This Month...

Join Jeanne Huddleston, MS, MD, to explore how structural patient safety risks become embedded in the “Messy Middle” between leadership intent, frontline reality, and patient experience.

Through real-world stories and mortality review findings, Dr. Huddleston examines how fragmented systems, hidden care plans, communication breakdowns, and disconnected workflows create predictable safety risks that conventional QI approaches often overlook.
In this session, you will learn how to use mortality review findings to identify structural design gaps through the lenses of Deming, Donabedian, and Reason, and understand why patients and families so often become the final safety barrier.
Dr. Huddleston also demonstrates how stronger translation across systems can move organizations beyond symptomatic process fixes toward meaningful structural improvement.

Key Points of Interest

  • Understanding Structural Patient Safety Risk

    Learn how structural gaps, not just individual behaviors or process failures, create predictable patient safety risks across healthcare systems.

  • Recognizing Fractures in the System

    Explore how the “Messy Middle” emerges across leadership, frontline teams, disciplines, and patient interactions, creating disconnects that impact care.

  • Using Mortality Reviews as Diagnostic Evidence

    Discover how mortality review findings can uncover hidden system design gaps and reveal safety risks that conventional QI methods often miss.

Presenters

  • Jeanne Huddleston, MD, MS: CEO & Leadership Faculty, HB Healthcare Safety, SBC



Presenting Organizations

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