International Education Seminar of Risk and Emergency
Management for Healthcares 2012 in London gFrom Heartland of Patient Safetyh
ww.urmpm.org |
Seminar Outline
This education
program provides several lessons from the past episodes of patient safety in UK
healthcare, current thinking and main directions by famous
leaders in UK patient safety world, most of who have new publications in
various aspects of patient safety issues.
Those lessons during 3 days give basic and standard textbooks for your
education at your hospitals.
The
seminar publishes the official certification of your participation in this
program.
This
program is an education course during 3 days. Registration with 1 or 2 day credit is
not accepted.
This program is not available with any electronic
delivery.
2nd
(Wed) May, 2012, am 10:00 – pm: 4:30@
(Safety culture
and risk governance in healthcare)
AM 9:00 Registration desk is open.
AM 10:00 – AM 12:00
(Lesson 1)
gPatient Safety: Evolution and Progressh@@ am 10:50-11:00 break
Charles Vincent @@Prof. Clinical Safety Research, Imperial
College London, UK
(Outline) This lecture gives
an overview of how patient safety all began, the way it developed, progress and
to highlight some key issues.
(Lecturer profile)
Charles is one of top professors of patient safety around the world, and
published many noble textbooks which are introduced in this lecture, too.
AM 12:00 – PM 1:30
Lunch
PM 1:30- AM
3:00 (Lesson 2) gClinical
Governance and Patient Safetyh
Aidan Halligan Professor & Director of Education, Education Centre,
University College London Hospital.
Chief of Safety, Brighton and Sussex University Hospitals, UK
(Outline) Clinical governance underpins patient safety
through enabling accountability and reducing variation. It is a framework through which
continuous improvement is enabled by assuring a well led culture of excellence.
(Lecturer profile) Aidan was the first Director of
Clinical Governance for the UK National Health Service and formed the
Leicester-based NHS Clinical Governance Support Team to translate the vision of
clinical governance into a nationwide reality. He also served in the UK
Department of Health as Deputy Chief Medical Officer for
PM 3:00 – PM
3:30 Break
PM 3:30- PM
4:30 (Keynote Address) gRisk Management in Hospitalh
Sir
Brian Jarman Emeritus Prof. Imperial Collage London, UK. Former President of British Medical Association
(Outline) Using adjusted hospital death rates as an indicator of the risk in
ten countries, together with mortality alerts in England.
(Lecturer profile)
During 1999-2001 Brian served Governmental Committee for 6 accidental
deaths in Bristol Royal
Hospital for Children UK, and also proposed gHospital Standardized Mortality
Ratioh, one of key concepts in patient safety.
PM 4:30 The first
day lessons are over.
PM 5:30 -
Banquet
3rd (Thu) May, 2012, am 9:00 –
pm: 4:30@
(Technology and
art for patient safety)
AM 8:30 Registration desk is open.
AM 9:00 – AM
9:50 (Lesson 3) gHow do clinical teams create and maintain Team
Situation Awareness?
Why does this matter?h
Della Freeth Professor of Centre for Medical Education, Barts and The London School of
Medicine and Dentistry,
Queen Mary University of London
(Outline) This lecture explains the importance of Team
Situation Awareness (TSA) in patient safety. Then, drawing from a study of clinical
teams in maternity care settings, I will show and evaluate different patterns
of creating TSA.
(Lecturer profile)
Della works alongside
a wide range of health professionals to research and promote the conditions
necessary to support high quality learning in workplaces, simulated
environments and classrooms. She has particular interests in education that
supports patient safety; learning through simulated professional practice and interprofessional collaboration.
AM 9:50 – AM
10:00 Break
James Reason @ Emeritus Professor, University of
Manchester, Manchester, UK
(Outline) The
seminar reviews four approaches to human error: the plague model, the person
model, the legal model and the system model. Error cannot be eliminated, but it
can be managed.
(Bio note) James Reason was Professor of Psychology at the
University of Manchester from 1977-2001. He has written books on
absent-mindedness, human error, and managing the risks of organizational
accidents. He has consulted on safety issues for a wide variety of hazardous
industries, though much of his recent work has been in the healthcare
field. He is a Fellow of the
British Psychological Society and the British Academy. In 2003, he was appointed a Commander of
the British Empire for services to reducing the risk in healthcare.
AM 12:00 – PM 1:30
Lunch
PM 1:30 – PM 2:20 (Lesson 4) gMedication Safety,
Technology and Standardisationh
Bryony
Dean Franklin Professor, Imperial College NHS Trust and The School of Pharmacy, University of London
(Outline) This
presentation will be in three parts. First, some key concepts in medication
safety will be introduced, including the errors which occur at the different
stages of medication use, and the Accident Causation Model as a useful theory
of human error. Second,
examples will be given of the various technologies being introduced with the
aim of increasing medication safety, together with a discussion of the evidence
for their benefits and challenges in their introduction. Finally, the need for, advantages, and
disadvantage of standardisation will be
discussed. The presentation will
conclude with a suggestion of some key building blocks in medication safety.
(Lecturer profile)
Bryonyfs main education carriers were School of Pharmacology, University
of London. Her research
focuses on two key areas of risk for patients admitted to hospital: medication
errors and infection. Since June
2000, she has been Director of the Centre for Medication Safety and Service
Quality (CMSSQ), Imperial College Healthcare NHS Trust (ICHT) / The School of
Pharmacy, University of London. She
was made Visiting Professor in Pharmacy Practice at The School of Pharmacy in
2004, and awarded a Chair in Medication Safety in 2007.
PM 2:20 – PM 2:30 Break
PM 2:30 – PM 3:20 (Lesson 5) gMedication Safety and Health
Information Technologyh @
Eric Poon
Assistant Prof. &
Director, Brigham and Womenfs Hospital, Harvard University, USA
(Outline) This lecture
will review the epidemiology of medication errors across the spectrum of care
and identify major opportunities for health information technology to prevent
these errors. Key technologies covered will include computerized prescriber
order entry, medication decision support, barcode medication verification
technology, smart IV pumps, and medication reconciliation. Lessons learned from
the development and implementing these technologies will also be discussed.
(Lecturer profile) Eric graduated Harvard University Medical School 1998, works at Department of
Medicine, and serves a director of IT technology and drag safety at the
hospital. In 2007, he was a winner of Prize of URMPM
(Union of Risk Management of Preventive Medicine), an organizer of this
Seminar,
PM 3:20 – PM 3:30 Break
PM 3:30 – PM 4:30 (Lesson 6) gBlood, Toil, Tears and Sweat: the problems
of implementing safety interventions in health careh
Peter
McCulloch Nuffield
Department of Surgical Sciences, John Radcliffe Hospital, University of Oxford,
UK
(Outline) @Talking about the difficulties of implementing
safety interventions in health care, this lesson introduces a lot of experience
of this through their research of safety surgical framework.
(Lecturer profile) Peterfs clinical team has developed a
theoretical framework for the analysis of risk and error in surgery, based on
the three dimensions of Culture, System and Technology.
PM 4:30 The
second day lessons are over.
4th (Fri) May, 2012, am 9:00 –
pm: 4:30@
(Risk communication and clinical
communication)
AM 8:30
Registration desk is open.
AM 9:00 – AM 10: 20
(Lesson 7) 1) How to develop effective education for patient safety@(30min talk + 10
discussion)
2) How to
ensure that training improves patient care@(30min talk + 10 discussion)
John Sandars
@Senior
lecturer, Institute of Medical
Education, University of Leed, UK
(Outline) Improved patient safety requires an educational approach,
from undergraduate to continuing professional development. The two sessions
will discuss how to ensure that effective educational approaches are developed
and delivered.
(Lecturer profile) John has a long experience of patient safety education,
including the delivery of online courses. He has presented internationally on
this topic and was editor of the gABC of Patient Safety."
AM
10:20-10:30 Breaks
AM 10:30 – AM 12:
00 (Lesson 8) gRisk Communication in the 21st Centuryh
Ragnar Lofstedt Prof. King's Centre for Risk Management, King's
College London, UK
(Lecturer profile)
Ragnar
is top professor of risk management of the world, and has long experiences of
risk communication and risk management.
AM 12:00 – PM 1:30
Lunch
PM 1:30 – PM 2:10 (Lesson 9) gRisk Management Cycle and Emergency
Management Cycleh
Ryoji Sakai President, Union of Risk
Management for Preventive Medicine (URMPM)
(Outline)
Introduction a couple of new key concepts in patient
safety and risk management, such as an emergency
management cycle, risk behavior analysis, etc.
(Lecturer profile) Ryoji dedicates a chair of URMPM, of which the executive
members in the world generated huge congresses and conferences, involving@patient safety world.
PM 2:10- PM 2:30
Break
PM 2:30 – PM 4:30
(Lesson 10) gClinical
Communication Error and Patient Safetyh
Tomoko Araki Professor Clinical
Communication,@Department of Health Administration and Management,
Graduate School of Medicine,
Kyushu University, Fukuoka, Japan
(Outline) Clinical
communication is important for patient safety. Because communication errors between
a clinical staff and a patient/patient family, and
among clinical staffs are fraught with danger to be connected directly with a
malpractice and a medical error in the clinical scenes, and deteriorate the
relationship between patients and clinical staffs, it is crucial to reduce these communication errors.
(Lecturer profile) Clinical psychologist, graduated Nagoya University in Japan, and worked at Department of
Psychosomatic Medicine, Kyushu
University Hospital. Main themes of research are clinical
communication and patient safety, and psychotherapy including art therapy for
psychosomatic patients. Clinical communication
error is a top cause of patient safety based on recent survey reports in US and
Japan.
PM 4:30
Closing remark.
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