Safety Network will be described.

Speaker:

Michael Cohen, RPh, MS, ScD, DPS, FASHP, president, ISMP

Learn more

Health System Expansions: Anticipating What Could Go Wrong to Ensure Things Go Right – Institute for Healthcare Improvement (IHI)

Sep. 27, 2018 from 2-3 p.m. EDT

Healthcare systems in the U.S. are expanding in size and services by way of mergers, acquisitions, and affiliations. Evidence from such transitions and change has revealed that when clinicians are asked to practice in new settings, often with new leaders, infrastructure and patient populations, and without adequate orientation and planning, patients may be at increased risk of harm. Panelists will discuss their recent analysis of patient safety risks due to system expansion and a patient safety toolkit they’ve developed to support the planning that’s necessary ahead of time among merging institutions.

Speakers:

Susan Haas, MD, MSc, obstetrician-gynecologist and co-PI, Ariadne Labs
Luke Sato, MD, chief medical officer and senior vice president, CRICO, Risk Management Foundation of the Harvard Medical Institutions

DoD patient safety champions can attend this webcast for free by contacting their service lead for an access code to apply at registration.

Learn more

Have questions about the DHA transition?

Stay tuned for details on the new Defense Healthy Agency Procedural Manual being released on or around Oct. 1. This new manual will contain changes for all domains aligning under Clinical Quality Management including Patient Safety, Healthcare Risk Management, Credentialing and Privileging, Accreditation and Compliance, Clinical Measurement, and Clinical Quality Management. A learning series will be presented in October to provide an opportunity for all audiences to learn about the updates for their respective domains. Look for details in future e-mails, Learning Updates and on our calendar of events.

NEW Dental Guidebook Coming!

In collaboration with the DoD Patient Safety Program, the Dental Patient Safety Integrated Product Team is releasing “A Guidebook for the Identification and Reporting of Dental Patient Safety Events” for the Military Health System dental community in fall 2018. The guidebook is a Tri-Service approach to clarify definitions and reporting requirements for patient safety events and sentinel
events in MHS dental facilities. The DoD PSP will host learning events (webinars) for the dental patient safety community to introduce the guidebook and answer questions. Stay tuned for upcoming announcements on our calendar of events and via e-mails.

Don’t wait to register for other DoD PSP activities!Click here to view the 2018 DoD PSP Calendar: www.health.mil/PSPcalendar

Do you have a learning activity or networking opportunity that should be included?E-mail us here: DHA.patientsafety@mail.mil.