Center for Patient Safety (NCPS) and the first chief Patient Safety Officer for the VA from 1999 to 2010, where he developed numerous patient safety-related tools and programs that have been adopted nationally and internationally. Dr. Bagian served as a NASA astronaut and is a veteran of two Space Shuttle missions including as the lead mission specialist for the first dedicated Life Sciences Spacelab mission. His primary interest and expertise involves the development and implementation of multidisciplinary programs and projects that involve the integration of engineering, medical and life sciences, and human factor disciplines. Presently, he is applying the majority of his attention to the application of systems engineering approaches to the analysis of medical adverse events and the development and implementation of suitable corrective actions that will enhance patient safety primarily through preventive means. He received his B.S. in mechanical engineering from Drexel University and his M.D. from Jefferson Medical College at Thomas Jefferson University. Dr. Bagian was elected to both the National Academy of Engineering and the Institute of Medicine (IOM) and has served on or chaired numerous National Research Council (NRC) and IOM committees.

David W. Bates, M.D., M.Sc., is the director of the Center for Patient Safety Research and Practice at Brigham and Women’s Hospital, where he is the chief of the Division of General Medicine. He is also the medical director of clinical and quality analysis, information systems (IS). He is a professor in medicine at Harvard Medical School and has a joint appointment at the Harvard School of Public Health in the Department of Health Policy and Management. He serves as one of the directors of the clinical effectiveness program. He is also external program lead for research for the World Alliance for Patient Safety of the World Health Organization. Dr. Bates received his B.S. degree in chemistry from Stanford University, his M.D. from Johns Hopkins School of Medicine, and his M.Sc. in health policy and management from the Harvard School of Public Health. Dr. Bates’s primary informatics interest has been the use of computer systems to improve patient care, especially with respect to clinical decision support. He has done extensive work on evaluating the incidence and prevention of adverse drug events. Another area of focus has been on improving efficiency and quality using information systems with regards to diagnostic testing. He also has done a series of studies focusing on health information technology policy.

Dedra Cantrell, R.N., B.S.N., M.S., C.P., is the chief information officer of Emory Healthcare, Inc., in Atlanta, Georgia. Emory Healthcare is an integrated academic health care system committed to caring for patients and their families, educating health care professionals for the future, pursuing discovery research and clinical innovation, and serving its community. The

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