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Johns Hopkins Education and Research Center for Occupational Safety and Health



Frontline Workers and the Worker Safety / Patient Safety Relationship

October 25, 2012

U.S. Department of Labor
Francis Perkins Building
200 Constitution Ave, NW
Washington, D.C., 20010

Please click here to download directions.

Sponsored by:

Georgetown University, The National Institute for Occupational Safety and Health, The Johns Hopkins Education and Research Center for Occupational Safety and Health, The Joint Commission, The Agency for Healthcare Research and Quality, The University of Illinois at Chicago School of Public Health, Occupational Safety and Health Administration, and The Service Employees International Union

In collaboration with:

Veterans Health Administration, Office of Public Health

The one-day working meeting addressed the following questions:

White Papers
added 07.31.13

pp. 283 - 295
Rosemary Kelly Sokas, Patricia Cloonan, Barbara I. Braun
DOI: 10.2190/NS.23.2.e

pp. 297 - 313
Jane A. Lipscomb and Mazen El Ghaziri
DOI: 10.2190/NS.23.2.f

pp. 315 - 325
Jason Derek Ormsby
DOI: 10.2190/NS.23.2.g

pp. 327 - 345
Laura Chenven and Danielle Copeland
DOI: 10.2190/NS.23.2.h

Monograph from The Joint Commission

To download, please go to

National Safe Patient Handling and Mobility Standards Public Comment


Presentations that are available to download are hyperlinked below in the following agenda:

8:15 - 8:30 amWelcome from the Honorable David Michaels, Assistant Secretary of Labor for Occupational Safety and Health 
8:30 - 10:00 am 

Panel 1: Worker, patient and provider perspectives – problems and solutions

Objectives download

Patient representatives: 
- Regina Greer-Smith, MPH, FACHE  
- Knitasha Washington, MHA, FACHE

Worker representatives:
- Synkeithia Holly, SEIU 1199, Food and Nutrition Service
- Eola Byrd, SEIU 1199, Environmental Service

Provider representatives:
- Kerry Eaton, SVP/COO, Sacred Heart Health System, Pensacola, Florida
- Kate Henderson, MHA, VP & COO, University Medical Center, Brackenridge

Moderator: Martin Hatlie, JD, President, Partnership for Patient Safety

10:00 - 10:15 amBREAK
10:15 - 11:15 am

Panel 2: Worker safety – patient safety nexus: summary of key information

- Jeff Brady, MD, MPH
- Jim Battles, PhD

- Dave De Joy, PhD – Discussant - Safety Culture; Research Findings; Interventions

11:15 - 12:30 pm

Panel 3: Participatory approaches to building skills and career tracks among frontline health care workers

- Laura Chenven, MS
- Danielle Copeland

- Deborah Berkowitz, OSHA Chief of Staff
- L. Clifford McDonald, MD, FACP, FSHEA, CDC/DHQP Senior Advisor -CDC's Role in Promoting Patient and Healthcare and Personnel Safety

Worker representatives:
- Carl Samuels, Environmental Service Worker, SEIU 1199 NY
- Will Johnson, Environmental Service Worker, SEIU 1199
- Clarence Smith, Environmental Service Worker, SEIU 1199
- Rodney Trammel, SEIU United Healthcare Workers West

Moderator: Kathy Fagan, MD, MPH

12:30 - 2:00 pm

Working Lunch

Small Group Discussions

  1. Promising practices for improving safety culture for both patients and workers: Engaging and empowering healthcare team members; getting frontline workers onto the team; hierarchy-free communication.
    -Jim Battles, PhD
    -Jim Grosch, PhD

  7. Getting and using information – adverse event reporting for patient events and for worker illness and injury; reporting surveillance and feedback loops for analysis and prevention.
    - Lyn Penniman, RN, MPH 
    - Jennifer Lipkowitz-Eaton, MD, MPH
    - Kathryn Reback, RN, MSN, JD
    - Kate Henderson, MHA

  13. Slips/trips and falls
    - Whitney Gray, PhD
    - Jennifer Bell, PhD

  19. Infectious disease concerns and the role of environmental service workers.
    - Barbara Braun, PhD
    - L. Clifford McDonald, MD, CDC
    - Laura Chenven, MS
    - Scott Goodell

  25. Safe Patient Handling
    - Jim Collins, PhD
    - Joe Zanoni, PhD
    - Mary Matz, MS

  31. Creating a research agenda – what works, what doesn’t, how do we know, what don’t we know, and how do we scale up?
    - Dan Merenstein MD
    - Eileen Storey, MD, MPH
    - Eileen Hogan, MPA

  37. Violence in Hospital Settings – impact on patients and workers.
    - Avram Mack, MD
    - Jonathan Rosen, MS CIH
2:00 - 2:15 pm


2:15 - 4:00 pm

Panel 4: Policy implications

- Dr. Jason Ormsby

- Brief updates from panels and working groups: Hatlie, Chenven, DeJoy, Lipowitz-Eaton, Braun, Gray, Collins, Brady, Mack, Storey

- Kathleen Curran, JD, Catholic Health Association of the U.S.
- Robin Hemphill, MD, CMS

Moderator: Eileen Hogan, MPA

4:00 - 4:30 pm

Thoughts going forward

- Kerry Eaton, SVP/COO, Sacred Heart Health System, Pensacola, Florida

Previous work conducted to explore the relationship between worker safety and patient safety has primarily focused on nurses and physicians. Safety climate and nurses’ working conditions predict both patient injuries and nurse injuries, supporting the premise that these may be linked outcomes. Less attention has been paid to other members of the healthcare team, including nursing assistants, environmental service workers, ward clerks and others. Engaging frontline healthcare workers in developing, implementing and evaluating interventions to improve safety climate may improve patient as well as worker outcomes.

Registration Questions?

Please contact Keith Choi, Program Coordinator, Johns Hopkins University at or (410) 955-4088 if you have any questions or concerns about registration.