This opening session will focus on describing, defining, and determining the scope of safety for the next two days. Faculty will focus on relating to the daily activities of the frontline manager.

This interactive session will focus on attendee’s view of their responsibilities as manager. Middle managers are in the unique position to have responsibilities that need to be aligned with the strategic goals of the organization, as well as meeting patient safety goals for staff and patients at the unit level. Discussion will focus on how patient safety fits into their daily plan- what works, what could be better? Are these goals aligned at your organization?

This session will use the Red Bead Game to explore issues of individual performance, systems and errors in everyday performance. Participants will discuss the role of policies, training and the need to develop robust systems to ensure that tasks can be completed as designed.

This session will review current systems and reliance on memory, vigilance and individual performance. Participants will then use reliable design to make changes that take into account human factors and system design to improve the reliability of the process.

This session will define culture and climate in an organization. Use the unsafe acts algorithm to interactively walk participants through culture and teamwork as well as the lessons of system versus individual error.

Participants will identify a safety process to improve and begin to identify the steps needed for successful plan development and deployment.

Teams will begin working on an improvement plan that will start identifying their gaps, prioritize what they want to work on and begin the process of setting some sort of aim. We will talk about project management skills, team composition, and collaboration at the unit level and organizational level.

Because all improvement depends on data, how data is developed and used is a critical challenge when those about whom the data is presented may feel criticized. This session will offer both practical techniques that can defuse problems and some simple principles for sharing and using data that are essential to effective quality improvement.

This will be an interactive session with the objective of applying the Model for Improvement to manage and improve processes in their organizations. The session will focus on setting aims, measures and running small tests of change using the Plan-Do-Study-Act cycle. The essential features of effective tests will be discussed as well as how to link a series of tests together to accelerate learning and improvement.

Participants will work on developing first tests of change and project plan.

Safety every day for every patient and health care provider does not live in a "to do" list on the frontline managers desk. Safety is a reliably designed plan that is only sustainable with an effective team whose focus every day is on creating and sustaining an error free environment. Frontline managers will discuss how their plan will incorporate this philosophy.