The Department of Health and Senior Services (DHSS), in conjunction with the federal Agency for Healthcare Research and Quality (AHRQ), sponsored a two day workshop on August 19th and 20th, Making New Jersey a Model for Patient Safety. Attendees had an opportunity to examine the major patient safety issues facing our nation. Healthcare executives from different states shared their states' successes and failures. Other speakers presented literature reviews and discussed the complexity of issues involved in voluntary and mandatory reporting of patient safety incidents and near misses.

Presentations were heard from the following speakers. Overheads from their presentations follow:

1. Patient Safety and Reporting: History and Overview (PDF 266K)
   Martin Hatlie, J.D.
   President, Partnership for Patient Safety
   Chicago, IL
   
2. The Current Status of Federal and New Jersey Patient Safety Initiatives (PDF 913K)
   Margaret Keyes, M.A.
   Acting Patient Safety Team Leader
   Center for Quality Improvement and Patient Safety
   Agency for Healthcare Research and Quality
   U.S. Department of Health and Human Services
   Rockville, MD
   
   
3. The Current Status of Federal and New Jersey Patient Safety Initiatives (PDF 163K)
   Marilyn Dahl, M.A.
   Senior Assistant Commissioner
   NJ Department of Health and Senior Services
   Trenton, NJ
   
   
4. State Government Approaches to Improving Patient Safety (PDF 79K)
   Frederick Heigel
   Director
   Bureau of Hospital and Primary Care Services
   Office of Health Management
   New York State Department of Health
   Troy, NY
   
   
5. State Government Approaches to Improving Patient Safety (PDF 221K)
   Richard H. Lee
   Deputy Secretary for Quality Assurance
   Pennsylvania Department of Public Health
   Harrisburg, PA
   
   
6. State Government Approaches to Improving Patient Safety (PDF 466K)
   Nancy Ridley, M.S.
   Assistant Commissioner
   Massachusetts Department of Public Health
   Bureau of Health Quality Management
   Boston, MA
   
   
7. State Government Approaches to Improving Patient Safety (PDF270M)
   Scott Williams, M.D., M.P.H.
   Deputy Director
   Utah Department of Health
   Salt Lake City, UT
   
8. Patient Safety: Changing Systems/Changing Culture (PDF 479K)
   Steven Meisel, Pharm.D.
   Director of Medication Safety
   Fairview Health Services
   Minneapolis, MN
   
9. Facility Patient Safety Practices (PDF 146K)
   Robert J. Panzer, M.D.
   Chief Quality Officer
   Strong Memorial Hospital
   University of Rochester Medical Center
   Rochester, NY
   

10. Facility Patient Safety Practices (PDF 260K)
    Jennifer Costain, M.S.
    Director of Performance Improvement and Patient Safety
    North Shore Medical Center (Salem Hospital)
    Salem, MA
    
    

11. Facility Patient Safety Practices (PDF 592K)
    Sandra Abnett
    Director, Quality Management
    York Hospital
    Wellspan Health Office Center
    York, PA