Courses

Leading Patient Safety: Essentials for Managers and Directors

Format:

Online

Begins:

Mar 17, 2026

Duration:

14 weeks

Fee:

$995

Groups of 3 or more :

$846

Don't miss out! Join us for an exclusive Informational Call with faculty on Thursday, January 22, 2026, at 11:00 AM ET. Gain valuable insights and register now to secure your spot.

Not receiving IHI emails? Please ask your IT department to add the ihi.org domain to your organization's Safe Senders list.

Please review our Cancellation Policy

*Prices are listed in USD. Group prices are listed as per-person.

Lead the Way to Safer Care

At IHI, we believe safety is not an add-on, it’s the foundation of better care. This new, practical, and high-impact course is designed for managers and directors ready to elevate their leadership in patient and workforce safety. Strengthen your leadership to build safer, more reliable systems every day, for every patient, and every staff member. Unlike other courses that focus narrowly on compliance or technical fixes, this course goes further. It equips frontline and mid-level leaders to apply proactive strategies, systems thinking, and human factors to transform daily operations and prevent harm.

Join us for a free informational call with faculty on Thursday, January 22, 2026, at 11:00 AM ET. Gain valuable insights and register now to secure your spot.

What You'll Learn

Who Should Attend

Session Faculty

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Bryce Clark, MPA, BSN/RN, CPHQ is the Director of Patient Care Services for Inpatient Medical Units at Children’s Hospital Colorado. With a robust background in healthcare leadership, patient safety, and quality improvement, Bryce has dedicated his career to optimizing hospital operations, enhancing patient outcomes, and developing leaders. Before stepping into his current role, Bryce served as a clinical manager of one of Children Colorado’s inpatient medical units, where he spearheaded initiatives to improve pediatric mental health care, reduce turnover, and maintain high team engagement. Prior to that, Bryce worked in a variety of patient safety and improvement roles, where he led improvement efforts that significantly reduced hospital-acquired conditions, developed organizational safety strategies, and educated leaders on improvement science. Bryce holds a Certified Professional in Healthcare Quality (CPHQ) credential and earned an Executive MPA from New York University, a BSN from Johns Hopkins University, and a BS in Mechanical Engineering from Rose-Hulman Institute of Technology.

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Orysia Bezpalko Hernandez is the Harm Prevention & Safety Improvement Manager at Children's Hospital of Philadelphia (CHOP). In her role within CHOP's Patient Safety team, Orysia leads teams in strengthening systems and processes to achieve safer care for patients and reduced rates of healthcare-associated harm through the use of quality improvement and human factors methodologies. She serves as a national subject matter expert in proactive safety and safety culture through the Solutions for Patient Safety pediatric hospital collaborative, and has a particular interest in the ways in which human cognition and decision making can both support and be supported by better system design. Orysia holds a BA in English and an MS in Behavioral Science from the University of Pennsylvania, an MPH from Drexel University's Dornsife School of Public Health, and is a certified Lean Six Sigma Green Belt.

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Dr. Daniel Hyman is a transformational healthcare leader with a distinguished career dedicated to enhancing the safety and quality of patient care. He has held executive leadership roles at renowned institutions, including Children’s Hospital of Philadelphia (CHOP), NewYork-Presbyterian Hospital, and Children’s Hospital Colorado.

Dr. Hyman began his career as a general pediatrician, spending 13 years in primary care practice. During this time, he received training in quality improvement methodologies and successfully applied them in his practice. His expertise led to broader leadership roles, first regionally as Medical Director for Children’s Health Net at CHOP and later nationally with the National Initiative for Children’s Healthcare Quality (NICHQ).

Over the next two decades, Dr. Hyman held a series of hospital leadership positions, including Chief Medical Officer for Ambulatory Care and Chief Children’s Quality Officer at NewYork-Presbyterian Hospital. He then served as Chief Quality Officer and later as Chief Medical and Patient Safety Officer at Children’s Hospital Colorado before returning to CHOP as Chief Safety and Quality Officer. In these roles, he played a pivotal role in hospital operations beyond safety and quality programs, including accreditation, peer review, medical staff credentialing, professionalism, and policy development.

Dr. Hyman earned his medical degree from Albert Einstein College of Medicine and completed his pediatric residency at CHOP. He also holds a Master’s Degree in Medical Management (MMM) from Tulane University. He is a Clinical Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania and holds retired status as Professor of Pediatrics at the University of Colorado School of Medicine.

In addition to his hospital leadership roles, Dr. Hyman has contributed significantly at the national level. He has served on the Clinical Steering Team for the Children’s Hospitals’ Solutions for Patient Safety Network and co-chaired its Measurement Committee. He co-founded and co-directed the Academic Pediatric Association (APA) Quality and Safety Improvement Scholars Program and has held board and leadership positions with the Children’s Hospital Association and its predecessor organizations.

Dr. Hyman remains active in education and mentorship. He teaches in the Center for Healthcare Improvement and Patient Safety (CHIPS) program at Penn, where he developed and continues to direct a Master’s-level course on leadership in quality and safety in healthcare systems. He is also a proud faculty member of the Institute for Healthcare Improvement, contributing to their safety improvement initiatives.

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Leah Konwinski, MS, CPE is a health care embedded Human Factors Engineer and the Director of Human Factors and Innovation at Corewell Health in Michigan. Leah is responsible for driving the organization’s proactive improvement strategy for patient safety, quality, and experience. She and her team specialize in leveraging human-centered systems analysis and participatory design to achieve breakthrough improvement. Their applied research centers around applying resilience engineering and human factors methods to better understand and solve for barriers to simple, satisfying, and safe work. She is internationally recognized as a deep thinker and practitioner of human factors and ergonomics, and a passionate advocate for human-centered design in the healthcare field.

Before her tenure in healthcare, Leah worked in the automotive, food production, aviation, engineering, and product design industries, bringing ergonomics and human factors insights into many design and improvement initiatives. Leah received her Bachelor of Science with Honors from the University of Guelph and her Masters of Human Kinetics with a focus on Biomechanics and Human Factors from the University of Windsor, both in Ontario, Canada. Leah is a Certified Professional Ergonomist, a member of the Human Factors and Ergonomics Society, the Resilience Engineering Association, and the Human Factors Transforming Healthcare group.

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Dr. David Munch has been an IHI faculty member for many years teaching in the Patient Safety Executive (PSE) program, Leading Quality Improvement, Engaging Managers in Quality (LQI) program, numerous IHI National Forums and many international IHI patient safety programs. In addition, he has helped numerous health systems over the past 12 years with their Lean quality improvement implementations.  During that time, he has been an instructor for the Belmont University Lean Healthcare Certificate program and prior to that, the University of Michigan Lean Certificate program, focusing on leadership and management systems development.  He served as the COO, CQO and CMO from 2000 to 2009 at Exempla Lutheran Medical Center. He spent 8 years on The Quality Committee of the Board for The Children's Hospital of Colorado. He has an extensive background in health system operations and clinical practice and currently advises several health systems in their management systems development journeys.

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Jennifer L. Wiler, MD, MBA is a tenured Professor at the University of Colorado School of Medicine and Co-Founder of the UCHealth CARE Innovation Center. She is nationally recognized as an expert in quality and safety, healthcare operations, payment policy, and was named by Becker’s Healthcare a “Top 26 Patient Safety Expert to Know” in 2022. Dr. Wiler was appointed by the U.S. Governmental Accountability Office to serve on the Physician-Focused Payment Model Technical Advisory Committee (PTAC), a federal expert panel within the Department of Health and Human Service which consults to the Centers for Medicare and Medicaid Innovation (CMMI). She has also served in numerous state and national leadership positions including Chair of the American Medical Association Women Physicians Congress which represents all women physicians and representative for the American College of Emergency Physicians to the AMA RBRVS Updates Committee (RUC) an expert advisory panel to the Centers for Medicare and Medicaid Services (CMS) for nearly a decade. Dr. Wiler has authored over 75 peer-reviewed papers and is senior editor of the book “Value and Quality Innovations in Acute and Emergency Care” (Cambridge Press, 2017), and has won numerous national awards including being named the “Emergency Physician of the Year” for Pennsylvania, a “Nation’s Top Emergency Physicians 45 Under 45”, an American Medical Association “Inspirational Physician”, and the American Medical Women’s Association (AMWA) “Inspire Award”. She was the Chief Quality Officer for UCHealth Metro and a Professor at the University of Colorado Denver School of Business.

James Won is the Director of Human Factors and Systems Design for the Center for Healthcare Quality and Analytics (CHQA) at the Children’s Hospital of Philadelphia (CHOP), Adjunct Assistant Professor for the Perelman School of Medicine and the School of Engineering at the University of Pennsylvania, and a Senior Fellow at the Center for Injury Research and Prevention. His previous work contributed to the development of a safe and efficient national airspace system (NAS) for the Federal Aviation Administration (FAA) and other government research efforts. He is passionate about keeping the human at the forefront of every system by bridging the gap between work as imagined and work as done.

Through immersive learning, you’ll gain the tools to coach teams effectively, embed reliability and resilience into daily practice, and lead with clarity in both routine operations and times of change. You will examine practices for both identifying and reducing risks to prevent things from going wrong (Safety-I), as well as practices that emphasize anticipating variability, supporting everyday work, and strengthening systems to ensure things go right (Safety-II).

This is more than a course; it’s a catalyst for leaders who want to transform their microsystem and contribute to a culture where patients and staff alike can thrive.

Making the Case: Download the Justification Letter to provide high-level information on the Leading Patient Safety: Essentials for Managers and Directors

Session Agenda

The course consists of 8 online lessons and 8 live webinars. The agenda for this offering is available to download:

IHI Leading Patient Safety March 2026 Agenda

Continuing Education

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.

This program is approved to provide 16 credits for physicians, nurses, pharmacists, and Certified Professional in Patient Safety (CPPS) recertification. Additional credit types pending.

The Institute for Healthcare Improvement designates this live activity for a maximum of 16 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity may also be applicable for other professions that accept AMA PRA Category 1 Credits™.

A growing list of countries accept ACCME-accredited education. 

As a result of this program, attendees will be able to:

Describe the skills, tools, and resources needed to effectively and reliably coach and guide your teams to enhance safety for patients and staff.
Align department-level safety improvement activities to the organization’s goals and overall strategic plan.
Improve safety culture and process reliability to successfully partner with front-line staff and other partners.
Distinguish Safety-I and Safety-II approaches to patient safety - recognizing that Safety-I focuses on identifying and reducing risks and preventing things from going wrong, while Safety-II emphasizes anticipating variability, supporting everyday work, and strengthening systems so things go right.
Articulate the complementary value of combining reactive/protective approaches with proactive/productive ones.
Apply the core components and principles of a fair and just culture to identify and solve problems.
Incorporate strategies of change management, reliability, and resilience into standard work to enhance sensitivity to operations and promote safety in your areas of responsibility.

Instructions

To be eligible for a continuing education certificate, attendees must complete the online evaluation within 30 days of the continuing education activity. After this period, you will be unable to receive a certificate.

Continuing education credits will not be awarded for non-educational activities, including (but not limited to) meals, breaks and receptions.

Planning Committee

Bryce Clark, MPA, BSN/RN, CPHQ, Director Patient Care Services, Children’s Hospital Colorado

Orysia Bezpalko Hernandez, MS, MPH, Harm Prevention and Safety Improvement Manager, Children’s Hospital Philadelphia

Daniel Hyman, MD, MMM, Faculty, IHI

Leah Konwinski, MS, CPE, Director Human Factors and Innovation, Corewell Health Jennifer Lenoci-Edwards, BSN, RN, MPH, Vice President, IHI

David Munch, MD, Faculty, IHI

Katherine Rowbotham, Director of Accreditation, IHI

Jennifer Wiler, MD, MBA, Professor, Emergency Medicine, University of Colorado School of Medicine

James Won, PhD, MS, Human Factors, Mechanical Engineering, Director Human Factors and System Integration, Children’s Hospital of Philadelphia

Disclosure: None of the planners, presenters, or staff for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Fees and Scholarships

Registration Rates

Includes 9 online lessons and 8 live hour-long webinars to reinforce, discuss and apply content covered during the online lessons. Prices are listed in USD.

Regular rate: $995 per person

Group of 3 or more: $845.75 per person
Register a group

Scholarships

IHI is pleased to offer a limited number of 25% and 100% scholarships to assist with program registration costs for those working in:  

Independent, United States Federally Qualified Health Centers (FQHCs) that are not affiliated with a hospital or health system

Critical Access Hospitals

Independent practices with fewer than 20 physicians

Hospitals with fewer than 50 beds

Members of America's Essential Hospitals

501(c)(3) organization with a defined operating budget of less than $5 million, serving community-based populations

Ministries of Health

Faith-based health institutions

Skilled Nursing Facilities

To apply for a scholarship, please complete the online Scholarship Application by February 9, 2026. IHI will not consider applications submitted after this date.

All Scholarships are reviewed on an individual basis. If multiple individuals from the same organization wish to apply for a scholarship, each individual must submit an application.   

To ensure equal distribution of funds, all scholarship applications are reviewed using the same scoring criteria. All awarded amounts are final.  

Please note, scholarships are available for program registration costs only, and do not cover travel, food, or accommodation costs associated with attending a program.    

Review IHI Cancellation Policy

Logistics

Start Today

Click on the Register button to login or create an account.

Visit the IHI Education Platform to view program details and complete your registration for the training.

Invoices can be found and paid through your My Account section

Need Help?

Email

info@ihi.org

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Transparency and Training: Keys to Trusted AI in Health Care

Courses

Beyond HRO: Human-Centered Resilience Engineering as a Future-Ready Framework for Patient Safety

Format:

Online

Start Date:

Feb 25, 2026

Duration:

15 weeks

Fee:

$1600

Groups 3 or more:

$1360

Don't miss out! Join us for an exclusive Informational Call with faculty on Tuesday, November 11, 2025 from 10:00 AM–11:00 AM ET. Gain valuable insights and register now to secure your spot.

Not receiving IHI emails? Please ask your IT department to add the ihi.org domain to your organization's Safe Senders list.

Please review our Cancellation Policy

*Prices are listed in USD. Group prices are listed as per-person.

Advanced Patient Safety Concepts

Traditional safety tools like HRO, Lean, and PDSA can no longer keep pace with today’s complex health care systems, leaving many leaders frustrated with limited results. Beyond HRO: Human-Centered Resilience Engineering as a Future-Ready Framework for Patient Safety introduces a balanced approach that builds on proven methods while incorporating advanced safety science from other complex industries. Through interactive sessions and coaching, participants will gain new frames, resilience engineering principles, and practical tools to strengthen, adapt, or replace outdated methods and drive future-ready improvements.

Join us for a free informational call with faculty on Tuesday, November 11, 2025, at 10:00 AM ET. Gain valuable insights and register now to secure your spot.

What You'll Learn

Who Should Attend

Session Faculty

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Dr. Oren Guttman, MD, MBA

System Vice President for High Reliability & Patient Safety | Jefferson Health

Edward Asplundh Chief Quality & Patient Safety Officer| Jefferson Health Abington

Professor of Anesthesiology & Peri-operative Medicine

Sidney Kimmel Medical College

Dr. Oren Guttman is an internationally recognized thought leader in patient safety and in the application of human factors, design science, and resiliency engineering in healthcare. He serves as the Jefferson Health System Vice President for Patient Safety at Jefferson Health, a 32-hospital system across Pennsylvania and Southern New Jersey. He holds the Edward Asplundh endowed Chief Quality and Patient Safety Officer at Jefferson Health Abington Hospital, and maintains a clinical commitment, as a Professor of Anesthesiology & Perioperative Medicine at Sidney Kimmel Medical College.

Dr Guttman is the principal architect of Jefferson Health’s Safety Management System, a pioneering framework that integrates resiliency engineering, applied human factors, and modern safety science into clinical operations. This system earned the ECRI Safety Excellence Award and serves as a foundational piece of the model for the Institute for Healthcare Improvement’s (IHI) CareOS redesign. His focus on reducing HAIs (CLABSIs) utilizing resiliency engineering principles, was among the 3 case studies that earned Jefferson Health recognition by HIMSS with the Davies Award in 2022.

Dr. Guttman’s work in integrating human factors and resiliency engineering in healthcare as a new paradigm to advance patient safety, has been featured in major media outlets including The Wall Street Journal, Becker’s Hospital Review, and Healthcare Tech Outlook. He has delivered dozens of invited presentations, and spoken on multiple podcasts and webinars hosted by IHI, AHA, CMS, and others. He serves as IHI Faculty, where he supports their Transforming Safety Together Steering Committee and co-leads their Advanced Patient Safety Course.

Leah Konwinski, MS, CPE, is a health care embedded Human Factors Engineer and the Director of Human Factors and Innovation at Corewell Health in Michigan. Leah is responsible for driving the organization’s proactive improvement strategy for patient safety, quality, and experience. She and her team specialize in leveraging human-centered systems analysis and participatory design to achieve breakthrough improvement. Their applied research centers around applying resilience engineering and human factors methods to better understand and solve for barriers to simple, satisfying, and safe work. She is internationally recognized as a deep thinker and practitioner of human factors and ergonomics, and a passionate advocate for human-centered design in the healthcare field.

Jeremy Schwartz, MSN, RN, CNL, Director of Nursing Practice, Clinical Quality and Performance Excellence, has over a decade of nursing leadership experience. From a bedside Oncology nurse to a director of practice, Jeremy has a deep understanding of clinical operations, patient experience, nursing practice, change leadership and team development. He drives, innovates practice and implements system-wide improvements in patient safety, nursing practice, and quality. Jeremy has led successful initiatives to reduce CAUTI, CLABSI, falls with injury, improve mobility and decrease sepsis achieving significant gains in quality metrics. He designs and implements innovative workflows, mentors nursing leaders, facilitates shared governance councils, and collaborates across disciplines to enhance care delivery. He aligns nursing practice across a large hospital system.  

A New Approach to Safety in Complex Systems

Health care operations today are increasingly complex, and traditional methods alone are no longer enough to keep pace. As faculty member Leah M. Konwinski, MS, CPE, CPHFH, explains, “The reality of health care operations, in that it is wickedly complex and growing more so, necessitates an approach to safety performance that is informed by complexity theory and human-centered resilience engineering (HRE).”

Beyond HRO addresses the persistent disconnect between patient safety efforts and clinical operations, introducing a balanced framework that builds on traditional methods while incorporating advanced safety science. Participants are exposed to high-level models and tools, paired with guided application and coaching, helping them reframe challenges and bring practical, future-ready strategies back to their organizations.

Making the Case: Download the Justification Letter to provide high-level information on the Beyond HRO: Human-Centered Resilience Engineering as a Future-Ready Framework for Patient Safety

Session Agenda

The Beyond HRO program blends expert faculty guidance with interactive learning and real-world application. Over 15 weeks, participants will explore new ways of thinking about complexity, address the persistent disconnect between safety and clinical operations, and practice applying resilience engineering principles to their organizations. Each session is designed to introduce high-level models and tools, challenge assumptions, spark fresh insights, and equip leaders with practical strategies that balance traditional methods with advanced safety science.

The agenda for this program is available to download:

IHI Beyond HRO: Advanced Patient Safety Concepts February 2026 Agenda

Continuing Education

This course is approved to provide 12 credits for physicians, nurses, Certified Professional in Patient Safety (CPPS) recertification, and Certified Professional in Human Factors in Health Care (CPHFH) recertification.

The Institute for Healthcare Improvement designates this live activity for a maximum of 12 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity may also be applicable for other professions that accept AMA PRA Category 1 Credits™. This course includes scheduled live components as part of the overall educational experience. Participation in both the enduring and live portions is required to achieve the stated learning objectives.

Describe why a transformed approach to safety is needed in today’s complex health systems.
Differentiate between “Safety-I” and “Safety-II” approaches to safety management, and how the approaches complement each other to enable reliable outcomes.
Employ human-centered resilience engineering concepts, models, and tools to any safety initiative or complement any traditional quality improvement project.
Apply key concepts to both proactive and reactive safety activities to advance the efficacy and future-readiness of your program.
Assess the role of human factors and the importance of qualitative inquiry in driving more effective, targeted interventions.

Instructions

To be eligible for a continuing education certificate, attendees must complete the online evaluation within 30 days of the continuing education activity. After this period, you will be unable to receive a certificate.

Continuing education credits will not be awarded for non-educational activities, including (but not limited to) meals, breaks and receptions.

Already attended?

To view continuing education (CE) credits and session materials:

Click on the "My IHI" link on the top of this page
Once you are logged in, click on the "Credits" tab to see CE information.
Click on the "My Participation" tab and then the button that says "My Materials" to see course materials.

Planning Committee

Oren Guttman, MD, MBA, System Vice President for High Reliability & Patient Safety, Jefferson Health, Edward Asplundh Chief Quality & Patient Safety Officer, Jefferson Health Abington
Leah M. Konwinski, MS, CPE, CPHFH, Director, Human Factors & Innovation. System Quality, Safety & Experience, Corewell Health
Jennifer Lenoci-Edwards, BSN, RN, MPH, Vice President, IHI
Katherine Rowbotham, MA, Director of Accreditation, IHI
Jeremy Schwartz MSN, RN, CNL, Director of Nursing Clinical Quality, Practice & Performance Excellence, Jefferson Abington and Lansdale Hospital

Fees & Scholarships

Registration Rates

Regular Rate: $1,600 per person

Group (3 or more): $1,360 per person

This rate includes 8 virtual sessions, six optional office hours (minimum of 2 office hours required) and the use of all tools and resources.

Scholarships

IHI is pleased to offer a limited number of 15%, 25%, and 50% scholarships to assist with program registration costs for those working in:  

Independent, United States Federally Qualified Health Centers (FQHCs) that are not affiliated with a hospital or health system  
Critical Access Hospitals  
Independent practices with fewer than 20 physicians  
Hospitals with fewer than 50 beds  
Members of America's Essential Hospitals  
501(c)(3) organization with a defined operating budget of less than $5 million, serving community-based populations  
Ministries of Health  
Faith-based health institutions   
Skilled Nursing Facilities

To apply for a scholarship, please complete the online Scholarship Application by January 23, 2026. IHI will not consider applications submitted after this date. IHI will notify all applicants of their scholarship status by January 30, 2026.

All Scholarships are reviewed on an individual basis. If multiple individuals from the same organization wish to apply for a scholarship, each individual must submit an application.   

To ensure equal distribution of funds, all scholarship applications are reviewed using the same scoring criteria. All awarded amounts are final.  

Please note, scholarships are available for program registration costs only, and do not cover travel, food, or accommodation costs associated with attending a program.   

Review IHI Cancellation Policy

Logistics

Start Today

Click on the Register button to login or create an account.
Visit the IHI Education Platform to view program details and complete your registration for the training.
Invoices can be found and paid through your My Account section

Need Help?

info@ihi.org

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Improving Health Care Around the World, One Child at a Time

Courses

Redesigning Event Review with Root Cause Analyses and Actions (RCA2)

Format:

Online

Begins:

Mar 10, 2026

Mar 19, 2026

Fee:

$549

To register a group of 2+, fill out the form above

View a recording and slides from a previous informational call.

Fill out this form to download the program brochure.

Program includes self-paced online content, three live All-Learner Calls, social learning with your peers, and access to one-on-one coaching with expert faculty.

Not receiving IHI emails? Please ask your IT department to add the ihi.org domain to your organization's Safe Senders list.

Learn to improve your event review process with a unique approach — endorsed by leaders in patient safety across the United States and abroad — that expands upon traditional root cause analysis.

View a recording and slides from a previous informational call.

What You Will Learn

Who Should Attend

Faculty

Jessica Behrhorst, MPH, CPPS, CPQH, CPHRM, Quality, Safety and HRO Consultant, Aptive Resources, works in the areas of patient safety, workforce safety, and high reliability. She is faculty for the IHI Patient Safety Executive Development Program and on Redesigning Event Review with Root Cause Analysis and Action (RCA2). Prior to Joining Aptive Resources she served as the Senior Director at the Institute for Healthcare Improvement (IHI). She has also served as the Assistant Vice President of Quality & Patient Safety at Ochsner Health System where she helped set the strategic priorities in quality and patient safety and oversaw various projects involving patient safety, performance improvement, regulatory readiness, ambulatory nursing, and quality outcomes. She has presented her work on RCA2 and Improving the Culture of Safety at various regional and national meetings. She has also worked on research projects involving reduction in Sepsis mortality and access to healthcare for underserved populations. Jessica received her bachelor’s degree from Tulane University and her Master of Public Health Degree from the Louisiana State University School of Public Health. She is a Certified Professional in Patient Safety (CPPS), a Certified Professional in Healthcare Quality (CPHQ) and a Certified Professional in Healthcare Risk Management (CPHRM).

Rollin J. “Terry” Fairbanks MD, MS, CPPS, is Senior Vice President and Chief Quality & Safety Officer at MedStar Health, Executive Director of the MedStar Institute for Quality and Safety, and Professor Of Emergency Medicine at Georgetown University. Dr. Fairbanks started his career as a safety scientist focused on human factors engineering in the transportation industry, and later became a physician. He has become an expert in the application of safety science in health care. In 2010 he founded MedStar Health’s National Center for Human Factors in Healthcare, now one of the largest embedded health care human factors centers in the world. He has authored more than 200 publications and edited a book on health care safety and human factors engineering. He has served in safety advisory roles for several national organizations and for the United States, British, Spanish, and Australian governments, and serves in several national advisory roles in addition to his role as IHI faculty. Dr. Fairbanks is a former paramedic, EMS medical director, and general aviation pilot. He practices emergency medicine at the MedStar Washington Hospital Center in Washington DC.

Tejal K. Gandhi, MD, MPH, CPPS, is the Chief Safety and Transformation Officer at Press Ganey. In this role, Dr. Gandhi is responsible for advancing the Zero Harm movement, improving patient and workforce safety, and developing innovative health care transformation strategies. Before joining Press Ganey, Dr. Gandhi served as Chief Clinical and Safety Officer at the Institute for Healthcare Improvement (IHI), where she led IHI programs focusing on improving patient and workforce safety. Prior to this, Dr. Gandhi was President and Chief Executive Officer of the National Patient Safety Foundation (NPSF) from 2013 until 2017, when NPSF merged with IHI. She has also served as President of the Lucian Leape Institute, a think tank founded by NPSF that now operates within the IHI Safety portfolio and was a board member of the Certification Board for Professionals in Patient Safety which administers the Certified Professional in Patient Safety credential.

Richard D. Guthrie, Jr., MD, CPE, is the System Chief Quality Officer of Ochsner Health. As the Chief Quality Officer, Guthrie oversees the development and implementation of strategies and programs aimed at improving patient safety and quality for the health system. Dr. Guthrie previously served as the Regional Medical Director — Ochsner Medical Center from 1999–2014. As Medical Director, Guthrie oversaw the physician group and was responsible for physician recruitment, clinical program development, and professional affairs. Dr. Guthrie earned his Bachelor of Science degree from the University of New Orleans, summa cum laude, and graduated from Louisiana State University Medical School, Alpha Omega Alpha, in 1986. Dr. Guthrie received his internal medicine training, including residency and chief residency, at Alton Ochsner Medical Foundation.

Lauge Sokol-Hessner, MD, CPPS, is a practicing clinician, educator, researcher, innovator, and leader in patient safety & quality improvement. He’s an Associate Professor of Medicine and an attending hospitalist at the University of Washington (UW) & Harborview Medical Centers, and a Quality Improvement Mentor at the UW Medicine Center for Scholarship in Patient Care Quality and Safety. As the Associate Director for the UW Collaborative for Accountability and Improvement and a Faculty Coach for the PACT Collaborative, he helps lead national work to sustain and spread more proactive, ethical, person-centered responses after harm events. He has operational quality & safety experience as a former Senior Medical Director of Patient Safety at Beth Israel Deaconess Medical Center in Boston. As IHI Faculty, and as a former quality and safety fellowship program director and masters program course director at Harvard Medical School, he's passionate about helping develop the next generation of leaders in quality and safety, and he regularly teaches about patient safety, quality improvement, and leadership. He completed his medical degree and internal medicine residency at the University of Pennsylvania.

Additional Resources

When accidents occur in health care, providers and health systems have an urgent responsibility to respond to prevent future harm.

In this online course, you'll learn to improve your event review process with a unique approach — endorsed by leaders in patient safety across the United States and abroad — that expands upon traditional root cause analysis.

Moving swiftly after a safety incident occurs, you'll learn to establish a small team to conduct interviews, develop a flowchart, and pinpoint vulnerabilities in your system: poor equipment design, inadequate training, or insufficient resources.

Most importantly, by the end of the course you'll gain tools and strategies to address these vulnerabilities with sustainable actions that really work to prevent future harm. This is the focus of Root Cause Analyses and Actions — or RCA2.

Session Agenda

This program consists of 3 live online sessions and self-paced activities to be completed outside of the live sessions. Self-paced activities between sessions are required and should take no longer than one hour to complete per session.

The agenda for the March 2026 offering is available to download:

Redesigning Event Review with Root Cause Analyses and Actions (RCA2) Agenda

Continuing Education

Continuing education credits for this program are still being finalized and will be updated shortly.

After attending this course, attendees will be able to:

Define an improved event review process with a unique approach that expands upon traditional root cause analysis.
Identify how to form a multidisciplinary team to collect data and evaluate current state.
Apply evidence-based tools and techniques to address vulnerabilities with sustainable actions to prevent future harm.

Planning Committee

Patricia A. McGaffigan, RN, MS, CPPS, Vice President, IHI
Lauren Cameron, Project Manager, Education
Jessica Behrhorst, MPH, CPPS, CPQH, CPHRM, Quality, Safety and HRO Consultant
Lauge Sokol-Hessner, MD, CPPS, Clinical Associate Professor, Medicine, University of Washington

CE Instructions

In order to be eligible for a continuing education certificate, attendees must complete the online evaluation within 30 days of the continuing education activity. After this period, you will be unable to receive a certificate.

Continuing education credits will not be awarded for non-educational activities, including (and not limited to) meals, breaks and receptions.

Already attended?

To view continuing education (CE) credits and session materials:

Click on the "My IHI" link on the top of this page
Once you are logged in, click on the "Credits" tab to see CE information.
Click on the "My Participation" tab and then the button that says "My Materials" to see course materials.

Fees & Scholarships

Fee: $549 per person

Includes self-paced online content, three live All-Learner Calls, social learning with your peers, and access to one-on-one coaching with expert faculty.

Scholarships

IHI is pleased to offer a limited number of free and 25% scholarships to assist with program registration costs for those working in:

Independent, United States Federally Qualified Health Centers (FQHCs) that are not affiliated with a hospital or health system
Critical Access Hospitals
Independent practices with fewer than 20 physicians
Hospitals with fewer than 50 beds
Members of America's Essential Hospitals
501(c)(3) organization with a defined operating budget of less than $5 million, serving community-based populations
Ministries of Health
Faith-based health institutions
Skilled Nursing Facilities

Scholarship applications are due February 24, 2026. Scholarship decisions will be announced on March 3, 2026.

All Scholarships are reviewed on an individual basis. If multiple individuals from the same organization wish to apply for a scholarship, each individual must submit an application. Group discounts are also available, see information above.

To ensure equal distribution of funds, all scholarships applications are reviewed using the same scoring criteria. All awarded amounts are final.

Review IHI Cancellation Policy

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Click on the Register button to login or create an account.
Visit the IHI Education Platform to view program details and complete your registration for the training.
Invoices can be found and paid through your My Account section.

Maricia Silvera-Batson, RN

Scarborough Health Network

"This course is great for the novice to the expert in regards to RCA knowledge. It can be completed while working a full-time job. The content is very relevant to anyone responsible for conducting RCAs and is jammed packed with exceptional resources and examples."

James Laughton, MD

Hamad Medical Corporation

"Excellent course, as usual, from IHI. The quality of content and learning continues to be inspiring."

Missy Polito

West Virginia University Medicine

"This course was the 'icing on the cake' for me. I have been performing RCAs for over 5 years and was able to relate easily to each of the lessons. These lessons confirmed what I already knew, but also provided additional details and learning to expand upon my knowledge of the RCA process."

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