Bringing Back Humanity into Healthcare Culture:
Going Beyond Checklists, Redefining Safety
Uncovering the deeper causes behind sentinel events in healthcare—often rooted in organizational culture. We go beyond revising policies; we analyze systemic patterns and highlight risky behavior that interferes with safety and quality of care.
Bringing Back Humanity into Healthcare Culture
Going Beyond Checklists to Redefine Safety
At KHDR Consulting, we uncover the underlying causes of sentinel events—many of which are deeply rooted in organizational culture. Rather than simply revising policies, we analyze systemic patterns and identify high-risk behaviors that compromise safety and quality of care. Our approach leads to more engaged stakeholders and greater overall satisfaction across the organization.
We believe every member of the team can contribute critical information to prevent an adverse event.
Therefore, we encourage everybody on the team to speak up as an equal member and voice concerns without fear of retribution. This process is critical to decrease the odds of future adverse events.
Our Approach
Focus on Humanity
We encourage deeper relationships within teams and across teams to increase connection, collaboration, and compassion.
Holistic Analysis
We engage patients and families as partners from the outset, ensuring a comprehensive investigation.
Longitudinal Perspective
We assess contributory factors across the patient journey, examining longer time periods for a deeper understanding of what really occurred.
Focus on Success and Recovery
We do not just address failures; we study successes and recovery processes to promote resilient healthcare practices.
Systemic Solutions
By evaluating clinical processes and their deviations, we provide structured recommendations for sustainable improvement.
What Sets Us Apart
Cultural Shift
Instead of checklist-driven fixes, we foster a culture where safety is ingrained in teamwork and everyday practices.
Effective Workshops
Our workshops empower leadership to enact meaningful cultural shifts, reducing the need for reactive policies.
Areas of Impact
We deliver tailored consulting, coaching, and training solutions for organizations, teams, and individuals. Grounded in real-world expertise, our approach drives meaningful change across healthcare and leadership. Our impact is focused in the following key areas:
Safety & Root Cause Analysis (RCA)
Facilitating and analyzing RCA of sentinel events to strengthen patient safety and organizational learning.
Difficult Conversations & Conflict Management
Coaching and strategies for managing challenging interactions with patients, families, and colleagues.
Speaking Engagements
Inspiring and actionable masterclasses, keynotes, and interactive workshops for audiences of all sizes.
Workforce Wellness & Retention
Addressing burnout, quiet quitting, and employee retention with proven strategies that support staff well-being.
Staff Engagement & Patient Satisfaction
Aligning team dynamics and engagement with improved patient experience outcomes.
1:1 and Team-Based Consulting & Coaching
Customized support to meet the unique needs of individuals and teams across healthcare environments.
Strategic Consulting
Inspiring and actionable masterclasses, keynotes, and interactive workshops for audiences of all sizes.
Train-the-Trainer Programs
Empowering internal leaders to sustain development through experiential learning and facilitation skills.
Executive & Leadership Coaching
Personalized coaching for C-suite and senior leaders to enhance leadership effectiveness and impact.
About us
Karen Hoenig Rigamonti, MD, MPH, MBA is an executive, life, and organizational relationship systems coach. For more than thirty years she has worked with individuals and organizations to improve communication and organizational culture.
Dr. Rigamonti focuses on creating a healthier workplace culture stressing the importance of caring relationships to generate quality outcomes. She helps staff to improve their communication and managers to become better leaders.
Dr. Rigamonti is currently a board member of several nonprofit boards and runs her own business, KHDR Consulting, which provides leadership strategies and coaching to individuals, teams, and organizations.
Dr. Rigamonti believes that when we bring humanity back into healthcare the business will take care of itself, and all stakeholders will benefit. She has been an invited guest on multiple podcasts, been a keynote speaker at international healthcare conferences, and has had several articles published on peer-reviewed international healthcare journals.
Daniele Rigamonti MD is Professor Emeritus of Neurological Surgery at Johns Hopkins University, former Medical Director of Johns Hopkins Medicine International, and former CEO of Johns Hopkins Aramco Healthcare. He is currently a partner in KHDR Consulting LLC.
From July 2020 through August 2022, he was the Medical Director of Johns Hopkins Medicine International, overseeing the quality of medical care delivered in six international affiliates.
From March 2015 through June 2020, Dr. Rigamonti was the Chief Executive Officer (CEO) of Johns Hopkins Aramco Healthcare (JHAH), a private not for profit organization providing healthcare to 360,000 people in Saudi Arabia. In that capacity he developed a deep interest and an expertise in healthcare safety.
Dr. Rigamonti was the Director of the Cerebrovascular Program at Johns Hopkins Hospital from 1993 through 2003 and the Director of the Radiosurgery Program and the CSF Diseases Program at Johns Hopkins Hospital from 2002 through February 2015.
Academic work includes publication of 257 Peer-reviewed scientific articles and 5 books
His H-Index is 71
His citations are 17,785
He holds 5 patents and gave 171 Invited talks
He organized 12 International Conference
He was the President of the International Society of Hydrocephalus and CSF diseases in 2017 and 2018
Since 2019 he is a Board member of King Abdullah University of Science and Technology (KAUST) Health
Contact us
Learn how we can help your organization cultivate a safer healthcare environment
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