The Journal on Quality and Patient Safety

The journey towards high reliability health care is a challenging but worthwhile venture, physician leaders are key to their organization’s successful achievement of this goal. In mid-April, more than 130 physician leaders from around the country make their way to Oakbrook Terrace, Illinois, to experience The Joint Commission’s annual Physician Leaders Forum.

Reasons you don't want to miss this event:

• Opportunity to network and collaborate with fellow physician leaders
• Gain practical insights from experts
• Earn continuing medical education (CME) credits

Email the Forum Team to learn more details.

Physicians who want to get their organizations on the path to zero harm will want to complete the Oro^® 2.0 Assessment. This provides an unmatched opportunity for leadership engagement with foundational aspects of high reliability. Oro 2.0 can help senior leaders not only understand where they stand today on the spectrum of high reliability but also provides an actionable path forward in pursuit of zero harm.

This fictionalized case example follows the failed hand-offs of a suicidal patient through screening and assessment in the ED to admission to a medical-surgical unit. Case examples can be used as learning opportunities for identifying lapses in patient safety and missed opportunities for developing a culture of safety. A follow-up will highlight safety actions and strategies.