Overview | Agenda/Faculty Materials | Certificate Program | Promotional Opportunities | Brochure
Speaking Proposals | Administration | Past Events | Contact Us | Home



AGENDA: OPTIONAL PRECONFERENCE SYMPOSIUM
PATIENT SAFETY OFFICER TRAINING
Monday, August 17, 2009

Participation in the Preconference Symposium on Patient Safety Officer
training is mandatory for those in the Patient Safety Certificate Program.

8:00 a.m. Registration Commences
Preconference Symposium Faculty:
  • Paul Barach, MD, MPH, Professor, Center for Patient Safety, University of Utrecht, Netherlands, and Associate Professor, University of South Florida, Sydney, Australia (Co chair)
  • Julie K. Johnson, MSPH, PhD, Associate Professor and Deputy Director, Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, Sydney, Australia (Co chair)
  • Davis Balestracci, MS, Principal, Harmony Consulting, LLC, Portland, ME
  • Gwen Sherwood, PhD, RN, FAAN, Professor and Associate Dean for Academic Affairs, School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC
Presentation Material (Acrobat)
9:00 a.m. Welcome and Introduction
Paul Barach, MD, MPH (Co chair)
9:15 a.m. Mental Models and Framing of Safety and Quality
Julie K. Johnson, MSPH, PhD (Co chair)
9:30 a.m. Small Group Discussion about the 5 Pre-Conference Questions
  • What are the most important patient safety issues facing your institution?
  • How does the culture of your institution affect your ability to implement change?
  • What are 3 patient safety initiatives that you've read about, heard about, or seen that you believe will make an impact in your institution?
  • What are 3 patient safety initiatives you would like to implement in the next year?
  • Describe the composition of the team that will be necessary to accomplish each of those initiatives in your institution.
Handout Material (Acrobat)
9:45 a.m. Debriefing from Small Group Discussion
Gwen Sherwood, PhD, RN, FAAN
10:00 a.m. The Patient Safety Core Curriculum and Introduction to Lewis Blackman Story
Paul Barach

Handout Material (Acrobat)
10:15 a.m. Break
10:45 a.m. Small Group Discussion of Lewis' Story (a Pre-Analysis)
11:15 a.m. Debriefing from Small Group Discussion: How Are We Thinking about Safety Now?
Julie K. Johnson
11:30 a.m. Lunch on Your Own
1:00 p.m. Data "Insanity": The Silent Improvement Killer -- Part 1
Davis Balestracci
  • Systems and Processes
  • The "assumptions" they never tell you about...that invalidate most of the statistics you've learned!
  • Process-oriented thinking
  • Are you using special cause strategies?
  • "Plot the dots!" -- Run charts and analysis
  • What are the common cause strategies?
  • What would you do with data like this now?
Presentation Material (Acrobat)
1:30 p.m. Engaging Leaders -- From Turf Wars to Appreciative Inquiry, Principles of Leadership for Quality and Safety
Gwen Sherwood
2:00 p.m. Small Group Exercise

Gwen Sherwood
2:15 p.m. Debriefing from Small Group Exercise
2:30 p.m. Group Discussion
Davis Balestracci and Paul Barach
  • How does your organization react to, report, and analyze "incidents?"
  • Have you ever considered "safety" in a process-oriented context?
  • Have you, with the best of intentions, been using "special cause" strategies?
  • Could you "plot the dots" to see whether you have been successful?
  • Does this material suggest situations in your organizations that might respond better to "common cause" strategies?
3:00 p.m. Break
3:30 p.m. Data "Insanity": The Silent Improvement Killer -- Part 2
Davis Balestracci
  • Eradicating the myth of "trends"
  • Quick review of common cause strategy: Clearing up a common misconception
  • "Owning" the "Learning and Growth" sub-business of your organization
  • Statistics in a quality improvement perspective
Presentation Material (Acrobat)
4:00 p.m. Final Discussion about the Lewis Blackman Story
Paul Barach and Julie Johnson
  • What have we learned, how would we approach our analysis differently?
  • Facilitated Group Discussion (Topics to consider: disclosure, leadership, qualitative methods for learning about safety)
4:15 p.m. Real World Dilemmas in Quality and Safety
Participants and Faculty
  • What are the day-to-day issues that members of the audience face?
  • What are the strategies for addressing them?
4:30 p.m. Concluding Comments, Questions and Post-Colloquium Examination Logistics
5:00 p.m. Adjournment




Overview | Agenda/Faculty Materials | Certificate Program | Promotional Opportunities | Brochure
Speaking Proposals | Administration | Past Events | Contact Us | Home



© Health Care Conference Administrators
Contact Webmaster