NPSF Research Grants Program - NPSF Patient Safety Congress

harm to staff and other patients and through indirect harm via its impact on staff’s
ability to provide safe and empathic care. This session will describe the work of a
multidisciplinary “Tiger Team,” including an improved definitional framework for
DPB, identification of patient- and staff-related factors associated with DPB, and
the pharmacological and nonpharmacological strategies undertaken thus far to
eliminate it from the hospital and ambulatory environments.
Upon completing this session, attendees will be able to:
• State a structured definition of disruptive patient behavior that can be used to
improve classification of safety events
• Define the root causes of disruptive patient behavior from both a neurobiological
and a systems level
• Describe pharmacological and nonpharmacological strategies that may help to
eliminate disruptive patient behavior
11:15 AM – 12:15 PM | Breakout SeSSionS 201–206
EMBRACiNG thE tEAM
SeSSion 201: Communication Skills training for improved
Patient Safety – it Can Succeed
1.0 contact hours for physicians, pharmacists 232-999-12-133-L05-P
(activity type - Application), nurses, healthcare risk management, healthcare
quality and healthcare executives
Kellie Allen, Program Manager, Queensland Health, Australia
Improving communication is an essential step in providing safer care for patients.
This presentation will outline our training program titled Communication and
Patient Safety (CAPS) that has now been completed by over 3,500 health care staff
in southern Queensland, Australia, over the past three years. The program is highly
interactive and offers practical tools for both staff-to-patient and staff-to-staff
communication. Clinical and nonclinical staff always attends together.
Upon completing this session, attendees will be able to:
• Demonstrate the speed with which a respectful, interactive presentation style
can put an audience at ease and allow real learning of new material
• Describe how, if such a presentation style is used, communication training can
succeed on an institution-wide scale
• Advocate that continuing with the status quo (of inefficient teamwork and poor
communication) is not an option if we want to improve safety for our patients
ENGiNEERiNG WORkFLOW AND LEvERAGiNG tEChNOLOGY
SeSSion 202: health technology hazards: Avoiding
Common Patient Safety Pitfalls
1.0 contact hours for physicians, pharmacists 232-999-12-134-L05-P
(activity type- Knowledge), nurses, healthcare risk management, healthcare quality
and healthcare executivess
Nancy G. Pratt, RN, MS, Senior Vice President, Clinical Effectiveness, Sharp Healthcare
This session will explore known opportunities for failure in numerous commonly
used technology products in health care. Examples of risk areas that will be
covered include electronic medical records, infusion pumps, diagnostic study
equipment, and other medical devices. Methods to discover the hazards and
mitigation strategies will be identified. Case studies will be presented.
Upon completing this session, attendees will be able to:
• Explain how to raise the risk awareness of all parties involved in technology
deployment
• Identify safety hazards across a number of technology platforms used in health care
• Identify monitoring and mitigation strategies for technology implementation
and use
ThURSDAY
hOt tOPiCS
SeSSion 203: Leadership Required, Not Optional
1.0 contact hours for physicians, pharmacists 232-999-12-135-L05-P
(activity type- Knowledge), nurses, healthcare risk management, healthcare quality
and healthcare executives
Ann Scott Blouin, PhD, MSN, MBA, RN, Executive Vice President, Accreditation
and Certification Operations, The Joint Commission
Learn how the culture of top-down safety applies not just to patients but to staff
as well – the freedom to honestly communicate information, the effect this has on
patient care, and the “win win” when done effectively.
Upon completing this session, attendees will be able to:
• Describe how The Joint Commission standards can be a benchmark for your
hospital’s leadership team
• Describe how a culture of safety is parallel to increased patient safety
• Evaluate samples of leading practice leadership
iNtEGRAtiNG CARE CONtiNuuM
SeSSion 204: Engaging Patients and Families in improving
the hospital Discharge
1.0 contact hours for physicians, pharmacists 232-999-12-136-L05-P
(activity type- Knowledge), nurses, healthcare risk management, healthcare quality
and healthcare executives
Paula Griswold, MS, Executive Director, Massachusetts Coalition for the Prevention
of Medical Errors
Deborah Wachenheim, MPP, Health Quality Manager, Health Care For All
The Massachusetts Coalition for the Prevention of Medical Errors has partnered
with Health Care For All (HCFA) to identify strategies in which patients and
their caregivers, and those managing hospital discharge, have a full shared
understanding of the patients’ needs after the hospitalization. The outcome
measure is HCAHPS question #19, which asks if hospital staff talked to patients
about their needs following the hospital stay. The presentation will include
strategies to engage patients and families in the improvement work and those
identified that improve the hospital discharge.
Upon completing this session, attendees will be able to:
• Outline successful strategies for improving the hospital discharge from the
perspective of patients and family caregivers
• State strategies to effectively engage patients and family members in
improving transitions
REFORMiNG hEALth CARE/ADvANCiNG QuALitY AND SAFEtY
SeSSion 205: hospital and Medicare Responses to
Adverse Events
1.0 contact hours for physicians, pharmacists 232-999-12-137-L05-P
(activity type- Knowledge), nurses, healthcare risk management, healthcare quality
and healthcare executives
Jeremy Moore, MPA, Program Analyst, Office of Inspector General/Office of
Evaluations and Inspections Kenneth Price, MBA, Deputy Regional Inspector
General, US Department of
Health and Human Services
Hospitals must track and analyze adverse events as a condition of participation
(CoP) in the Medicare program. State survey and certification agencies investigate
complaints alleging hospital noncompliance with the CoP on behalf of Medicare,
including alleged adverse events. This session will present findings from the HHS
NPSF Annual Patient Safety Congress 2012 8 Patient Safety 365