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NPSF Research Grants Program - NPSF Patient Safety Congress

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Upon completing this session, attendees will be able to:<br />

• Describe the guiding principles of the patient-centered approach to care delivery<br />

in general and care coordination along the continuum in particular<br />

• Explain how patients in real clinical settings can and do participate in their own<br />

care along the continuum and why it makes a positive difference in patient<br />

safety as well as patient outcomes and satisfaction<br />

REFORMiNG hEALth CARE/ADvANCiNG QuALitY<br />

AND SAFEtY<br />

SeSSion 505: Partnerships to Reduce Adverse Drug Events<br />

and Readmissions<br />

1.0 contact hours for physicians, pharmacists 232-999-12-150-L05-P<br />

(activity type- Application), nurses, healthcare risk management, healthcare quality<br />

and healthcare executives<br />

Mary Andrawis, PharmD, MPH, <strong>Patient</strong> <strong>Safety</strong> Campaign Lead, Centers for<br />

Medicare and Medicaid Services<br />

Brian J. Isetts, PhD, Professor, University of Minnesota, Health Policy Fellow,<br />

Centers for Medicare and Medicaid Services Innovation Center<br />

Drug-related morbidity and mortality represents a $200 billion burden on the US<br />

health care delivery system. A number of efforts are in place for addressing this<br />

issue. The Partnership for <strong>Patient</strong>s represents a major public-private initiative<br />

to improve safety and effectiveness of care transitions. The Joint Commission<br />

Medication Management Standards have prompted institutions to develop<br />

systems for the surveillance, detection, mitigation, and prevention of adverse drug<br />

events. This session will describe results from organizations that are measuring<br />

improvements in adverse drug events and drug-related readmissions in the<br />

context of Partnership for <strong>Patient</strong>s aims.<br />

Upon completing this session, attendees will be able to:<br />

• Describe the Partnership for <strong>Patient</strong>s core aims to decrease hospital acquired<br />

conditions and to reduce readmissions<br />

• Explain national efforts to promote quality improvement in reducing adverse<br />

drug events and drug-related readmissions.<br />

• Analyze results from aligning the measurement of adverse drug events and<br />

readmissions using examples of patient stories from a few health system partners<br />

ShAPiNG thE CuLtuRE<br />

SeSSion 506: Safe by Design by <strong>Patient</strong>s<br />

1.0 contact hours for health care executives<br />

Martie Carnie, <strong>Patient</strong> and Former Co-Chair of <strong>Patient</strong> and Family Advisory Council,<br />

Dana-Farber Cancer Institute<br />

Janet Porter, PhD, Chief Operating Officer, Dana-Farber Cancer Institute<br />

Engaging patients and families in the planning and design of new health care<br />

facilities helps produce spaces that are safe and comfortable and that facilitate<br />

patient flow. Dana-Farber Cancer Institute called on patients and family members<br />

in the planning and design of an outpatient cancer building, with the patients and<br />

family members driving design. This session describes how to engage patients and<br />

family members in building design and patient flows – from architect selection<br />

through program planning and design development to selecting success metrics to<br />

planning for the move.<br />

FRIDAY<br />

Upon completing this session, attendees will be able to:<br />

• Describe how to involve patient and family members in facility planning and<br />

design and move-in<br />

• Understand the valuable role that patients and family members can play in<br />

advancing thinking about building safety into facility design<br />

• Learn how the voices of patients and family members contribute to embedding<br />

safety in every aspect of design – from arrival through check-out<br />

12:15 PM – 1:45 PM<br />

LEARNiNG & SiMuLAtiON CENtER:<br />

LuNCh, SiMuLAtiONS, EXhiBitS, POStERS<br />

Visit the <strong>NPSF</strong> booth and leave<br />

your business card for a chance<br />

to win a free registration for the<br />

2013 <strong>NPSF</strong> <strong>Congress</strong>. Winners will<br />

be drawn at 1:00 PM on Friday<br />

and must be present to win.<br />

2:00 PM – 3:00 PM<br />

PLENARY<br />

the <strong>Patient</strong> <strong>Safety</strong> Culture Proposition: 16 Design Laws<br />

to Observe, 5 Skills We Must Develop<br />

1.0 contact hours for physicians, pharmacists 232-999-12-151-L05-P<br />

(activity type – Knowledge), nurses, healthcare risk management, healthcare quality<br />

and healthcare executives<br />

David Marx, JD, Chief Executive Officer, Outcome Engenuity LLC<br />

This session will introduce attendees to basic ideas about our ability to collectively<br />

produce better outcomes, the 16 laws that serve as constraints in the design of<br />

socio-technical systems, and the five skills we need to develop. Discussion will<br />

center on five necessary areas of skills: values and expectations, system design,<br />

behavioral choices, learning systems, and justice and accountability, and how<br />

these skills can be applied to the health care concepts and practices that have<br />

been presented throughout the <strong>NPSF</strong> <strong>Congress</strong> program.<br />

Upon completing this session, attendees will be able to:<br />

• Identify the 16 laws that serve as constraints in the design of socio-technical<br />

systems<br />

• Describe the five skills that are necessary to produce better patient safety<br />

outcomes<br />

• Explain how the laws and skills can be applied and implemented from concept<br />

to practice<br />

<strong>Patient</strong> <strong>Safety</strong> 365 15 <strong>NPSF</strong> Annual <strong>Patient</strong> <strong>Safety</strong> <strong>Congress</strong> 2012

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