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OPENING SESSION: MULTIDISCIPLINARITY AND ORGANISATION OF CARE<br />

Opening Session: Multidisciplinarity and Organisation of Care<br />

3<br />

WHAT ARE THE MAJOR CONTROVERSIES IN WORKING MULTIDISCIPLINARY<br />

IN USA?<br />

Robert Snyder 1<br />

1 Wound Healing and Hyperbaric Center at University Hospital (Tamarac, Florida,<br />

United States)<br />

Research supports the premise that a multidisciplinary approach to wound management<br />

is both effective and cost efficient. However challenges exist in formulating these groups<br />

including ensuring continuum of care, prevention of departmentalizing physician<br />

services, and lack of certain essential skill sets in a particular community, among others.<br />

This presentation will discuss an overview of the multidisciplinary concept and the<br />

unique challenges and controversies clinicians and hospitals may face in the United<br />

States.<br />

4<br />

Opening Session: Multidisciplinarity and Organisation of Care<br />

The patient perspective of the multidisciplinary approach<br />

and how to secure patient safety<br />

Beth Lilja 1<br />

1<br />

Danish Society for Patient Safety (Copenhagen, Denmark)<br />

Patient safety is a relatively new health care discipline that emphasises reporting,<br />

analysis, and prevention of medical errors, which often leads to adverse health care<br />

events.<br />

The frequency and magnitude of avoidable adverse patient events was not well known<br />

until the 1990s, where multiple countries started reporting staggering numbers of<br />

patients harmed and killed by medical errors. Today, the World Health Organization<br />

refers to patient safety as an endemic concern as health care errors impact 1 in every 10<br />

patients around the world.<br />

Although the quality and safety movement were born in the more financial robust times<br />

the work has never been more important than it is now. Many organisations actually see<br />

the quality and safety work as a solution to a lot of the challenges, which we face in our<br />

health care system today. In order to develop a sustainable and safe health care system,<br />

several initiatives needs to be undertaken:<br />

1. Empowerment of patients. The more informed and empowered patients are, the more<br />

likely it is that they choose a less invasive treatment.<br />

2. The is an urgent need to develop capability and capacity to improve work processes,<br />

in order to deliver the right treatment to all patients 24/7. The elimination of pressure<br />

ulcers is a good example of how the quality and safety work has developed.<br />

3. Reduce waste and inefficiencies.<br />

4. Eliminate unintended harm to the patients. In order to do so it is important to know<br />

what goes wrong. An important tool for this is reporting systems. The Danish Act on<br />

Patient Safety passed Parliament in June 2003, and on January 1, 2004, Denmark<br />

became the first country to introduce nation-wide mandatory reporting. The reporting<br />

system is intended purely for learning and frontline personnel cannot experience<br />

sanctions for reporting.<br />

The talk will focus on these above-mentioned issues and examples of how these have<br />

been implemented will be demonstrated.<br />

<strong>EWMA</strong> <strong>2013</strong><br />

COPENHAGEN<br />

15-17 May · <strong>2013</strong><br />

Danish Wound<br />

Healing Society<br />

21

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