IHI and NPSF Announce Upcoming Merger During This Patient Safety Week

patient safety week

Official Press Realease from NPSF and IHI

Boston, MA, March 13, 2017 — Recognizing that patient safety is a public health issue in need of fresh, robust approaches and constant focus for health care systems today, the Institute for Healthcare Improvement (IHI) and the National Patient Safety Foundation (NPSF) announce plans for a merger, effective May 1.

Derek Feeley, president of IHI, and Tejal Gandhi, MD, MPH, CPPS, president and CEO of NPSF, talk about the merger of their organizations. IHI President and CEO, Derek Feeley, who will lead the combined organization, says now is the perfect time for the two organizations to join forces to help reset and reenergize the patient safety agenda, building on a mutual history of helping health care systems gain the knowledge and skills to implement harm reduction across the entire continuum of care. “Improving patient safety has always been central to IHI’s mission of improving health and health care quality,” said Feeley. “Yet safety now competes for attention and resources with other important issues such as value-driven care and population health. By joining forces, IHI and NPSF will be more effective in helping leaders and frontline clinicians meet all of today’s challenges while ensuring that patient safety remains a priority along the way.” Feeley added, “The entire IHI staff is thrilled about the opportunity to work with the talented staff of NPSF as one, strengthened organization.”

Tejal K. Gandhi, MD, MPH, CPPS, NPSF President and CEO, says she and NPSF staff are equally excited about the merger. She sees it as a game-changing opportunity for the patient safety field. “NPSF and IHI each have a history of raising awareness around patient safety issues and educating the health care workforce about best practices,” Gandhi said. “Our programs are distinct but highly compatible, and we share experience, expertise, and a common goal of accelerating patient safety improvement. NPSF has provided critical thought leadership with the aim of establishing safety as a core value in health care, and IHI has demonstrated an ability to influence large-scale, global change. This merger promises to strengthen our ability to advance progress in patient safety in the coming years.”

The merger involves significant new investment from IHI in patient safety. The merged patient safety teams, to be led by Gandhi, will combine existing NPSF and IHI patient safety programs and reflect an enhanced commitment to achieve patient safety around the world. All NPSF programs, including the NPSF Lucian Leape Institute and the Certified Professional in Patient Safety credentialing program, will continue.

A Call to Action During Patient Safety Week

Sponsored Advertisement:

The merger announcement comes at the start of Patient Safety Awareness Week, a highlight of the NPSF United for Patient Safety campaign. Coupled with news of the merger, and with endorsement of IHI, NPSF is releasing Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response. This document outlines how a public health framework can bring about widespread advances in patient safety and provides specific recommendations for how it can be used to reduce harm to patients and the workforce. The Call to Action was created by the NPSF Board of Advisors and Board of Directors, made up of more than 40 experts in patient safety, patient advocates, industry representatives, and other key constituents.

“We believe that in order to make meaningful and sustained improvement in patient safety, we need to address it within a public health framework,” said Gandhi. “The Call to Action outlines a multipronged, ongoing approach to systematically monitor, measure, and improve patient safety across the continuum of care through partnerships and collaboration among policy makers, health care leaders, professional associations, and others.”

The Call to Action sets forth six broad categories of recommendations, ranging from a call to establish a national steering committee and a national action plan for the prevention of health care-associated harm to a call to expand or develop education, training, and resources for the health care workforce. Read the full press announcement here.

Patient Safety Week


The United in Patient Safety campaign culminates each year with Patient Safety Awareness Week, designed to mark a dedicated time and a platform to increase awareness about patient safety among health professionals and the public. This year, patient safety week is taking place now, March 12-18, 2017. The National Patient Safety Foundation works to bring together and engage health care professionals and patients to help spread this important message. There are a number of ways to get involved in Patient Safety Awareness Week.

Find more resources for Patient Safety Week here!

Sponsored Advertisement:

CAE Healthcare Shares Patient Safety Foundation Info Graphic

pt safety sim

CAE Healthcare covered the NPSF last week and shared this info graphic of tips to reduce patient harm established by the group:

The National Patient Safety Foundation (NPSF) issued a report which calls for ‘federal agencies to create a portfolio of national standard patient safety processes’ across the care continuum, and ‘to retire invalid measures that are not useful or meaningful.’

Here, above, are the eight recommendations from the National Patient Safety Foundation to achieve this goal. The full report, “Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human” (Boston, MA; 2015) is available online.

CAE Healthcare is a medical simulation/simulation training company with a mission to improve healthcare education and patient safety. The global leader in simulation-based healthcare training, product design and manufacture, CAE Healthcare produces patient manikins / nursing manikins; surgical simulators, ultrasound simulation trainers, and clinical simulation management solutions for customers in more than 60 countries around the world.

Read more about Patient Safety on the CAE Healthcare website

Patient Safety Awareness Week March 13-19 Important For Sim Champs To Support!

patient safety week 2016

As healthcare simulation champions we all know that the work we do with medical simulation not only improves clinical learning outcomes but also directly affects patient safety.

Did you know that simulation can reduce life threatening patient safety issues by as much as 85%?

One representative study, published by Northwestern University’s Feinberg School of Medicine, concluded that after medical residents participated in simulation training for a catheterization procedure, life-threatening patient infection rates dropped by 85% and produced an ultimate cost savings ratio of 7:1. (Cohen, E.R., et al. “Cost Savings From Reduced Catheter-Related Bloodstream Infection After Simulation-Based Education for Residents in a Medical Intensive Care Unit”. Simulation In Healthcare 5.2 (April 2010): 98-102.).

This year the Patient Safety Awareness Week organized by the National Patient Safety Foundation takes place March 13-19th, and there are a number of ways that you can get engaged. First and foremost is by following them on Linkedin, @theNPSF on Twitter, and on Facebook.

The United in Patient Safety campaign culminates each year with with Patient Safety Awareness Week, designed to mark a dedicated time and a platform to increase awareness about patient safety among health professionals and the public. This year, patient safety week is March 13-19. The National Patient Safety Foundation works to bring together and engage health care professionals and patients to help spread this important message.

There are a number of ways to get involved in Patient Safety Awareness Week.

  • Wear a patient gown: Health care leaders and administrators are challenged to step into the role of the patient by wearing a patient gown to mark Patient Safety Awareness Week. “We are all patients, after all. We want leaders to demonstrate a commitment to listen to the patient’s voice and strive for patient safety and the reduction of harm.” – Tejal K. Gandhi, MD, MPH, CPPS, president and chief executive officer of NPSF
  • Harness the power of social media: Help spread the word on Facebook and Twitter, using these helpful sample posts (or create your own).
  • Utilize campaign materials: Various downloadable materials are available, as well items that can be ordered to help mark Patient Safety Awareness Week.
  • Register on this campaign site: Stay connected and informed about Patient Safety Awareness Week activities.
  • Join the discussion: Learn what others are doing for Patient Safety Awareness Week and share your ideas and activities to inspire others.

There are also more ways that both Healthcare consumers and healthcare providers can get engaged, all of which is linked on…

The NPSF Patient Safety Awareness Week webpage!


Sponsored Advertisement:

17th Annual NPSF Patient Safety Congress Early Bird Ends March 17th!

patient safety congress

Early Bird Registration Ends March 17
17th Annual NPSF Patient Safety Congress
April 29-May 1, 2015 | Austin, TX

Save $200 if you register by March 17, 2015*

Join NPSF and their expert faculty at the only meeting with global reach and a singular focus on patient safety.


  • Lucian L. Leape, MD, one of the founders of the National Patient Safety Foundation; chair of the NPSF Lucian Leape Institute
  • Gerald B. Hickson, MD, Senior Vice President for Quality, Safety and Risk Prevention, Joseph C. Ross Chair in Medical Education and Administration, and Assistant Vice Chancellor for Health Affairs Vanderbilt University Medical Center
  • Gary S. Kaplan, MD, FACMPE, Chairman and CEO, Virginia Mason Medical Center
  • Kaveh Shojania, MD, Director of the Centre for Quality Improvement and Patient Safety, University of Toronto, and editor-in-chief of BMJ Quality & Safety
  • Allan Frankel, MD, Chief Medical Officer, Safe and Reliable Healthcare,and an author of The Essential Guide for Patient Safety Officers
  • Kim Blanton, Patient and Family Advisor, Vidant Health
  • Chrissie Blackburn, Principal Advisor, Patient and Family Engagement at University Hospitals of Cleveland
  • Beth Daley Ullem, MBA, Patient Advocate and Governance Expert, Board of Directors, ThedaCare Hospital System and Solutions for Patient Safety


Full-day intensive sessions:
• Certified Professional in Patient Safety (CPPS) Review Course
• Leadership Day: Safer Health Care Through Transparency
• Keeping Kidz Safe During Kare: Advancements and Lessons from Pediatrics *NEW THIS YEAR*
• Sharing and Caring: Practical Initiatives for Advancing Patient and Family Engagement
• Patient Safety Science: Successful Practices to Optimize Root Cause Analysis (RCA)


• Optimizing the Benefits and Minimizing Harms of Health Technology
• Creating and Sustaining Joy, Meaning, and Safety in the Workplace
• Patient Safety in the Ambulatory Setting
• Accelerating the Cost Case for $afety
• Partnering with Patients and Families for the Safest Care
• Advancing Safety Science Implementation

We’ll also have posters, live health care simulations, networking, award presentations, and more.

What past attendees say:
“From a participant’s perspective, this year’s NPSF Congress was one of the strongest patient safety meetings I have attended in years.”

“It was an excellent event and really highlights the shift and progress made in the wider patient safety discussion, especially over the past few years.”

“Thank you, NPSF — you crafted a thought-inspiring, provocative, robust Congress — we leave with ideas, plans, and a sense of purpose!!!”
*Members of the American Society of Professionals in Patient Safety atNPSF or the NPSF Stand Up for Patient Safety program save even more with member discounts. Log in to npsf.org and check the member pages for the discount codes.

Register online or learn more: http://bit.ly/NPSF_17

17th Annual National Patient Safety Congress Launches Early-Bird Registration


Announced today was the launch of early-bird registration fro the 17th Annual NPSF Patient Safety Congress taking place Wednesday, April 29 – Friday, May 1, 2015 in Austin, Texas at the JW Marriott Austin.

About NPSF and Their Congeress

We envision safe health care as a network of pursuits extending throughout the continuum of care and the spectrum of stakeholders. From patients to care providers, from the front lines to the executive suite, from the patient and family advocate to the corporate solutions provider — we are all united in the goal of keeping patients and those who care for them free from harm.

Join us at the 2015 NPSF Patient Safety Congress for educational breakout sessions led by industry experts, thought-provoking keynote sessions with national thought leaders, and an engaging and interactive Learning & Simulation Center. The additional, optional Pre-Congress Day provides in-depth full- and half-day sessions on specific areas and issues in health care safety. Experience an invaluable program that will help you renew and nurture patient safety in your organization. In addition, we’ll also have more than 100 posters, 3 live and interactive medical simulations, 75 solutions providers, 2 networking receptions, daily breakfast and lunch—and more.

As the only conference dedicated solely to patient safety, the NPSF Annual Congress is a unique opportunity for practitioners, leaders, and experts around the world to come together and share their knowledge.

There are many ways to address issues in patient safety, and Congress participants explore them by attending a variety of breakout sessions, workshops, demonstrations, and plenary presentations. The NPSF Congress is noted for its Learning & Simulation Center, where attendees gain understanding of situations, reactions, and interactions through participation in interactive simulations of health care scenarios. Congress participants also gain the opportunity to network with other professionals passionate about patient safety and to share best practices. They go home armed with tools and information they can use to make a direct impact.

Join leading experts to share emerging patient safety evidence and best practices, experience interactive presentations, enhance your expertise, network with the best and brightest in the industry, and transform your organization’s patient safety efforts.

Who Should Attend

  • Patient safety, quality, and risk professionals
  • Hospital executives and board members
  • Frontline clinicians, including nurses, physicians, and pharmacists
  • Patient advocates, payors, researchers, and policy setters
  • All those united in safety across the continuum

Read more details on the NPSF Website & Register Online Now and Save $200!

Supported Organization:

NPSF President Interviewed by AHRQ & Prepares for May Patient Safety Congress

patient safety foundation

The AHRQ, aka the Agency for Healthcare Research and Quality, had Web M&M editor Dr. Robert Wachter sit down with Dr. Tejal K. Gandhi to discuss the National Patient Safety Foundation and the organization’s evolving role in enhancing healthcare safety at a national level.

What is the NPSF? The National Patient Safety Foundation’s vision is to create a world where patients and those who care for them are free from harm. A central voice for patient safety since 1997, NPSF partners with patients and families, the health care community, and key stakeholders to advance patient safety and health care workforce safety and disseminate strategies to prevent harm. NPSF is an independent, not-for-profit 501(c)(3) organization.

Before we get to the interview snippet, remember that NPSF is holding its 16th annual Patient Safety Congress this May 14th-16th at the Renaissance Orlando at Seaworld. Simulation continues to increase its presence at this event, and here is a full day pre-conference workshop I found on the topic taking place May 14th:

Pre-Congress Session
Wednesday, May 14, 2014 | 8:00 AM–4:00 pm

Continuing Education for this Program
6.5 contact hours for physicians, pharmacists, nurses, health care risk managers, health care quality professionals, and health care executives

This interactive, multidisciplinary session will push the boundaries of traditional health care simulation programs. During the first part of the program, participants will look closely at the spectrum of simulation, experience live demonstrations, help write patient safety simulation scenarios, and participate in hands-on opportunities with simulation equipment. During the second part of the program, participants in the patients and families session will join the group for a joint learning opportunity. Simulation experts and patient and family representatives will work together to provide attendees opportunities to examine ways in which patients and families, who are integral parts of the health care team, can provide perspective and knowledge not always gained through the use of traditional health care simulation programs. This session will incorporate the patient and family perspective, and participants will have opportunities to identify and apply ways to improve the patient experience and improve the safety of their organization. Take-home tools will be provided.

nps congress

I have excerpted some of the interview text for you below, but you can read the full interview on the AHRQ website linked at the bottom of this post. (You can also listen to a portion of the interview here).

RW: Much of what NPSF does is education and convening. Is the new technological world that we find ourselves in—the world of MOOCs and videos—changing the nature of how you think about getting people together and working collaboratively across time and space?

TG: This is an area that we’re just starting to explore. We, and I think other organizations, have found that it’s harder to get people to travel to meetings. Even though the one-on-one networking at meetings is really valuable, given financial and time constraints, this is a challenge for many organizations. I think we are going to be much more engaged in other forms of convening technology and best practice sharing technologies. We’ve done webinars, but in the next year or two we will be exploring other ways to try to convene folks that doesn’t involve face-to-face interaction.

RW: You’ve been one of the leading experts in the role of information technology (IT) in patient safety. We’ve gone from 10% IT in American hospitals and clinics to probably 60% to 70% in a few years because of Meaningful Use incentives. How has that changed the environment for safety generally and then NPSF specifically?

TG: I’m a firm believer that health information technology can improve the safety of the care we deliver. This rapid transition is a good thing. We’re getting over that adoption hump and getting into these new systems, which have great potential to improve care. The challenge is that often the systems are not necessarily implemented to optimize safety and quality for a variety of reasons, whether it’s workflow or poor design. But there are many reasons why I don’t think we’re maximizing the benefits of health IT. Another big issue—it often feels like every implementation is standalone, where every hospital or clinic is trying to decide which way is the best way to do things. Best practices around how to implement are starting to come out but are still quite rudimentary.

Many decisions are made in implementation that have big impacts on quality and safety, but they are decided in one-off situations instead of having a standard for how we should be implementing to optimize quality and safety. A concrete example is around drug interactions. Which ones should we show or not show to optimize the benefits while minimizing over-alerting? It’s a decision that every place makes on its own. It strikes me that there should be a standard for something like that, but also there’s all this work happening at each site that could be avoided if there was a best practice around this. Another example is around medication lists: who can touch them, how should they be kept accurate, what should a specialist do versus a primary care doctor? I know places are spending days, weeks, months, and years trying to figure this out. Is there a way to get some best practice standards out there to help people optimize these things? Because having an accurate medication list is such a fundamental component to delivering safe care, yet we really struggle with it. I feel like the role of the National Patient Safety Foundation is to use our convening function to create some of these best practices around health IT implementation, for example.

Learn more about the AHRQ and their TEAMSTEPPS Communication tools for healthcare educators.

Learn more about the NPSF, and their May Patient Safety Congress!

National Patient Safety Foundation Publishes Article on Improving Results From Simulation-Based Instruction

national patient safety foundation simulation

Timothy Clapper, PhD and Laerdal Sponsored Keynote Speaker for the August 2013 Gathering of Healthcare Simulation Technology Specialists recently published an article entitled “Saturation in Training” through the National Patient Safety Foundation which “discusses how those involved in patient safety and, specifically, in simulation-based instruction, can improve upon their methods and results”This article is free to ASPPS members.

Earlier this year, patient safety leader and advocate Bob Wachter wrote a post on his health care blog,Wachter’s World, that caused many of us in the patient safety community to take notice of our progress and shortcomings for making patient care much safer. Asking “Is the Patient Safety Movement in Danger of Flickering Out?” he noted that the health care industry has seen lower infection rates, fewer falls, fewer medication errors, fewer readmissions, better-trained clinicians, and even better systems. Since the initial 1999 IOM report, To Err is Human (Kohn, et al. 2000), and Wachter’s follow-up report (Wachter 2004), modest improvements have been made, although they have been difficult to measure “because of our rudimentary measurement capacity in safety” (Wachter 2010). Regardless of modest improvements, more needs to be done, and Wachter’s (2004; 2010) reports are now a renewed call for action and a move away from the often sporadic and incomplete manner in which we are preparing our health care teams. This article will discuss how those involved in patient safety and, specifically, in simulation-based instruction, can improve upon their methods and results. Read the rest of the article introduction at the InSight online magazine for the American Society of Professionals in Patient Safety.

timothy clapper phd

More about Timothy Clapper, PhD

Timothy Clapper, PhD, is an Education and Simulation Consultant. Following a 20-year career in the US Army, Dr. Clapper taught leadership and academic success courses in both affluent and socioeconomically disadvantaged inner-city high schools. As an Education Consultant, he assisted thousands of teachers with integrating technology and differentiating instruction to the needs of their learners. As Director of Education at the Institute of Medical Simulation and Advanced Learning (iMSAL) in New York City, and Assistant Dean for Simulation and Technology at the University of Texas-Arlington, he developed and facilitated simulation-based instruction for thousands of physicians and nurses. As a Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS™) Master Trainer, he has improved the teamwork skills and clinical practice of interprofessional teams at numerous healthcare facilities. In addition, Health and Hospitals Corporation, the largest public hospital system in the U.S. with oversight of the 11 public hospitals in New York City, saw a significant reduction in clinical errors following his team-based and skill-based courses. The team-based courses that he developed for clinical teams were recognized by the Joint Commission as “best practices.” Using his unique brand of Brain-Based Learning (BBL), Dr. Clapper trained hundreds of clinical educators with moving off the teacher-centered platform to become better simulation debriefers and facilitators of learning. Dr. Clapper has authored more than 25 academic publications in advanced learning theory, retention and transfer of learning, clinical simulation, and improvement in clinical practice and teamwork.

Dr. Clapper has also created a streamable “Clinical Simulation Specialist Course on udemy, which is an online course content distribution forum. Read the description below and click on the course title to engage in this course!

The Simulation Specialist role (or Simulation Technician as it is sometimes called) is relatively new, and yet internationally, with the increasing popularity of clinical simulation-based instruction, this critical position is already in demand. According to one site (simply hired®, 2012), simulation specialist jobs have increased 312% from July 2011-August 2012. The Clinical Simulation Specialist Course by TC Curriculum & Instructional Design, LLC provides the theory and concepts necessary to understand all aspects of simulation-based learning and critical ways to support it effectively.  This online component focuses on applicable learning theory, clinical and simulation terminology, scenario operations, set-up, troubleshooting, and maintenance of common types of clinical simulation equipment. To maximize the value of this instruction, learners should seek a practicum at a simulation center that includes a total of 80 hours of experiential learning to assist the learner with gaining additional skills and be able to transfer simulation from theory to practice. For those beginning a position in simulation-based instruction, this course provides the head-start needed for a quicker, smoother transition and allows one to be able to “speak the language” and name their practice. Those already involved in simulation-based instruction will find the learning theory and best practices useful for improving the way they support their learners.