Patient Safety Center Mission/Objectives
The mission of our Center is to support clinicians in providing safe patient care by designing and testing safety defenses related to the patient, provider, technology, and organization. Specifically, our PSCI goals are to:
1. prevent injurious falls (specifically focusing on the most serious injuries: hip fractures and intracranial hemorrhages) and minimize adverse events associated with hazardous wandering;
2. promote the safe use of technology associated with injurious falls and hazardous wandering; and
3. promote a culture of safety to support clinicians in providing safe patient mobility.
The VISN 8 Patient Safety Center of Inquiry (PSCI) is part of the James A. Haley Veterans' Hospital in Tampa, Florida. Our PSCI has a track record of evaluating and translating patient safety research findings into standard practices that are disseminated and implemented to improve patient safety across the entire VHA system.
We evaluate the science and determine when research is ready to be "translated." Translation involves designing and testing clinical tools (e.g. algorithms, protocols, policy templates, resource guides, patient and staff education materials) to facilitate patient safety and reduce adverse events.
We pilot test these tools at the Tampa VA and then at VISN 8 facilities. Successful program elements are then exported to the NCPS (National Center for Patient Safety) for national implementation. The following PSCI objectives have been identified:
• Evaluate the strength of the evidence to identify knowledge gaps to target for future inquiry and findings ready for translation to practice;
• Define existing practice patterns and outcomes across the VA and determine current variation from established best practices;
• Identify and implement interventions to change practices to strengthen patient, provider, and systems level safety defenses, through the design of tools and products specifically designed to promote patient safety, such as clinical tools; cognitive aids; educational materials; policy reports, VHA information letters, handouts, and/or directives; and others;
• Improve technology safety defenses through biomechanics, human factors engineering, and other principles of design;
• Evaluate and document the process and outcomes of best practices at the patient, facility, VISN, and VHA level; and
• Collaborate with NCPS to develop a VHA business case and implementation plan to export evidence into practice.
Below is information on current and future fellowship opportunities as well as links to VA resources for training and Fellowship programs.
Postdoctoral Fellowship Opportunities
We currently have three programs available:
- Post-Residency Fellowship Opportunity for Physicians: The Center of Innovation on Disability and Rehabilitation Research (CINDRR) will provide content expertise, mentoring, and educational infrastructure in Gainesville, FL (affiliated with the University of Florida) and Tampa, FL (affiliated with the University of South Florida) for physicians interested in pursuing careers in VA health services research in rehabilitation. CINDRR is dedicated to conducting research that identifies, develops, and tests strategies for improving Veteran rehabilitation services across the continuum of care and providing long term support for Veterans with disabilities and their families, including issues related to access, utilization, cost, quality, and health outcomes. Focus areas include (1) Innovative rehabilitation through the use of technology and engagement among Veterans, families, clinicians and communities; (2) Rehabilitation Analytics Research and (3) Implementation Research.
- Post-Doctoral Fellowship Opportunity: The Center of Innovation on Disability and Rehabilitation Research (CINDRR) will provide content expertise, mentoring, and educational infrastructure in Gainesville, FL (affiliated with the University of Florida) and Tampa, FL (affiliated with the University of South Florida) for PhDs interested in pursuing careers in VA health services research in rehabilitation. CINDRR is dedicated to conducting research that identifies, develops, and tests strategies for improving Veteran rehabilitation services across the continuum of care and providing long term support for Veterans with disabilities and their families, including issues related to access, utilization, cost, quality, and health outcomes. Focus areas include (1) Innovative rehabilitation through the use of technology and engagement among Veterans, families, clinicians and communities; (2) Rehabilitation Analytics Research and (3) Implementation Research.
- Interdisciplinary Fellowship in Patient Safety: The purpose of this 1‐year fellowship program is to develop leaders with vision, knowledge, and commitment to lead patient safety efforts in the 21st century. The fellowship is located at the Patient Safety Center of Inquiry at the Tampa VA Hospital, Tampa, FL in collaboration with the VA National Center for Patient Safety and partnership with the University of SouthFlorida.
Click here to download the program flyer for the above opportunities.
VHA Office of Academic Affiliations
VHA Office of Academic Affiliations training programs are available for clinical trainees, VA staff and education affiliates. Included is information about residencies and fellowships including the pre and postdoctoral nursing fellowships, the pre and postdoctoral fellowships in rehabilitation and VA Advanced Fellowship Program in Interprofessional Polytrauma and Traumatic Brain Injury Rehabilitation. For information about training opportunities contact Dr. Tatjana Bulat at Tatjana.Bulat@va.gov.
VHA Office of Research and Development Training Site
This site contains information about VHA training programs in research postdoctoral fellowships and the career development program.
VISN 8 Patient Safety Center of Inquiry (151R)
James A. Haley VA Medical Center, Grand Oak Plaza, 8900 Grand Oak Circle, Tampa, FL 33637-1022
-Tatjana Bulat, MD, CMD, Center Director, (813) 558-3923, Tatjana.Bulat@va.gov
-Valerie Kelleher, (813) 558-3948, Valerie.Kelleher@va.gov
Leadership and Staff
Tatjana Bulat, MD, CMD is the Director of the Tampa Patient Safety Center of Inquiry (PSCI), a translational research center; Medical Director of the Falls Clinic there, and a Co-Director of the Interprofessional Fellowship Program in Patient Safety. Her research interests are in the area of falls and fall-related injury prevention in frail elderly, as well as medication management to reduce falls risk in the same population. Click here to download Dr. Bulat's CV.
Blake Barrett, MSPH
Nina Ferguson, MD
Yvonne Friedman, MA, OTR/L | Administrative Officer
Valere Kelleher | Visual Information Specialist
Jason Lind, PhD,MPH
Steve Luther, PhD
Alfred Mbah, PhD | Evaluation and Analysis
Sam Phillips, PhD
Gail Powell-Cope, PhD, ARNP, FAAN | Team Leader
Anita Ramrattan, MSPT
Deborah Rugs, PhD
Susan Schultz, MD | Team Leader
Keith White, MD
Latricia Allen, PhD | HSR&D Postdoc
Racine Brown, PhD | HSR&D Postdoc
Anna Ialynytchev, PhD | HSR&D Fellow
Courtney Jones | Patient Safety Fellow
Vanessa Panaite | HSR&D Postdoc
Other Sites of Interest
National Center for Patient Safety
The following websites are not affiliated with the Department of Veterans Affairs. VA does not endorse and is not responsible for the content.
Agency for Healthcare Research and Quality
Healthcare Accreditation Supersite
Joint Commission on Accreditation of Healthcare Organizations
National Patient Safety Foundation
State Patient Safety Organizations
U.S. Food and Drug Administration
U.S. Occupational Safety and Health Administration