Patient Safety Webinars

Recognizing the need to offer more learning opportunities to the community, in 2009 the Coalition expanded to host regular monthly teleconference calls for professionals in the health care community (up from the previous four quarterly calls). In 2010, we continued to offer monthly teleconferences covering a wide range of topics and began using WebEx technology. A fee of $40/teleconference line is charged to non-members participating in the teleconferences. There is NO charge to Coalition members.

Starting in February 2011, we began seeking continuing education credit to further enhance the value of these teleconferences for the community. In scheduling the presentations and discussions we strive for a balance of topics, speakers, organizations and regions represented. Please join us and learn from colleagues committed to improving the safety of patients in our health care system….

This activity has been submitted to the Association of periOperative Registered Nurses, Inc. for approval to award contact hours. The Association of periOperative Registered Nurses, Inc. is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Activities that are approved by AORN are recognized as continuing education for registered nurses. This recognition does not imply that AORN or the ANCC Commission on Accreditation approves or endorses any product included in the presentation.

Resources

We wish to thank our presenters who have graciously made copies of their presentations and/or supporting documents available for your use.

2012

February: “Generational differences in the healthcare work force and their effects on patient safety.” presented by Karen McNamara RN, BSN, M.Ed. Click here to watch the video (generational differences attached). A recording of this session is available for a nominal fee of $25. Please contact Alice Marshall for more information.

2011

December: “Chronic Opioid Therapy: Safer Patient Management in the Ambulatory Setting“, presented by Paul Fletcher, MD, Assistant Medical Director of Primary Care and Occupational Medicine, Group Health Permanente. A recording of this session is available for a nominal fee of $25. Please contact Alice Marshall for more information.
- Barbara Hyland-Hill, Director of Nursing Operations at Group Health Cooperative, also provided this Health Affairs article on “Group Health’s Initiative To Avert Opioid Misuse And Overdose Among Patients With Chronic Noncancer Pain“
November: “Nuts and bolts of disclosure: practical aspects of doing disclosure in your facility”, presented by Michael G. Lloyd, Home health/Hospice Compliance, patient safety and risk manager, Providence Senior and Community Services
- Nuts and bolts of disclosure
- Handout version_Nuts and bolts of disclosure
September: “Implementing the Comprehensive Unit-Based Safety Program (CUSP),” presented by Janine Wiggins, Harrison Medical Center. A recording of this session is available for a nominal fee of $25. Please contact Alice Marshall for more information.
- CUSP
- VA National Center for Patient Safety
- Institute for Healthcare Improvement
July: Melissa Edmister, RN, BSN (Providence St. Peter Medical Center) discussed “Assessing and improving a culture of safety, including the use of peer review and self-reflection.” A recording of this session is available for a nominal fee of $25. Please contact Alice Marshall for more information.
June: Denise Fowler, RN, BSN, MS, Chief Clinical Officer (Whitman Hospital & Medical Center, Colfax) presented on “Hospital-Community-Patient Partnerships to Improve Handoffs & Decrease Readmissions“
April: Ross Ehrmantraut, RN, BA, CCRN, Patient Safety Officer, and Elizabeth McNamara, RN, MN, Clinical Operations Manager for Infection Control (Harborview Medical Center) presented on “Not Just Another Checklist: Using Technology to Implement Time-Out in the Non-OR Setting.”
March: Cynthia May, RN, MSN, Director of Nursing Practice, Quality & Operations/Chief Nurse (Harrison Medical Center, Bremerton) presented on “So wash your hands! – What’s the problem?”Harrison Medical Center has also made available the following resources for editing and use in your organization:
February: Lynn Stapleton RN, MN, Clinical Nurse Educator (Providence Holy Family Hospital, Spokane) presented on “A Healthy Work Environment — What it is, how to build and sustain it, and its effect on patient safety.”–For more resources, see the AHRQ Patient Safety Primer on Disruptive Behavior on our Sites & Resources page…

2010

November: Trent Kelly, JD (Washington State DOH Agency Coordinator for the Chronic Pain Management Rules Workgroup) and Chuck Cumiskey, RN, BSN, MBA (Nursing Practice Advisory, Washington State DOH Nursing Care Quality Assurance Commission) presented on “Facts and Fictions about ESHB 2876: Chronic non-cancer pain management.”Trent’s presentation / Chuck’s presentation / Pain Management – Draft Pattern Rules
October: Michael Lloyd, MBA, CPCU, ARM, CPHRM, Manager, Patient Safety, Risk & Compliance (Providence Health and Services) presented on To ID or Not To ID – Who is my patient and what am I doing to him?
September: Michael Haight, MD, MHA, Vice Pres., Medical Affairs (Sacred Heart Children’s Hospital, Spokane) presented on Culture of Safety – Can we get physicians engaged?.
August: Sheila Yates, Manager, Patient Safety and Diane Schultz, Medication Safety Manager (Group Health Cooperative, Seattle) spoke about creating a Patient Safety Culture in Ambulatory Care and Why Reporting Counts.
July: Dr. Hope Wechkin, Medical Director (Evergreen Hospice and Palliative Care) spoke about the safe and appropriate use of hospice and palliative care services.
June: Rebecca Davis (Harrison Medical Center), Lynnette Truxal, RN, MN (1.1 MB PDF) (Madigan Army Medical Center), and Rosemary Grant (University of Washington) presented an overview of their experiences in improving surgical site infections through use of national and local benchmarking data (i.e., NSQIP and SCOAP).
May: Carol Parry, Family Centered Care Specialist, and Rachel Trindle, Family Advisor (Seattle Children’s), presented on Engaging Patients and Families as Safety Partners.
April: Jeanette Harris, Infection Preventionist (Multicare Health System), presented on dealing with Multi-Drug Resistant Organisms – Prevention in Seven Steps.
March: Cindy Sayre, MN, ARNP (University of Washington Medical Center) discussed Fall Prevention — Challenge and Opportunity.
January: Norman Gregory (Providence Everett Medical Center) spoke about the Culture of Transparency and Dr. Dan O’Connell shared challenges and strategies for Disclosing Errors and Resolving Adverse Events and Outcomes, including supporting patients and providers.

2009

December: Jeanette Harris, MS, MSN, MT(ASCP), CIC (MultiCare Health System, Tacoma) and Betsy Pesek (Overlake Hospital Medical Center, Bellevue) presented two different approaches to preventing catheter-associated urinary tract infections:–Overlake Hospital Medical Center PowerPoint presentation & IUC DC Protocol–MultiCare Health System UTI Bundle
November: Dr. Judith H. Hibbard (Institute for Policy and Research Innovation, University of Oregon) spoke to participants about activating consumers to improve health and reduce costs and Dr. Marc Pierson (St. Joseph Hospital, Bellingham) shared his advice on improving the connections between patients and professionals.Marc also provided the following links to his blog:–Patient involvement on teams: Learning from a Community Collaboration in Whatcom Cty.–Bonnie Parton talking about her family and the Shared Care Plan
October: Linda Furkay, PhD, RN, Department of Health Adverse Events Reporting Program Officer, updated us on findings from the Washington State Serious Reportable Events Program (expanded version), including what hospitals are learning from their reports and root cause analyses; and Jan Iverson, RN, MSN, Chief Nursing Officer & Joyce Cardinal, RN, MBA, Director of Quality Management, at Skagit Valley Hospital shared their innovations on preventing pressure ulcers and falls (including pre- and post-fall huddles) and how they use RCAs to learn from near-misses and avoid Never Events.Linda also provided the following additional materials:–Adverse Event Definitions–Table of all events reported to DOH, and–Instructions for how to do an aggregate review
September: Brent A. Albertson, PharmD, BCPS, Advanced Pharmacy Practice Manager, Providence Sacred Heart Medical Center & Children’s Hospital; Eric Harvey, PharmD, MBA, BCPS, Pharmacy Quality Manager and Pharmacy Residency Program Director, Seattle Children’s; and Elisa Vila, RPh, CACP, Anticoagulation Clinic/Lipid Management Clinic, Evergreen Healthcare; talked about Anticoagulation Therapy: Strategies for Improving Patient Safety, and provided the tools below:–Children’s Education Checklist for Low Molecular Weight Heparin–Children’s Education form for Enoxaparin Use–Children’s order form for Enoxaparin Use (for children and teens)–Evergreen Post-Joint Replacement discharge order form
August: Cindy Sayre, Director of Professional Practice, Patient and Family Centered Care, University of Washington, School of Medicine, presented onFall Prevention – Challenge and Opportunity, and provided The Johns Hopkins Hospital Fall Assessment Tool (Modified) for use by participants.
June: Carol Lyn Vanevenhoven, PharmD, Pharmacy Clinical Operations Assistant Manager/Medication Safety Officer, Yakima Valley Memorial Hospital; Tim Lynch, PharmD, MS, FABC, Pharmaceutical Services Manager, St. Joseph Medical Center; and Jackie Biery, PharmD, Medication Safety Pharmacist, University of Washington Medical Center presented and lead a discussion on the topic of “Managing High-Alert Medications.”Yakima Valley also provided an Insulin Fast Facts handout and UW Medical Center shared a Heparin protocol for use in other organizations.
May: Tracey Jones, RN, Perioperative Educator, Virginia Mason Medical Center; Suzanne Saunders, RN, BSN, CNOR, Staff Development Coordinator, Wenatchee Valley Medical Center; and Linda Goodwin, RNC, Med, Patient Safety and Regulatory Specialist, Evergreen Healthcare presented on the topic of “labeling medications on and off the sterile field.”
April: Trece Gurrad, RN, BSN, Regional Director – Acute Care Services; Jennifer Lefebvre, RN, Clinical Manager Cardiology; and Kandi Davenport, RN, Staff Nurse and Relief Charge Nurse Cardiology, St. John Medical Center, PeaceHealth, Lower Columbia Region, Longview, WA presented on the topic of “Reducing Patient Falls: The St. John Medical Center TCAB Experience.”
March: Island Hospital discussed their Progress Report one year after implementing Bedside Bar-Coding, including implementation, tracking outcomes, use of work-arounds, and positive and negative aspects of the application.
February: Kathy Mertens, RN, MN, MPH, Director of Clinical Care Systems, and Paula Minton-Foltz, MSN, RN, Assistant Adm. Education, Quality & Patient Safety at Harborview Medical Center shared processes, challenges, what has worked or not, advice, lessons learned, and tools regarding the use of patient identifiers in the inpatient and outpatient settings.
January: Connie Kirkpatrick at Good Samaritan Hospital, Puyallup, has provided Notes on Care of the Oversize Patient, and Airlift Northwest has provided a copy of its Large Patient Air Transport form. North Valley Hospital District has provided a copy of its Bariatric Admission Guidelines for Special Needs Patients; for more information, contact Kathy Swedberg, RN, their Quality Risk Manager.

What’s New

Be safe: have lunch with the Coalition! All teleconferences are from 12:00 noon-1:00 pm PST and are open to all interested parties. Please contact us for more information, to be added to the notification list, and/or to RSVP for a teleconference.

January: There will be no call this month – Happy New Year!
February 8: “Generational differences in the healthcare work force and their effects on patient safety,” presented by Karen McNamara RN, BSN, M.Ed.
March 14: “Multi-dose Medication Dispensing for Discharge – relabeling multi-dose medications to avoid inadvertent discontinuation,” presented by Darin Smith, PharmD, BCPS, FASHP, Director of Pharmacy Services and Performance Improvement (Norman Regional Health System, Norman, Oklahoma) and Susan Boyer, MS, BS Pharm, FASHP, Executive Director (WA State Board of Pharmacy, Olympia) (RSVP by March 9)
Please note new date! April 4: “Human Factors: what is it (or what are they?) and what does it mean for patient safety?” presented by Jason Fouts, Principal Human Factors Engineer (Mobia Group). (RSVP by March 30)
May: There will be no call this month – Join us at the 10th Northwest Patient Safety Conference on May 15th!
June 13: “Infection Prevention – a fresh and successful look,” presented by Cindy Angiulo, Assistant Administrator, Patient Care Services (University of Washington Medical Center). (RSVP by June 8)
July 11, August 8, September 12, October 10, November 14, December 12: Mark your calendars for the rest of the year – Topics & Speakers to be announced!

*Please note that webinar topics and speakers are subject to change.

Planning Group

If you have ideas for future topics, or speakers who would make excellent presenters, or would like to join the group to help with 2012 and 2013 topics and speakers, please contact our Planning Group members:

Miriam Marcus-Smith, RN, MHA msmith@qualityhealth.org WPSC Program Director
Andy Bernstein, andrew.bernstein@sanofi-aventis.com
Chuck Cumiskey, RN, BSN, MBA Chuck.Cumiskey@doh.wa.gov Nursing Care Quality Assurance Commission, Dept of Health
Rebecca J. Davis, RN, MN, CNOR Rebecca.Davis@harrisonmedical.org Harrison Hospital
Barbara Hyland-Hill, RN, MN hylandhill.b@ghc.org Group Health Cooperative
Michael G. Lloyd, MBA, CPCU, ARM, CPHRM Michael.Lloyd@providence.org Home health/Hospice Compliance, patient safety and risk manager, Providence Senior and Community Services
Russell Shear Russell.Shear@providence.org Providence Sacred Heart Medical Center