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A Proactive Approach to Patient Safety

​​​​​​​​​​Traditional approaches to safety in health care tend to be reactive and focus on mitigating risk after patient harm has occurred. Many hospitals have struggled to operationalize a proactive approach.

This Institute for Healthcare Improvement (IHI) Virtual Learning Hour on November 4, 2020 from 11:30 PM ​ 12:30 PM ET, will introduce MedStar Health's innovative safety approach: Primary, Secondary, and Tertiary (PST) Prevention framework. The PST model was developed to build systems that inherently minimize risk, leverage data, identify and mitigate hazards before they cause harm, and to respond and learn from safety events when they do occur.

Throughout this IHI Virtual Learning Hour, panelists will share real-life applications that illustrate the PST model and demonstrate how data sources can be used to stratify risks. ​

What You'll Learn

By the end of this IHI Virtual Learning Hour you’ll be able to:

  • Introduce the PST framework for proactive patient safety mitigation
  • Indentify means to apply and operationalize the PST framework​

This IHI Virtual Learning Hour is approved for 1 Continuing Education Credit for physicians, pharmacists,​ health care executives, quality professionals, and CPPS recertification.


    Terry FairbanksRollin J. “Terry” Fairbanks, MD, MS, FACEP, professor of emergency medicine at Georgetown University and vice president, quality & safety for MedStar Health. In this role, he has executive oversight for quality, safety, and infection prevention at MedStar Health, a healthcare system in the Baltimore, Maryland and Washington DC region, with 10 hospitals, 280 outpatient sites, and 31,000 associates. He practices emergency medicine at the MedStar Washington Hospital Center in Washington, DC. Dr. Fairbanks founded the National Center for Human Factors in Healthcare, a group of 30 human factors and system safety experts and clinician scientists imbedded in the health system, with a focus on research, safety advisement, design consultation, and policy related to healthcare quality and safety. Dr. Fairbanks holds a master’s degree in industrial systems engineering with a safety and human factors focus and serves on several national boards and faculties, has served in safety advisory roles for the United States, British, Spanish, and Australian governments. He has authored more than 120 publications and edited one book on healthcare safety and human factors engineering. He was recently listed in Becker’s “Top 50 Experts Leading the Field of Patient Safety.”

    Kate Kellog.jpgKathryn (Kate) Kellogg, MD, MPH, CPPS is Assistant Vice President, Quality & Safety, MedStar Health in Washington, DC. In her quality and safety role, she leads safety initiatives across the MedStar Health platform, which includes 10 hospitals and over 200 outpatient sites, and also oversees quality across the ambulatory environment. Dr. Kellogg has a background in research in the application of human factors engineering to patient safety. She is a board-certified attending emergency physician and serves as assistant professor at Georgetown University School of Medicine.

    Erica Savage.jpgErica Savage Hoenig, MHA, CPPS, is Manager of Ambulatory Quality & Safety at MedStar Health. She supports the development and operationalization of the ambulatory quality and safety infrastructure through data analysis and improvement efforts. She has extensive experience conducting event reviews and analyzing patient safety event reports and electronic health record data. Erica is a Certified Professional in Patient Safety and received a master’s in healthcare administration from the University of North Carolina at Chapel Hill. She was selected as a Georgetown University Center of Excellence in Regulatory Science and Innovation (CERSI) scholar in 2016-2017 and received funding for her work on electronic health record usability policy.


    Frank Federico Frank Federico, RPh, Vice President, IHI, works in the areas of patient safety, application of reliability principles in health care, preventing surgical complications, and improving perinatal care. He is faculty for the IHI Patient Safety Executive Training Program and co-chaired a number of Patient Safety Collaboratives. Prior to joining IHI, Mr. Federico was the Program Director of the Office Practice Evaluation Program and a Loss Prevention/Patient Safety Specialist at Risk Management Foundation of the Harvard Affiliated Institutions, and Director of Pharmacy at Children's Hospital, Boston. He has authored numerous patient safety articles, co-authored a book chapter in Achieving Safe and Reliable Healthcare: Strategies and Solutions, and is an Executive Producer of "First, Do No Harm, Part 2: Taking the Lead." Mr. Federico serves as Vice Chair of the National Coordinating Council for Medication Error Reporting and Prevention (NCC-MERP). He coaches teams and lectures extensively, nationally and internationally, on patient safety.