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Education & Training

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The Armstrong Institute offers a range of training opportunities, educational conferences and other services that are available to health care professionals everywhere.

For industry, the institute also offers the Usability Testing and Evaluation Service that can help clients to identify and address use-related hazards of medical devices and products.


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The Armstrong Institute hosts training opportunities throughout the year targeted to a wide range of health care professionals, from frontline staff to executives.

JHM Employees: These training opportunities are offered at no cost to you. However, workshop seats are limited.

Our Workshops and Courses

Caring for the Caregiver: The RISE Program

Gain guidance and best practices on setting up peer-responder programs that deliver “psychological first aid" and emotional support to health care professionals following traumatic events.

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Upcoming workshops:

CUSP Implementation Training

Improve culture and empower frontline staff to mitigate hazards using the Comprehensive Unit-based Safety Program (CUSP) in an interactive one-day workshop, online learning and remote coaching program.

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Upcoming workshops:

Ambulatory CUSP (Comprehensive Unit Based Safety Program) Training

Ambulatory CUSP is delivered during a two-day workshop using an innovative game platform to simulate the experience of preparing a team to work together towards safety goals, launching the CUSP team, and sustaining an effective, engaged team over time.

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Upcoming workshops:

“Defining a ‘Quality’ Project” Workshop

This workshop will provide tips and hands-on exercises to identify and define Quality Improvement or Process Improvement (QI/PI) projects.

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Upcoming workshops:

New dates will be posted shortly.

Evaluating Quality Improvement and Patient Safety

Prepare participants to evaluate quality improvement and patient safety projects in the following three areas: critiquing evaluations of projects; designing a robust evaluation of a QI/PS project; and conducting a small-scale qualitative study.

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Upcoming workshops:

New dates will be posted shortly.

Human Factors Methods

See how the use of human factors engineering methods can identify and mitigate system problems that cause human errors and patient safety hazards in health care.

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Upcoming workshop:

Lean Practitioner for Healthcare Course

Identify and eliminate waste in health care delivery, including reduced patient wait times, faster processing of medications, decreased risk of medication errors, less inventory and more patient-focused processes.

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Upcoming workshops:

FY 24 dates are still being identified and will appear here as soon as possible.

Lean Sigma Green Belt Course

Discover powerful methods for optimizing flow and reducing waste while eliminating defects. Apply concepts and tools to health care-specific scenarios.

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Upcoming workshops:

FY 24 Dates are still being identified and will appear here as soon as possible.

Prerequisite requirement: Lean Practitioner Training Course


Gain patient safety and quality improvement strategies and resources with an in-depth introduction to Johns Hopkins Medicine's prioritized approach to delivering consistently safe, high-quality and high-value patient care.

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TeamSTEPPS® Master Training Course

Tackle the teamwork and communication failures that can lead to patient harm by developing an effective, sustainable team training program that is tailored to your organization.

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Upcoming workshops:

  • eLearning

    The Armstrong Institute provides engaging, interactive and practical online learning experiences to help health care professionals contribute to patient safety and quality improvement.

  • Grand Rounds

    A schedule of upcoming presentations (JHED log-in required).

  • Leadership Academy

    This nine-month program trains future health care leaders to create a culture of caring.

  • Patient Safety Specialization- Coursera Catalog

    An introduction to the concepts, tools and strategies of health care improvement. It consists of seven courses, each four weeks long, that can be taken together – to earn a certificate – or separately.


Consulting Services

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The Armstrong Institute for Patient Safety and Quality’s Global Collaboration’s team strives to expand patient safety and high-quality health care at home and around the globe.

As the consulting arm of the Armstrong Institute, we work with like-minded organizations that share the Armstrong Institute’s vision of a health care system that harms less, wastes less and consistently provides high-quality, respectful care.

We are clinicians, performance improvement experts, researchers, administrators and health care professionals.

Our Expertise

  • Patient safety
  • Patient- and family-centered care
  • High-reliability organizing
  • Quality improvement
  • Leadership and management
  • Preventing infections and complications
  • Surgical safety and quality
  • Teamwork training
  • Medication safety
  • Comprehensive Unit-based Safety Program (CUSP)
  • Lean Sigma
  • Human factors engineering
  • Health care quality metrics
  • Clinical analytics
  • Organizational learning
  • Evaluating patient safety and quality improvement efforts
  • Clinical communities

Our Worldwide Reach

The growing list of countries where we have worked. Explore those locations below.


Our Services

Global Collaborations offers both short-term and multiyear engagements, with services tailored to meet your needs.

  • Our Board-To-Bedside Assessment method is based on the peer-to-peer model that the nuclear energy industry has used for decades to achieve high performance in the face of complexity and constant risk. Over several days, a team of Johns Hopkins experts performs an on-site assessment of patient safety, quality and patient experience.

    We meet with leaders, quality improvement staff members, front-line clinicians and others to assess your organizational environments and priorities, and identify potential areas of improvement.

  • Becoming an ultra-safe, high-performing organization doesn’t occur by accident. It results from deliberate leadership decisions and behaviors that turn your mission statement into a living, breathing reality for all employees. The Armstrong Institute works with organizations to fix their focus on the pursuit of zero harm.

    We can help your organization to:

    • Treat patient safety, quality and patient experience with the same rigor and discipline as it treats financial performance
    • Ensure that everyone across your organization knows the goals, understands how their work contributes to meeting them and receives performance feedback
    • Provide employees with the knowledge, skills, time and resources to achieve their goals
    • Give teams both accountability for results and support to do better
  • On-site and remote consulting services to:

    Identify and eliminate waste in health care delivery, including reduced patient wait times, faster processing of medications, decreased risk of medication errors ,less inventory and more patient-focused processes.

    Discover powerful methods for optimizing flow and reducing waste while eliminating defects. Apply concepts and tools to healthcare-specific scenarios.

    Accreditation logos for Lean Sigma

  • We can help you develop a cadre of employees, from the front lines to top patient safety and quality improvement leaders, who have the skills, concepts and knowledge to help meet your objectives through our in-person and online learning experiences. Following the Armstrong Institute’s three-tier learning model, we can help prepare your employees to succeed in their roles improving care.

    • In-person workshops from one to five days at Johns Hopkins or your organization
    • Online learning programs that can be custom-bundled to meet your goals
    • A fellowship providing future safety and quality leaders with training and mentorship, plus guidance in completing original improvement projects
  • Our offerings are constantly evolving. Current programs include but are not limited to:

    • Comprehensive Unit-Based Safety Program (CUSP) Workshop
    • TeamSTEPPS® Master Training Program
    • Lean Sigma Green Belt Certificate
    • Lean for Healthcare
    • Human Factors workshop
    • Design Thinking Workshop
    • Science of Safety
    • Friday Night at the ER®
  • Participants in our leadership development program receive key concepts and skills needed to drive change in their organizations, while working closely with Johns Hopkins mentors to complete original projects in patient safety, quality improvement or patient experience. Participants learn to evaluate their projects’ impact on clinical practice and get assistance in publishing the results. Fellowships can be delivered remotely, in person, or through a combination of both over 10 to 12 months.

  • Get an up-close look at the operations throughout Johns Hopkins Medicine that are aimed toward eliminating preventable harm through our Observership Program. Typically held over several days and tailored to your organization’s interests, these experiences allow small groups to shadow safety and quality teams, visit clinical areas, and interview key personnel.

  • Too often, frontline staff see the safety hazards in their care area but don’t know how to mitigate them. We can help you to empower those caregivers by launching and sustaining Comprehensive Unit-based Safety Program (CUSP) teams. CUSP provides training, an improvement toolkit and executive support that helps units and clinics to take on local safety issues. Since its creation at The Johns Hopkins Hospital, CUSP has become a cornerstone of national and international patient safety improvement projects.

    • Safety culture survey administration, analysis and debriefing
    • Adverse-event reporting, analysis and action
    • Clinical and departmental dashboards
    • Performance on publicly reported safety and quality measures
    • Infection prevention training

E. Robert Feroli Award for Excellence in Medication Use Safety

This annual award acknowledges outstanding work on a project or initiative that resulted in a significant and sustainable systems changes that improve the safety and quality of the medication-use process (JHED log-in required).


Contact Us

Global Collaborations offers both short-term and multiyear engagements, with services tailored to meet your needs.


Patient Safety and Quality Conferences

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Featured Conferences (Slideshow)


    Webinars in Patient Safety and Quality Improvement

    The Armstrong Institute periodically hosts free educational webinars to support the efforts of health care organizations everywhere to improve the safety, quality and value of care.

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