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May, 2012

Jennifer Yerke MD was awarded a prize for 'Best Poster' at the University at Buffalo's Annual Resident Scholarly Exchange Day on May 19th. She is seen above next to her poster entitled: "Inter-professional Simulations for Patient Safety: A pilot study." Jen completed this work as a fourth-year medical student under the mentorship of Patient Safety Research Center faculty Ranjit Singh, Sharon Hewner, and Mary Brennan-Taylor. Jen graduated this month from Medical School at the University at Buffalo in the Generalist Scholars Program and will be joining the Family Medicine Residency program in June.

 

Ranjit and Gurdev seen with some of the Internationally Recognized members of the WHO Expert Working Group on Patient Safety in Primary Care at its 2012 Meeting in Geneva in February. Also pictured are David Bates of Brigham and Women's Hospital and John Hickner of the Cleveland Clinic.

 

April, 2011

Gurdev seen (left) in front of the “Wall of Honor” at the Royal Society of Medicine (London) and (right) in front of his own cartoon in his presentation at the 17th Annual Conference of Concurrent Engineering at the British Institute of Technology and e-Commerce in London on 20th April 2011. The title of his talk and paper was “IT-based Systems Approach to Engaging Patients in Medical Error Reporting: in Concurrence with Staff”.

 

January, 2011

UB Patient Safety Research Center members Thomas Rosenthal MD Chair UB Family Medicine and Sonjoy Singh MB BChir MA (Cantab) MRCGP (London) Vice President Niagara Family Medicine (on the left), were once again named Top Family Medicine Doctors In Buffalo.

Both were recognized for this honor also in 2008, 2009 and 2010.

"Castle Connolly's physician-led team of researchers follow a rigorous screening process to select top doctors on both the national and regional levels. Using mail surveys, telephone physicians and the medical leadership of hospitals to nominate highly skilled, exceptional doctors" (America's Top Doctors, Castle Connolly Limited)

 


November, 2010

Two oral presentations by the Safety Team were well received at the North American Primary Care Research Group's (NAPCRG) Annual Meeting in Seattle. This was well attended by researchers from Australia, New Zealand, Europe and the Americas.

Our first presentation was on the subject of "Orienting and Motivating Faculty and Residents to Patient Safety: Meeting the Unmet Needs (2002)"
by Ranjit Singh, Diana Anderson, John Taylor, Ashok Singh, Tom Rosenthal, Don McLean and Gurdev Singh.

The second, described in the picture below, was
by Ranjit Singh, Andy Danzo, Michael Lichter and Gurdev Singh.


Also seen were our Primary Care Research Institute (PCRI) colleagues who were very active speakers and poster(s) presenters at this Meeting:
[left to right] Laurene Tumiel-Berhalter, Renee Cadzow (with her latest offspring, Josiah!), Alexandra Donakas, Linda Kahn and Kathryn Glaser.

Gurdev was seen with Dr. Kurt Stange, who is among the elite group of 11 American Cancer Society Clinical Research Professors.
His innovative research, at Case Western Reserve University, in the interface between primary care, specialty care, health care systems and community groups and agencies is highly acclaimed. He is a past President of NAPCRG and editor of Annals of Family Medicine.


Photo by Kurt Stange


July 2010

Gurdev can be seen here with three highly decorated Knights of Her Majesty's Empire at the special ceremony, attended by Duke of Kent, where Professor Alan Roberts (second from left) was admitted to the Honorary Fellowship of the Royal Society of Medicine (RSM) in London. Previous recipients of this Honorary Fellowship include Charles Darwin and Stephen Hawking.

Unlike his normal neck-ware Gurdev was seen displaying the Royal Society tie presented to him by Professor Roberts who nominated Gurdev for the RSM Fellowship.


Photo by Craig Jordan OBE, PhD, DSc, FMedSci


 

June 2010

Ranjit and Gurdev attended the Annual AHRQ Grantees Meeting in Washington DC (attended by over 300) where they were asked to perform the following functions:

  1. One-to-one demonstration of our web-based Safety Enhancement and Measuring Instrument over two 2hr sessions,
  2. 15 minutes presentation of progress on our AHRQ supported R18 project.and most importantly,
  3. 45 minutes workshop on "Change Management"

These, particularly the last one which was chaired by the AHRQ Management Analyst and the Conference Organizer (Angela Lavanderos), were extremely well received.

 

May 2010

Gurdev Singh, Director of UB Patient Safety Research Center was nominated to Fellowship of the Royal Society of Medicine (London) for his services to medicine by Professor Alan Clive Roberts, OBE, TD, JP, DL, KStJ MPhil, PhD, DSc, DTech, LLD, FLS, FCGI, CBiol, FIBiol, CIMechE

Click here for details


March 2010

At the 47th Annual Meeting of American College of Osteopathic Family Physicians our team members, Ashok Singh and Don McLean, made an invited presentation to the nation's Directors of DO Residency programs on the subject of training Residents and Faculty in patient safety.


April 24, 2010

Kimberly Oddo and Kelvin Gold presented posters at the 2010 13th GME Scholarly Exchange Day at UB, on the subjects of: “Physicians’ responses to alerts in an electronic prescribing system” and “A Team-Based Approach to the reduction of Adverse Drug Events in the Elderly”, respectively. Shown below are the scholars with their mentor, Ranjit Singh. These posters were well received. Congratulations to Kimberly and Kelvin.

Kimberly Oddo

Kelvin Gold

 

January 2010

Once again, members of our team, Tom Rosenthal and Sonjoy Singh, have been nominated as two of the Top Four Family Doctors of Western New York by Castle Connolly. (Both physicians were also recognized for this honor in 2008.)
" Castle Connolly's physician-led team of researchers follow a rigorous screening process to select top doctors on both the national and regional levels. Using mail surveys, telephone physicians and the medical leadership of hospitals to nominate highly skilled, exceptional doctors" (America's Top Doctors, Castle Connolly Limited)


Late autumn 2009
At the NAPCRG conference in Montreal we made a presentation on “Training and Evaluating Residents in Medical Error Disclosure using Standardized Patients”.

Autumn 2009

Made two presentations for the 2ND INTERNATIONAL NORTH-AMERICAN SIMULATION TECHNOLOGY CONFERENCE On Soft Computing. Simulation and Software Engineering, on the subjects of:

  1. “Visual Modeling for Making Healthcare Safer”
  2. “Web-Based Systems Approach to Improvement of Patient Safety”

Summer 2009
We presented a poster on “A Visual Medical Error Taxonomy: illustrated using ambulatory medication errors” at the AHRQ Grantees Conference in DC.

June 2009

Ranjit Singh was invited to speak on two subjects to the OAFP Scientific Assembly, Tulsa, OK :

  1. Improving Medication Safety in Primary Care.
  2. Prioritizing Quality Improvement Initiatives within a Practice.

Late autumn 2008

We made two presentations and displayed one poster at the NAPCRG Conference as follows:

  1. “Effects of a Team Resource Management intervention on rates of Adverse Drug Events in primary care”.
  2. “Introduction of an IT-assisted Approach to Reducing Errors in a Family Practice Office”.
  3. Poster on “Concept for Monitoring Tool for Making Transitions to and from Office Safer”.

Autumn 2008
  1. Made an invited presentation on “Design of a Computer Based Error Reporting and Taxonomy for Use at the Point of care and Policy Levels” at the Patient Safe Conference in DC.
  2. Displayed a poster on “A Patient Safety Objective Structured Clinical Exam (OSCE): at the same conference.

Summer 2008
We made a presentation on “Measuring the effect of Team Resource Management (CRM) On Safety Attitudes in Primary Care ” at the PBRN Conference organized by the Agency for Health Research and Quality in DC.


Spring 2008
  1. Made an invited presentation on “A Visual Computer Interface Concept for Making Error Reporting and Taxonomies Useful at the Point of Care” in the Plenary Session of the AAFP Convocation in Orlando.
  2. Our second presentation at the above convocation was on” Improving Medication Safety with Clinician Use of Health IT”


September 2007

Gurdev was invited, once again, to lead a Grand Rounds at Kaleida Health/MFH Gates, Buffalo. He spoke on "Building Self-Empowered Teams for Improving Patient safety". Applications of this team building approach were illustrated with examples of post-operative pain and falls management in two of the Kaleida hospitals. This work is being carried out in collaboration with Dr. Bruce Naughton, the Chief of Geriatric Center of Excellence.

 

September 2007

We have received a three year $1.2 million AHRQ R18 grant for "A Systems Engineering Approach: Improving Medication Safety with Clinician Use of Health IT". Gurdev Singh is the Principal Investigator. A brief description follows:

Medication errors are among the most serious medication use concerns in older persons cared for in ambulatory care settings. The introduction of health IT into such complex settings can improve patient safety, but its adoption in outpatient offices is only just beginning, and increased use of IT alone will not be enough to deal with the many complex cognitive processes that are intricately interlinked with human factors. This project will implement an IT-based Crew Resource Management (CRM) tool. The selected IT system that will be adapted (with CRM elements embedded) is the ACORN system, developed by the Dendress Corporation.
 This study was formulated in consultation with Upstate New York Practice Based Research Network (UNYNET) clinicians who are already using EMRs and interested in identifying affordable approaches that are useful and generalizable to their offices. Outcome assessment will be focused on medication safety among geriatric patients and office staff use/application of the IT-based CRM tool.

The specific aims of the study are to:

  1. Examine the impact of an IT-based CRM intervention on reducing selected adverse drug events (ADEs) among geriatric patients in primary care settings by evaluating changes in:
    (a) number of preventable ADEs;
    (b) severity of those ADEs; and
    (c) stage of the medication use process in which they occur (i.e. diagnosis, prescribing, transcribing, dispensing, administration, and monitoring).

  2. Examine the impact of an IT-based CRM intervention on improving monitoring for geriatric patients on Persistent Medications in primary care settings by evaluating changes in monitoring rates for subjects (age 65+) on:
    (a) ACE Inhibitors or ARBs;
    (b) Digoxin;
    (c) Diuretics; and
    (d) Statins.

  3. Evaluate office staff use and application of the IT-based CRM Tool for improving geriatric medication safety in primary care settings by examining utilization of the IT tool and changes in safety attitude constructs (safety climate, teamwork climate, stress recognition, working conditions, and perceptions of management and job satisfaction).

Participatory research methods will be used to assess provider- and staff-identified barriers to implementation.

The overall purpose of this proposed study is to conduct and publish the results of an IT demonstration project using a human factors approach to geriatric medication safety so as to provide pilot data for larger confirmatory studies and perhaps to develop and market test the IT-CRM software via Small Business Innovation Research (SBIR) mechanisms for eventual national release.

 

September 2007

We have also received a $150,000 grant from HRSA for "Targeted Rural Health Primary Care Research in HIT Adoption and Scope of Use". This is a one year grant and Ranjit is the PI. A very brief description follows:

In this project we will conduct a national survey of primary care physicians to obtain current policy-relevant data for designing targeted policies to promote expansion of health information technology in diverse rural settings so as to improve the quality of care delivered to rural population.


August 2007

In collaboration with the Niagara Falls Memorial Medical Center we have received a grant of $0.4 million from HRSA. A brief description follows:

Patient safety is a major concern to professional and accreditation bodies, because it transcends all the six ACGME core competencies. Sustainable enhancements in safety can only be achieved through establishment of a culture of safety. This culture of safety can be taught to residents through special emphasis on the adoption of a systems approach to "Practice Based Learning & Improvement" and "System-Based Practice."


The role of the micro-system of practice within the overall context of the macro-system of the health care, with attention to transitions/handoffs, is the overview this curriculum is grounded in.
Our goal is to place patient safety at the heart of Residency training at the Niagara Falls Memorial Medical Center by developing and implementing Trans-disciplinary curriculum that can be transferred to residency programs of other specialties.

 

July 2007
  1. Ranjit and Gurdev presented the experiences of the Safety Team with a Trigger Tool for detecting adverse drug events among older adults in ambulatory primary care at the 3rd Annual PBRN Research Conference in May 2007 in Bethesda, Maryland . This conference was organized by the Agency for Healthcare Research and Quality.

  2. We were invited to the Annual Conference of the Association for the Study of Medical Education (ASME) held in Aberdeen (GB) to share our approach and experience with placing patient safety at the heart of medical education. The theme of this conference was patient safety. ASME is the world's prime learned group concerned with medical education.

2007 Conference

June 2006

Ranjit Singh's invited FAMILY MEDICINE GRAND ROUNDS article was featured on the Cover!!
Fam Practice


May 2006

The team made a presentation at the AHRQ National PBRN Research Conference in Washington, DC

 


April 2006

We ran two 90 minute each invited workshops at the 11th European Quality Forum in Prague. The first was on improvement of patient safety in individual primary care clinics and the second was on placing patient safety at the heart of medical training

The team has been invited by the association for the Study of Medical Education to run a workshop at the forthcoming annual conference in Scotland in September of 2006.

 


March 2006

Two of our team were invited to be members of the National Panel of Experts on error reporting systems

 


February 2006
Sonjoy Singh, a member of our team has been nominated as one of the Top Four Family Doctors of Western New York .

Sonjoy"Castle Connolly's physician-led team of researchers follow a rigorous screening process to select top doctors on both the national and regional levels. Using mail surveys, telephone physicians and the medical leadership of hospitals to nominate highly skilled,exceptional doctors" (America's Top Doctors, Castle Connolly Limited)

Seen here, on his right, is his Mentor Dr. Melvin Dyster who has been a family doctor for 52 years and has been commander/ founder of NFMed Reserve Corps as well as founder of Health Clinic for Migrant Workers and FM Residency at NF MMC in 1976. He received Family Physician of the Year Award for New York State in 1995 and was presented with Erie County FM Doctor of the Year Award in 1995.
DR Dyster is  an enthusiastic supporter of the Patient Safety Movement.


January 2006

We received a two year AHRQ R21 grant for "Improving Geriatric Drug Safety in Underserved Practices" The abstract follows:

Adverse drug events (ADEs) are among the most common and serious medication use concerns among older patients in primary care practices, yet they are often preventable. This translational research into practice (TRIP) pilot study uses a randomized trial to evaluate the effect of a site-level intervention in a sample of practices in medically underserved communities within the Upstate New York Practice Based Research Network (UNYNET). These sites are located in rural and urban areas and include an over-sample of minority patients. The specific aims of this study are to: 1) Examine the feasibility of objectively assessing the impact of a CRM (adapted Crew Resource Management approach proven successful in aviation as well as some inpatient medical settings) intervention on reducing medication errors among geriatric patients in primary care settings; and 2) Assess office staff internalization and application of CRM principles for reducing geriatric medication errors in primary care settings by examining changes in safety attitude constructs achieved a) with a practice enhancement assistant (PEA) and b) without a PEA. Outcomes measured for Aim #1 will be change in number, severity, consequence, and stage of process of preventable ADEs. Outcomes for Aim # 2 will be change in safety climate, teamwork climate, stress recognition, and working conditions. Fifteen sites will be randomized into one of three intervention arms: usual care, CRM only, or CRM plus a PEA. A consecutive sample of older patients (65+) with cardiovascular disease at each site will be asked to consent to have their medical record reviewed for adverse drug events over prior-year periods at baseline and post-intervention end points. Participatory research methods will be used to assess provider- and staff-identified barriers to implementation. This study will test the feasibility of incorporating PEAs into the practice setting to improve geriatric medication safety. The information gathered will serve as the basis for an ongoing translational research program that will lead to an R01 application.

 


December 2005

The team was invited to run a workshop at the 20th Annual Primary Care Research Methods & Statistics Conference in San Antonio, TX. The subject was "The use of Operations Research/Systems Science for meeting the challenges of Enhancing and Measuring Safety in Individual Primary Care Settings."

 


October 2005

We presented two papers at the NAPCRG conference in Quebec City.

The first was on use of visual computer interface to facilitate understanding of errors and the second on an error reporting tool designed to stimulate systemic changes.


 
April 2005 - BMJ & IHI European Forum on Quality Improvement in Health Care
Our Safety Team made two presentations at this Forum. We are scheduled to run two workshops at the next Forum to be held in Prague in April 2006.

Gurdev Singh, Director on the Center with Donald Berwick KBE MD, the internationally respected Quality Guru and the CEO of IHI who led the Forum. Dr. Berwick was recently Knighted by the Queen.

 

 

 
Ashok Singh MD, member of the Safety Team, presenting at this Forum  

March 2005 - SEARCHING FOR SAFER HEALTHCARE: A Leadership Forum Presented
by the Patient Safety Research Center’s Collaborative (P-SERC) of WNY
 
Tom Rosenthal, Chairman of Family Medicine, giving an opening address to the forum that was well attended and received by the WNY healthcare leaders including QI professionals, physicians, nurses, pharmacists, administrators and human factors engineers.  
   
 
One of the Plenary Speakers Thomas Gallagher MD, Professor of Medicine and Medical History & Ethics, University of Washington (on the left) with the Safety Team members, John Taylor (Executive Director of Primary Care Research Institute) and Bruce Naughton (Head of UB Geriatric Center of Excellence).  
   
 

Diana Anderson, Program Manager of the Center with William (Skip) Major MD, Executive Director of IPA WNY and Wilson Pace MD, Director of American Academy of Family Physicians’ National Research Network who was one of the Plenary Speakers.

 

 

November 2004 - Center receives grant from Susan G. Komen Breast Cancer Foundation

Dr. Ranjit Singh is shown here accepting the award on behalf of the Center. The project funded by this grant, which runs from Dec 2004 to Dec 2005 will identify barriers to mammography faced by African American women at two inner-city clinics. By evaluating the whole mammography process from ordering, through implementations, to reporting of results and follow-up, this study aims to identify and prioritize areas for interventions to improve mammography for this high-risk group of women

 

 

September 2004 - ACGME/ABMS Conference on System-Based Practice, Chicago, IL
 
Dr. Stephen C. Scheiber (MD 1964), Executive Vice President of the American Board of Psychiatry and Neurology, was caught on camera while inspecting a couple of posters presented by members of the Patient Safety Research Center at the ABMS/ACGME joint conference addressing the Core Competency of "System-Based Practice" in September 2004 in Chicago, Illinois.
Dr. Scheiber received a UB Lifetime Medical Alumni Achievement Award in 1999. He is seen with Gurdev Singh, Director of the Safety Center (right) and Ranjit Singh, Associate Director of this Center.
 

October 2001 - Team Wins Prize for Best Paper
acceptance  
Ranjit Singh, MD, Associate Director of the Patient Safety Research Center receives the Award for "Best Paper by a Practicing Physician" from Dr. Kurt Stange, President of the North American Primary Care Research Group. Two of the other team members are Gurdev (left), Director of the Patient Safety Research Center and Ashok Singh, MD (right), Medical Director of Evergreen Health Center, Corinth, NY. The other co-authors are Cathleen A. Carter, PhD, Clinical Psychologist and John S. Taylor, MBA, Director of Development at UB's Primary Care Research Institute