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Pediatric Grand Rounds (CME): Learning From Events to Develop a Proactive Safety Culture

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Event Details:

Quality Improvement Series
Learning From Events to Develop a Proactive Safety Culture

Jay Michael Balagtas, MD
Clinical Associate Professor, Pediatric Hematology-Oncology
Stanford School of Medicine

Jessey Bargmann-Losche, MPH
Vice President
Center for Pediatric and Maternal Value (cpmV)

Grace Lee, MD MPH
Chief Quality Officer,
Christopher G. Dawes Endowed Directorship in Quality
Stanford Medicine Children’s Health

Kenneth Mah, MD
Clinical Assistant Professor, Pediatric Cardiology 
Stanford School of Medicine

During this session, presenters will discuss the process by which a safety event is analyzed, classified, and reviewed at both the local and system level. Presenters will provide the overall framework for safety event review and share examples to highlight the benefit of leveraging the safety reporting system to drive improvement and ensure patient safety. Presenters will end by sharing ways in which participants can engage with the organizational framework for quality, safety and experience improvement and leverage and/or integrate with system structures and resources for support as needed.


  • Describe how safety event data are reviewed and analyzed for learning and improvement opportunities.
  • Managing responses to safety events and shifting from a reactive to proactive safety model.
  • Learn about approaches to integrate findings into practice improvement in a complex delivery system

LOCATION (in-person)
Center for Academic Medicine
Grand Rounds Room
453 Quarry Road, 
Palo Alto, CA 94304

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