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Moving Beyond Safety-I to Safety-II to Transform Patient Safety

​​​​​​​​​​IHI/NPSF Professional Learning Series Webcast

Traditional patient safety efforts were designed and implemented under the premise that our systems are well understood, well designed, and predictable. Therefore, when things do go wrong, individuals are often identified as the cause and focus for developing actions to prevent future harm. 

Today, we realize that the vast majority of preventable health care harm events are due to systems issues that are often overlooked. While there may be a role for the judicious use of the Safety I approach, Safety I has not yielded transformational improvement in safety. Another approach is needed.

Safety II looks at normal work to understand how people compensate for flawed systems both in everyday and extraordinary circumstances.

This presentation will provide a practical model for thinking about systems, define Safety-I and –II, and explore the relationship between Safety-I and –II, with suggestions for applications by safety teams.​

What You'll Learn

​At the conclusion of this program, participants will be able to:

  • ​Describe the need to understand and address systems issues that contribute to preventable health care harm
  • Differentiate between the concepts of Safety-I and Safety-II
  • Apply the concepts of Safety-I and Safety-II to their safety strategy in their individual organizations


​1:00 PM – 1:05 PM ET​Introduction (IHI/NPSF)​
​1:05 PM – 1:45 PM ET​Presentation with PowerPoint (Featured Speaker​​)
​1:45 PM – 1:55 PM ET​Moderated Question and Answer Time (IHI/NPSF and Featured Speaker)
​​1:55 PM – 2:00 PM ET​Closing Remarks (IHI/NPSF)


Featured Speaker​s​​

Matthew C Scanlon.jpg Matthew Scanlon, MD, CPPS, is Professor of Pediatrics-Critical Care (Medical College of Wisconsin) who works in Informatics (Children's Hospital of Wisconsin). He is an expert on pediatric patient safety, safety in the ICU and systems thinking, with training in epidemiology, quality improvement, human factors engineering, and patient safety. He serves on The Joint Commission Patient Safety Advisory Group. His research focuses on how technology can reduce hazards, cause new hazards, and change how work gets done. He has authored numerous papers and chapters, and has been an invited speaker on the topics of patient safety and human factors internationally.

McGaffigan_Patricia_thumb.jpg Moderator: Patricia A. McGaffigan, RN, MS, CPPS, Vice President, Safety Programs, Institute for Healthcare Improvement (IHI), previously served as COO and Senior VP of Programs at the National Patient Safety Foundation until 2017, when the Foundation merged with IHI. Her prior experience includes clinical practice, academia, and leadership roles in education and marketing positions for several start-up and established medical device companies focused on improving patient safety. Ms. McGaffigan is a Certified Professional in Patient Safety, a graduate of the AHA-NPSF Patient Safety Leadership Fellowship Program, and a member of the American Society for Professionals in Patient Safety. She was awarded the distinguished Lifetime Member Award from the American Association of Critical Care Nurses. She serves on a wide range of national committees related to safety and is a member of the Board of Directors for Medically Induced Trauma Support Services. She received her BS with a major in Nursing from Boston College, and her MS with a major in Nursing from Boston University.

Continuing Education


This webcast is approved for a maximum of 1 continuing education credits​ for physicians, nurses, pharmacists, CPPS recertification, and general audience. ​

System Requirements​

It is important to test your computer in advance of the webcast to make sure that you meet the minimum technical requirements to attend this event. You will also want to test your computer’s ability to stream Flash video, which can also help identify potential firewall issues that could impair your ability to view the webcast. Please visit the links below for more information and be sure to allow sufficient time prior to the event to complete these tests.
Technical Requirements Test
Computer Tips
Minimum technical requirements include:
  • Javascript Enabled
  • Flash Plug-In
  • Pop-Up Blockers Turned Off
  • ​One of the following web browsers: Internet Explorer version 11 or higher, Mozilla Firefox version 52 or higher, Google Chrome version 57 or higher, Apple Safari 8 (on OS X Yosemite), Safari 9 (on OS X El Capitan) or Safari 10 (on OS X Sierra) or higher

Cancellation and Refund Policy

If you wish to cancel your enrollment, please contact IHI/NPSF at (617) 391-9900 or by October 15, 2017 (30 days prior to the start of the webcast), to receive a full refund. Unfortunately, we are unable to grant refunds for cancellations made after that time. One attendee may be substituted for another prior to the first meeting of program attendees (via phone, web, or in-person). If we do not receive notice of a cancellation on or before October 15, 2017, full payment will be required, regardless of attendance.​