This one hour webinar will explore the ways in which medication safety champions might gain a better understanding of how disparities in medication safety and medication-related outcomes exist for racial/ethnic minorities and other vulnerable populations. The webinar will focus on high-impact, achievable recommendations to improve health equity in medication safety in the hospital setting. 

Lean Six Sigma Black Belt gives Lean Six Sigma Green Belts the confidence to design and implement better processes by analyzing the data rather than the gutfeel. Lean Six Sigma Green Belts who have demonstrated their knowledge initiating and completing at least one project will gain further knowledge to lead efforts to reduce process variations and improve results.

Pre-Requisites to Registration - Prior to being able to register, the following must be submitted to programs@marylandpatientsafety.org.

• Submit proof of your Green Belt Certirfication to MPSC along with the project details below:
  • Project charter
  • Show Baseline Data, Benchmark or Target Data, Outcome and Process Metrics
    
  • Show Bar or line graph with baseline data, last three months data to show the progress with trend line. Also draw the target line.
  • Process Maps -Current and Future 
  • Gap Analysis – identify gaps and probable solution(s) 
  • Test of Changes / Pilot Runs in Bar Graphs / Line Graphs 
  • Implementation Plan 
  • Communication Plan
• Prepare a 40+ slide presentation to "Introduction to Lean Six Sigma"

The 1.5-day TeamSTEPPS Master Trainer Course equips healthcare professionals with the knowledge and skills to lead, implement, and sustain TeamSTEPPS principles within their organizations. This interactive training provides an in-depth understanding of evidence-based teamwork and communication strategies designed to enhance patient safety and improve team performance. Participants will learn how to effectively train others, facilitate team-based interventions, and drive culture change through practical exercises, case studies, and hands-on application of TeamSTEPPS tools. Upon completion, attendees will be prepared to serve as Master Trainers, capable of coaching teams, mitigating communication failures, and fostering a culture of collaboration and high reliability in healthcare settings. 

Registration Requirements  

A full team of three individuals is required; partial teams will not be able to register. Registration requires the following information for each of your three or more team members: Name, Organization Name, Address, Phone, Email, Credentials, and position within the organization.   

Pre-Work  

The pre-work is designed to help you prepare for the Master Training course. Furthermore, responses from your team’s pre-work will provide the faculty with key insight as to the needs of the class. Completing the pre-work will not only help you garner more from the training but will also help the faculty leverage their resources and expertise to tailor the curriculum to your needs. It is appropriate for your team to work together on this assignment and have one person submit it on the team’s behalf. Instructions on how to upload your pre-work will be forthcoming.  

Upon successful completion of the TeamSTEPPS® Master Training course, attendees will receive a Certificate of Completion 

This course presents a high-level orientation to the breadth of human factors engineering and a selection of specific skills. Participants will gain exposure to core knowledge of the domain and given an opportunity to apply human factors tools, along with an orientation to how the concepts could be applied to healthcare and specifically patient safety initiatives. Topics will cover human information processing, basic usability, the system engineering initiative for patient safety (SEIPS), and systems thinking with a focus on how they apply to patient safety work. In addition to the didactic lecture format, participants will actively engage in application and discussion in the use of the tools and frameworks presented to reinforce learning.

The Root Cause Analysis (RCA) course provides healthcare professionals with the knowledge and skills to systematically investigate and address the underlying causes of medical errors, adverse events, and process inefficiencies. This course covers proven RCA methodologies, including the use of tools like the Five Whys, Fishbone Diagrams, and Failure Mode and Effects Analysis (FMEA), to identify root causes and implement effective corrective actions. Through case studies and practical exercises, participants will learn how to enhance patient safety, improve clinical processes, and foster a culture of proactive problem-solving. By the end of the course, healthcare professionals will be equipped to lead RCA initiatives that drive meaningful and sustainable improvements in their organizations.

To address inequities in maternal mortality and morbidity, MedStar Health implemented an initiative to train healthcare professionals known as Health Equity Experts (HEEs) to conduct safety science-driven, systems-based event reviews following severe maternal hemorrhage cases, with a strong emphasis on identifying opportunities to improve health equity. Join to learn how they were able to leverage the expertise gained through training to identify disparities, improve clinical protocols, and promote equitable maternal healthcare outcomes.

This is a 4-hour virtual TeamSTEPPS® training session designed to strengthen teamwork and communication among healthcare professionals. TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) is an evidence-based framework developed by AHRQ and the Department of Defense. It is a nationally recognized program that supports clinical teams in optimizing performance and improving patient outcomes.

This condensed course is tailored to frontline clinicians, offering actionable strategies to improve coordination, reduce errors, and enhance team resilience in dynamic care environments.

Training Objectives

Participants will leave the course with the ability to:

1. Understand the essential components of effective team performance in healthcare.
2. Utilize core TeamSTEPPS communication tools (e.g., SBAR, Check-Back, Huddles) in real-time patient care.
3. Apply strategies for shared leadership, situational awareness, and mutual support.
4. Promote a culture of safety through improved interdisciplinary collaboration.

Greater Baltimore Medical Center (GBMC) has advanced its mission to improve community health through a nurse-led initiative aimed at reducing primary Cesarean section (C-section) rates and related disparities among obstetrical patients. Aligned with Maryland’s Statewide Integrated Health Improvement Strategy (SIHIS) and supported by evidence on the risks and inequities associated with C-sections, the GBMC Labor and Delivery team focused on promoting movement in labor and implementing individual nursing C-section rate scorecards. Using GBMC’s Leadership System and equity-driven quality improvement methods, the team achieved a reduction in the Nulliparous, Term, Singleton, Vertex (NTSV) C-section rate from 35.5% to 28.2%, along with decreases in severe maternal morbidity and newborn complications. Notably, racial and socioeconomic disparities in these outcomes were eliminated. Key drivers of success included nurse engagement, transparent data sharing, and collaborative refinement of labor support practices through continuous improvement cycles.

This in-person interactive training equips healthcare professionals with the knowledge and skills to apply Failure Modes and Effects Analysis (FMEA) to proactively identify and mitigate risks in clinical processes. Participants will explore the history, purpose, and proven applications of FMEA, including its role in driving patient safety and meeting compliance requirements.

Through best practice frameworks, real-world case studies, and hands-on exercises, learners will:

• Understand the key drivers for using FMEA in healthcare.

• Identify the factors that contribute to a successful FMEA.

• Apply practical steps to prioritize risks and plan effective interventions.

• Strengthen communication and hand-off strategies to ensure process improvements are sustained.

By the end of the session, participants will be ready to integrate FMEA into their organization’s safety and quality programs to maximize patient care outcomes.

In this session, two hospitals share infection prevention strategies that addressed persistent, high-risk challenges through interdisciplinary teamwork, technology, and evidence-based practices.

Sinai Hospital will present their response to an outbreak of Candida auris, a multidrug-resistant fungal pathogen with significant implications in ventilator-capable and high-acuity units. Their team implemented an intensive infection control approach combining advanced disinfection technologies, enhanced isolation protocols, and real-time collaboration across departments. The initiative resulted in a 67% reduction in patient colonization post-admission and serves as a model for managing emerging infectious threats in vulnerable patient populations.

The second presentation from Luminis Health focuses on reducing CLABSI rates despite already successful efforts to reduce central line days. Through detailed case reviews, the team identified central line maintenance as a key opportunity for improvement. They implemented a comprehensive maintenance bundle and introduced the “Illuminator” role—unit-based champions who serve as clinical experts and coaches. Together, these efforts led to measurable improvements in line care practices and outcomes across the organization.