Northwest Patient Safety Conferences
One Size Doesn't Fit All: Safe Care of the Very Large Patient - April 6th
Registration is now open for our first cross-border regional conference, to be held April 6, 2010 at the Doubletree Hotel Portland-Lloyd Center in Portland, Oregon. This conference will focus on a single important issue often overlooked by our colleagues -- "safe care of the very large patient." Come learn from experts in the field, or share a poster showcasing the proven tools and methods that your organization uses to improve safety and decrease errors.
The $125 registration fee includes continental breakfast, breaks, lunch, materials, and parking; and it is discounted to $100 for members of any of the planning organizations: the Washington Patient Safety Coalition, the Oregon Patient Safety Commission, the Washington State Association for Healthcare Quality, and the Oregon Association for Healthcare Quality. If you are not sure of your membership status, please contact the organization directly. Space is limited so register early!
Agenda / Call for Posters / Sponsorship Packages (click to download PDF's)
Keynote Speaker:
Keith Bachman, MD, FACP, is the Clinical Lead for Kaiser Permanente's Care Management Institute Weight Management Initiative. In the Kaiser Permanente Northwest region, he is the physician lead for weight management and obesity prevention activities. He is also a consultant to the Severe Obesity/Bariatric Surgery program and maintains a primary care internal medicine practice.
Other featured topics include surgery-related challenges, preventing injury to staff, maintaining skin integrity across care settings, and optimizing care transitions in the community. This activity will be submitted to the National Association for Healthcare Quality for CPHQ CE hours.
*Special Offer: Attend this conference in Portland and receive a $50 discount coupon for you or a colleague to attend our annual Northwest Patient Safety Conference!
2010 Northwest Patient Safety Conference - May 4th
Our seventh regional conference returns to the Hilton Seattle Airport & Conference Center on May 4, 2010, focusing on the topic of "Patient Safety Culture." Presentations and small-group discussions in workshop formats provide a full-day event that will challenge participants’ assumptions about best practices, and provide tools and methods that can be quickly put to use in participants’ care settings. Topics will cover a wide range from root cause analyses to what we’re learning from Washington’s mandatory reporting programs; and include Qualis Health's annual awards presentations, a poster session, networking opportunities, and much, much more...
Agenda / Call for Posters / Sponsorship Packages (click to download PDF's)
Keynote Speaker:
We will join with the Foundation's Surgical Care and Outcomes Assessment Program (SCOAP) to hear from surgeon and writer, Atul Gawande, MD, MPH, a staff member of Brigham and Women’s Hospital, the Dana Farber Cancer Institute, and the New Yorker magazine. He received his B.A.S. from Stanford University, M.A. (in politics, philosophy, and economics) from Oxford University, M.D. from Harvard Medical School, and M.P.H. from the Harvard School of Public Health. He served as a senior health policy advisor in the Clinton presidential campaign and White House from 1992 to 1993. Since 1998, he has been a staff writer for the New Yorker magazine. In 2003, he completed his surgical residency at Brigham and Women’s Hospital, Boston, and joined the faculty as a general and endocrine surgeon.
In 2006, he received the MacArthur Award for his research and writing. His book Complications: A Surgeon’s Notes On An Imperfect Science was a finalist for the National Book Award in 2002 and is published in more than a hundred countries. He was editor of The Best American Science Writing 2006. His book Better: A Surgeon’s Notes On Performance is a New York Times bestseller and one of Amazon.com’s ten best books of 2007. His newest book, The Checklist Manifesto, is one of Amazon’s best books of the month: December 2009.
Plenary Speakers:
Mick Oreskovich, MD, is Medical Director and Chief Executive Officer of Washington Physicians Health Program, whose mission is to facilitate the rehabilitation of healthcare practitioners who have physical or mental conditions that could compromise public safety and to monitor their recovery. He provides leadership and oversight over all clinical and administrative operations. As an educator on the health and well being of healthcare practitioners, he lectures extensively at the state, national, and international level to clinics, hospitals, specialty groups, societies, insurers, and legislators. His primary research interest is in primary prevention of impairment and he has developed an anonymous self-assessment survey that identifies at risk behavior in healthcare practitioners. Dr. Oreskovich will give a morning plenary talk on burnout and safety, and will also give a breakout session on impaired healthcare professionals.
David Marx, JD, is President of Outcome Engineering, a Dallas-based risk management firm, which currently spends the majority of its effort on helping high-risk organizations develop safety supportive practices and culture. David began his career as a Boeing aircraft design engineer. In his final years at Boeing, David organized a human factors and safety group where his team won the International Whittle Award for the development of a human error investigation process now used by air carriers around the world. He has served as an advisor to the Federal Aviation Administration's Human Factors Research Program and to the NASA Space Shuttle Program. David was the principal consultant to guide the State of Oregon and the Oregon Health Care Association to build the first state-wide, quantitative model of medication safety risk. In the area of safety culture, David authored for the National Institutes of Health the document "Patient Safety and the 'Just Culture': A Primer for Healthcare Executives." In November 2005, David's firm launched the Just Culture Community, a web-based resource for organizations on the journey to more open learning cultures. In December 2005, the Institute for Safe Medication Practices awarded David the Cheers award for his work in developing the "Just Culture." Mr. Marx will deliver the afternoon plenary talk.
2009 Northwest Patient Safety Conference
The Coalition's Steering Committee would like to thank the 215 attendees who joined us from over 65 organizations across the Northwest at our sixth regional conference at the Hilton Seattle Airport & Conference Center which focused on keeping our patients safe throughout their journey of care from home through outpatient, inpatient, and continuing care settings. The conference was organized around the themes of communication, medication safety, preventing infection, and safe procedural care. Presentations and small-group discussions in workshop formats provided a full-day event that challenged participants’ assumptions about best practices, and provided tools and methods that can be quickly put to use in participants’ care settings.
Agenda (click to download PDF)
Keynote/Plenary Session Speakers:
Robert M. Wachter, MD is Professor and Associate Chairman of the Department of Medicine at the University of California, San Francisco. He is also Chief of the Division of Hospital Medicine, and Chief of the Medical Service at UCSF Medical Center. He has published 200 articles and 6 books in the fields of quality, safety, and health policy and edits the federal government’s two leading patient safety websites. He coined the term "hospitalist" in a 1996 New England Journal of Medicine article, served as the first elected president of the Society of Hospital Medicine, and edits the field's main textbook, Hospital Medicine.
Gail Nielsen is the Iowa Health System Clinical Performance Improvement Education administrator. She is a nationally known lecturer and facilitator on the topics of leadership in the spread of performance improvement, health literacy, patient-centered care, and redesigning the discharge process. While a George H. Merck Scholar at the Institute for Healthcare Improvement she was a key member of IHI’s work on patient-centered care and Transforming Care at the Bedside.
Daniel O’Connell, PhD, is a nationally-recognized speaker who has worked as an educator, consultant, clinician, department chair and executive director in medical, behavorial health and educational settings the past 30 years. He is a consultant to The Institute for Healthcare Communication and serves on the faculty of the Foundation for Medical Excellence. He teaches in the Residency Programs at the University of Washington School of Medicine and maintains a coaching and consulting practice working primarily with health organizations and individual providers on all aspects of the pscyhology of medicine, leadership in healthcare settings and professional interactions.
Bad behavior -- preparing for and dealing with disruptive behavior by providers
Breakout Session: Disclosing Adverse Outcomes and Medical Errors
Selected Sessions
Family-activated rapid response teams– Ellen Noel, MN shared how Virginia Mason Medical Center used Lean methods to develop a family-activated system to enhance safety, the evaluation metrics used, and learnings gained.
The Medication Safety Journey– Natasha Nicol, PharmD, FASHP from Cardinal Health discussed how to design a sustainable culture of safety; how to collect medication errors and use that information to affect true change; and using the IHI Global Trigger Tool to determine level of harm.
Surgical Quality in Washington State and the Successful implementation of Operating Room Checklists– E. Patchen Dellinger, MD presented how the University of Washington has overcome barriers to implement the World Health Organization-endorsed checklists, and his subsequent work with the Foundation's Surgical Care and Outcomes Assessment Program (SCOAP) to spread the initiative to every OR in Washington.
2008 Northwest Patient Safety Conference
The Coalition's Steering Committee would like to thank the 300+ attendees who joined us from over 80 organizations across the Northwest at this year's conference at the Hilton Seattle Airport & Conference Center which explored the significance of transitions at several levels: As a maturing health care movement, what has patient safety accomplished, and how must it change to address both continuing and new challenges? What will it take to achieve significant and lasting improvement, and what lies ahead? Patients move through multiple transitions in care – changes in levels of care, providers, physical location. We will hear specific examples of how safety can be optimized throughout many types of transitions.
Agenda (click to download PDF)
Keynote/Plenary Session Speakers
Lucian Leape, MD, Adjunct Professor of Health Policy in the School of Public Health at Harvard, is internationally recognized as a leader of the patient safety movement, starting with the publication in JAMA of his seminal article, Error in Medicine, in 1994. His subsequent research demonstrated the success of the application of systems theory to the prevention of adverse drug events. In addition, he has directed research into overuse and underuse of cardiovascular procedures. He has published over 100 papers on patient safety and quality of care.
Eric Coleman, MD, MPH, Associate Professor of Medicine at the University of Colorado, is the Director of the Care Transitions Program, aimed at improving quality and safety during times of care “hand-offs”. He is also the Executive Director of the Practice Change Fellows Program, designed to build leadership capacity among health care professionals who are responsible for geriatric programs and service lines.
“Listen to Your Patients – They are Telling You How to Improve Their Care Transitions”
Selected Sessions
“Checking Safety in the Operating Room”– David Flum, MD presented how aviation-type OR safety checklists have been developed by the World Health Organization (WHO) and how the UWMC and other Washington Hospitals are building on this approach through the Foundation for Health Care Quality’s SCOAP Program. WHO’s “Safe Surgery Saves Lives” initiative launched at an event in Washington, D.C. on June 25.
2007 Northwest Patient Safety Conference
Featured Keynote and Plenary Session Speakers: Don Berwick, MD, MPP, President, CEO, and Co-founder of the Institute for Healthcare Improvement (IHI) in Boston, an internationally recognized expert on health care quality improvement; and Michael Leonard, MD, the national physician leader for Patient Safety for Kaiser Permanente.
