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Patient Safety Fellows Identify Aspirational Solutions to Address Medical Errors

On July 27th, the 2022 Patient Safety Fellowship held its finale, concluding two months of learning focused on patient safety innovations and solutions across a multitude of lenses. The fellowship offered a deep dive into the history of the patient safety movement, tech-enabled quality improvement, human factors engineering in health care, the role of equity in patient safety, the promise of technology and big data to transform safety, insight into organizational culture and the effective ways to change the behavior at the frontline, and the need for a new central home for safety at the federal level.

The first-ever hybrid Feinstein Fellowship, the 2022 Patient Safety Fellowship, connected 29 fellows to distinguished speakers while challenging them to learn and engage with one another both in-person and virtually. The fellows represented 12 universities and 18 different disciplines, including medicine, informatics, nursing, engineering, administration, public health, and more, which enabled enriching dialogue about unique approaches to tackling patient safety issues.

"The Patient Safety Fellowship is an essential incubation time to learn, reflect and grow our understanding and application of patient safety in real time. The collective of diverse professionals united by a mutual interest to better the experience of care for both patient and providers alike brings about rich discussion, necessary challenge, and sustainable growth," said Sophia Philip, master's student in health care policy and management at Carnegie Mellon University. "It has been a fantastic learning experience to keep the momentum going for standardizing and unifying patient safety efforts."

The content for this summer builds off the past two years of efforts from the Jewish Healthcare Foundation and Pittsburgh Regional Health Initiative to make a swerve in national and regional approaches to medical error by redesigning methods to address patient safety. Fellows were able to tap into the expansive catalogue of materials stemming from our National Patient Safety Board: Full Court Press gatherings, previous Patient Safety Fellowships, and the Up Next for Patient Safety podcast series.

"I came into the fellowship with 10 years' practice in pharmacy and as a current health informatics student, and I still learned a lot of things that I have not seen elsewhere in my training and career," said Daniel Yarabinec, PharmD, master's student in health informatics at the University of Pittsburgh. "The sessions covered a variety of topics and a bank of resources, contacts, and colleagues that anyone in healthcare leadership would envy. I have already implemented some practice changes on my own team and look forward to continued advocacy for the NPSB."

During the finale, fellows identified aspirational solutions to improve patient safety including establishing a more interoperable national EHR infrastructure, payment reform to encourage transparency and reporting, and many naming the importance of establishing a National Patient Safety Board. They also reflected on their experience this summer and shared personal goals on how they can become better patient safety advocates.

Thank you to our partners and expert guests that made this fellowship possible: Martin Hatlie, JD, Tina Hahn, MSW, Tania Lyon, PhD, Ken Segel, MBA, Jonathan Gleason, MD, Raj Ratwani, PhD, Michael McShea, MBA, MS, Kimá Joy Taylor, MD, MPH, and Gerald Hickson, MD.

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