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June 20, 2019, 12:00 pm – 1:30 pm CT / 1:00 pm – 2:30 pm ET

Mortality Reviews and Patient Safety:
A 2019 Update

Session Overview

Dr. Jeanne Huddleston is the global pioneer in the use of mortality reviews to improve patient care. She will provide a 2019 update on what has been learned from the world-wide collaborative program she leads. She comes back to us based on popular demand from our patient safety community of practice and the great reviews of her prior presentations that have highlighted Opportunities for Improvement in issues of omission.

A panel of patient advocates and experts will react to the presentations.

We offer these online webinars at no cost to our participants.

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Webinar Video, and Downloads

Webinar Video:

National Survey Results:

Click here to download the National Survey Results.

Speaker Slide Set:

Click here to download the combined speakers’ slide set in PDF format – one (1) slide per page.  
Click here to download the combined speakers’ slide set in PDF format – four (4) slides per page. 

To view the file, click the desired link (please note: the files may take several minutes to download). To save to your hard drive, right click on the link and choose “Save Target As.” (In some browsers it might say “Save Link As.”)

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Registration Information and CE Credit Information

Register:  This webinar has previously taken place.  See webinar video above.

  Webinar date: June 20, 2019

      Time:

  • 01:00 PM to 2:30 PM Eastern Daylight Time
  • 12:00 PM to 1:30 PM  Central Daylight Time
  • 11:00 AM to 12:30 PM  Mountain Daylight Time
  • 10:00 AM to a1:30 AM  Pacific Daylight Time

We are accepting questions now that relate to the session topics. Please e-mail any questions related to the specific session to webinars@safetyleaders.org with the session title in the e-mail message header.

  • Questions about the Webinar series?
    E-mail webinars@safetyleaders.org or call 512-473-2370 between 9:00 a.m. and 4:30 p.m. CT.
  • Need technical assistance with registration? Call 512-457-7605 between 9:00 a.m. and 4:30 p.m. CT.


Learning Objectives:

  • Awareness:  Participants will understand and be able to discuss an update on important patient safety issues identified by mortality reviews.
  • Accountability:  Participants will understand who may be accountable for responding to, and prioritizing, the opportunities for improvement identified by mortality reviews.
  • Ability:  Participants will learn about competencies important to undertaking and succeeding with mortality reviews.
  • Action:  Participants will learn what actions they may need to take in order to learn from and run a mortality review program.


CE Participation Documentation

Texas Medical Institute of Technology, approved by the California Board of Registered Nursing, Provider Number 15996, will be issuing 1.5 contact hours for this webinar. TMIT is only providing nursing credit at this time.

To request a Participation Document, please click here.

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Session Speakers and Panelists

Jeanne M. Huddleston, MD, FACP, FHM
Jeanne M. Huddleston, MD, FACP, FHM Mortality Reviews and Patient Safety: A 2019 Update
Bio
C. R. Denham, II, MD
C. R. Denham, II, MDIn the News and Recent Polling
Bio
Arlene Salamendra
Arlene SalamendraThe Voice of Patient & Family AND Discussion and Reaction to Presentation
Bio

Related Resources

  1. National Quality Forum. Safe Practice 1: Culture of Safety Leadership Structures and Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at: http://www.qualityforum.org/.   
  2. National Quality Forum. Safe Practice 2: Culture Measurement, Feedback, and Intervention. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/   
  3. National Quality Forum. Safe Practice 3: Teamwork Training and Skill Building. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/.   
  4. National Quality Forum. Safe Practice 4: Risks and Hazards. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/   
  5. National Quality Forum. Chapter 9: Opportunities for Patient and Family Involvement. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/   

  In the News

  1. Tampa Bay Times May 28, 2019; Profit At Johns Hopkins Hospitals Tumbled.  All Children’s Was To Blame; https://www.tampabay.com/investigations/2019/05/28/profit-at-johns-hopkins-hospitals-tumbled-all-childrens-was-to-blame/  
  2. Modern Healthcare June 14, 2019; CMS Finds Safety Violations At MD Anderson Cancer Center; https://www.modernhealthcare.com/safety-quality/cms-finds-safety-violations-md-anderson-cancer-center  
  3. US News & World Report June 17, 2019; With Restricted Funding, States Struggle Against Meth; https://www.usnews.com/news/healthiest-communities/articles/2019-06-17/with-restricted-funding-states-struggle-against-meth  
  4. US News & World Report June 17, 2019; Lawsuit Alleges Infections, Death Tied to Hospital Sterilization Procedures; https://www.usnews.com/news/healthiest-communities/articles/2019-06-17/lawsuit-alleges-infections-death-tied-to-hospital-sterilization-procedures  
  5. The Washington Post June 17, 2019; Robocalls Overwhelm Hospitals, Threatening A New Kind Of Health Crisis; https://www.washingtonexaminer.com/news/healthcare-and-technology-industries-team-up-to-fight-robocalls  
  6. USA Today May 19, 2019; Man Races To Help Child Hit By Car In Iowa: ‘I Didn’t Even Realize It Was My Son’; https://news.yahoo.com/man-races-help-child-hit-231029777.html  
  7. US News & World Report May 20, 2019; Escalating Workplace Violence Rocks Hospitals; https://www.usnews.com/news/healthiest-communities/articles/2019-05-20/workplace-violence-rocks-hospitals  
  8. NPR May 20, 2019; Top Reason For CEO Departures Among Largest Companies Is Now Misconduct, Study Finds; https://www.npr.org/2019/05/20/725108825/top-reason-for-ceo-departures-among-largest-companies-is-now-misconduct-study-fi  
  9. NPR May 17, 2019; Suicide Rate For Girls Has Been Rising Faster Than For Boys, Study Finds; https://www.npr.org/sections/health-shots/2019/05/17/724299570/suicide-rate-among-girls-rising-faster-than-for-boys-study-finds  
  10. KHOU 11 News May 22, 2019; Child Struck, Killed By Car After Father Accidentally Put It In Reverse, Deputies Say; https://www.khou.com/article/news/local/child-struck-killed-by-car-after-father-accidentally-put-it-in-reverse-deputies-say/285-1227eb23-a95a-43b9-b87a-6ef64763422f  
  11. CNBC May 21, 2019; Stress And Rigorous Work Schedules Push A Doctor To Commit Suicide Every Day In The US: ‘We Need Them, But They Need Us’; https://www.cnbc.com/2019/05/21/stress-and-rigorous-work-push-a-doctor-to-commit-suicide-every-day-in-us.html  
  12. US News & World Report May 22, 2019; Parents’ Opioid Use Increases Kids’ Suicide Risk; https://www.usnews.com/news/healthiest-communities/articles/2019-05-22/study-parents-rx-opioid-use-linked-to-increased-risk-of-children-attempting-suicide  
  13. JAMA May 22, 2019; Association Between Parental Medical Claims for Opioid Prescriptions and Risk of Suicide Attempt by Their Children; https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2733148  
  14. Medscape March 28, 2019; Fraud and Deception During Residency Application: A Med Student’s Worst Nightmare; https://www.medscape.com/viewarticle/910888_3  
  15. The Guardian May 20, 2019; Purdue Pharma Accused Of ‘Corrupting’ WHO To Boost Global Opioid Sales; https://www.theguardian.com/us-news/2019/may/22/purdue-pharma-opioid-world-health-organization-painkiller-global-sales  
  16. Yahoo Finance May 23, 2019; Professors Fired From Emory University For Hiding Grants From China; https://finance.yahoo.com/news/professors-fired-from-emory-university-for-hiding-grants-from-china-215407630.html  
  17. STAT May 21, 2019; MIT Professor Is Accused Of Claiming Others’ Scientific Discoveries As His Own; https://www.statnews.com/2019/05/21/mit-professor-is-accused-of-claiming-others-scientific-discoveries-as-his-own/  
  18. CNN May 24, 2019; Bullying Can Cause Both Short- And Long-term Damage; https://www.cnn.com/2019/05/24/health/bullying-damage-trnd/index.html  
  19. Modern Healthcare May 26, 2019; Teva Pharmaceuticals To Pay $85M Settlement In Opioid Case; https://www.modernhealthcare.com/law-regulation/teva-pharmaceuticals-pay-85m-settlement-opioid-case  
  20. CNN June 05, 2019; Women Are Less Likely Than Men To Receive CPR; https://www.cnn.com/2019/06/05/health/female-cpr-dummy-women-cardiac-arrest/index.html  
  21. AAMC June 06, 2019; 20 Years Of Patient Safety; https://news.aamc.org/patient-care/article/20-years-of-patient-safety/