Implementations of the Report of The Commission on Patient Safety and Quality Assurance

ESTATE
Safety and quality in a highly engineered environment
Speakers: Derek Moulds (IRL), Hilary Humphreys (IRL), Nic Allen (IRL), Phil Nedin (UK)

GOVERNANCE AND LEADERSHIP
Coprorate governance in teh National Health Service (NHS) in England: improving the patient experience and enhancing the safety of care
Speaker: John Bruce (UK)

507 - Introducing clinical innovation – an organisational approach to clinical governance in clinical practice
Speaker: Hill, K.N. (AUS)

523 - Applying quality improvement principles to reposition a quality improvement organisation
Speaker: Ireland, P.D. (AUS)

575 - National policy changes and evolving hospital quality management systems
Speaker: Wagner, C. (NL)

EXTERNAL EVALUATING SYSTEMS
323 - Supporting implementation of the Danish healthcare quality programme (DDKM) in community
pharmacies
Speaker: Nielsen, H. (DNK)

499 - Practical application of a responsive regulatory model to drive quality improvement in health care
Speaker: Avey, P. (AUS)

363 - Beyond accreditation: the benefits of surveying
Speaker: Lancaster, J. (AUS)

309 - Outcomes monitoring in healthcare regulation
Speaker: Sherlaw-Johnson, C. (UK)

314 - Improvement of healthcare quality through the national healthcare quality improvement campaign
in Taiwan
Speaker: Wung, C (TW)

HEALTH INFORMATION MANAGEMENT SYSTEMS
Rolling out the remote
Speaker: James Barow (UK)

EUNetPaS (European Union Network for Patient Safety)
Speakers: Jean Bacou (FR), Jorgen Hansen (DNK), Margaret Galgraith (FR), Solvejg Kristensen (DNK)

PATIENT SAFETY PROTOCOLS
Patient safety in children - challenges and solutions
Speakers: Charlie Homer (USA), Lynn Eckheart (USA), Peter Lachman (UK), Paul Sharek (USA)

EDUCATION AND RESEARCH
WHO: Implementation Surgical safety checklist: barriers and solutions
Speakers: Abdel Al Briezat (JOR), Amit Vats (UK), Alan Merry (NZ)

287 - Professional development through an action research project stimulating an interprofessional culture to enhance quality and safety
Speaker: Greenfield, D. (AUS)

135 -  What can we learn about patient safety from the mining industry?
Speaker : Stanton, E. (UK)

296 -  The impact of nursing staff levels on in-hospital cardiac surgery mortality:
analysis of administrative data
Speaker : Van den Heede, K. (BEL)

478 -  Team talk: the cornerstone of service improvement?
Speaker : Harden, H.E. (AUS)

694 -  Facilities design for safety
Speaker: Harrit, T. (DNK)

Positive Patient Experience
Follow up programs for cancer survivors – quality and patient perspectives
Speakers: Alastair Smith (UK) Carol Sawka (CA) Gilmour Frew (UK) Janne Lehmann Knudsen (DNK) Mary Mc Cabe (USA).

Patient Safety
530 -  Safety culture and team climate in Post Anaesthetic Care Units (PACU): its impact on handover safety
Speaker : Redley B.H.

716 -  Raiders of the lost archives
Speaker : Dunne, D.

634 -  Experience of using a root cause analysis approach during an independent review of a major outbreak of
clostridium difficile
Speaker - Stewart, D.G.T.

646 -  Healthcare risk antecedent statistical monitoring: results from a four-years study
Speaker : Lorenzi, F.

253 -  Using failure mode and effects analysis to improve the safety of patients transported to a critical care unit
following cardiac surgery
Speaker : Robblee, J.A.

Quality Systems
Measurement and improvement of chronic disease management: Collaborative efforts between primary and secondary sectors in Denmark
Speakers: Lene Grosen (DNK), Tina Eriksson (DNK), Peter Qvist (DNK), Birthe Lindegaard (DNK) and Arne Poulstrup (DNK)

Adverse Incident Reporting
320 - VLAD - a more effective statistical tool, to assist in monitoring and improving the safety and quality of
care of health systems
Speaker : Sketcher-Baker, K (AUS)

307 -  A motivational model of medical error response: preventing disclosure or promoting improvement?
Speaker : Janus, K. (USA)

345 -  Reverse engineering disasters: what can healthcare learn from other industries?
Speaker : Travaglia, J. (AUS)

667 -  Reporting near-misses: what have we learnt from the first results of the French certification scheme
for doctors?
Speaker ; Chevalier, P. (FR)

381 -  Incidence of adverse drug events and medication errors in Japan: Japan Adverse Drug Events (JADE)
Study
Speaker : Morimoto, T. (JPN)

Image Guided Medical Procedures- A Potential Help and Hindrance to Patient Safety in Modern Medicine
Speaker: Leo Lawler (IRL) Mater Misericordiae University

A Patient’s right and a legal obligation
 Michael Gorton (AUS).

A new model for managing errors using market-based control mechanisms.
Speakers : Jeffrey Braithwaite (AUS) and Enrico Coiera (AUS)