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IHI Patient Safety Congress G IHI/NPSF Patient Safety Congress Free from Harm May 23–25, 2018 • Boston, MA Welcome ihi.org/Congress #IHICongress General Information The Learning & Simulation Download the Mobile App Center To get full details about the Patient Safety Congress, Join us in the Learning & Simulation Center including presenter biographies, download our mobile (Exhibit Hall C) for receptions, lunches, live app titled CrowdCompass Attendee Hub. The app is simulations, the Innovation Theater, exhibits, available on both Google Play and iTunes Store. Once posters, and prize drawings. you have downloaded the Attendee Hub app, search for IHI/NPSF Congress 2018 under the events tab Thank You to Our and download the event. Passcode: 2018boston Supporters and Exhibitors Internet Access Check out the Supporter Guide on page 18 During Congress, connect to: Mallinckrodt and the Exhibitor Guide on page 26. password: 2018boston Videographers and Continuing Education Photographers See page 32 to learn about earning CE and Please note that IHI will have videographers and CME credits. photographers at the Congress. We may capture your image for use on the IHI website or in other IHI materials. @TheIHI will be tweeting. Join us! Use #IHICongress. Program details are subject to change. 2 Mobile app: See the instructions on page 2. Welcome It’s been a remarkable two decades in the history of patient safety. To Err Is Human caught the public’s attention and catalyzed a movement to make care safer. IHI’s 100,000 and 5M Lives Campaigns brought thousands of hospitals together to pursue the shared goals of saving lives and eliminating harm. The National Patient Safety Foundation created this Congress, with a sole focus on advancing patient safety, and drew attention to the importance of partnering with patients. But the impact Contents these inflection points have had is due to all of you. Your passion, your commitment, and your expertise have been driving improvements in Schedule ..................4 safety throughout the world. Conference Map ............17 Yet, in recent years, it’s become clear that the momentum you’ve helped Supporter Guide ............18 create needs another push. This was in the minds of the leaders at NPSF Innovation Theater...........23 when they made their call to action around patient safety as a crucial Simulation Guide............24 public health issue in 2017. And it was in our minds when we decided Exhibitor Guide .............26 that IHI and NPSF joining forces would help create more momentum and Continuing Education.........32 progress than if we continued to work in parallel. Congress Planning Committee...33 Together, and with all of you, we are now applying a total systems IHI Board of Directors ........34 approach to safety. Together, we will galvanize the safety agenda, engage all levels of leadership in improvement, and build the skills needed at every level to create and maintain a true culture of safety. Learning & Simulation Center Hours That’s why the IHI/NPSF Patient Safety Congress is so important. This week we’ll learn together about how a total systems approach can help us Wednesday, May 23 Welcome Reception solve key issues in patient safety such as safety culture, diagnostic error, 3:30 PM – 5:30 PM safety in ambulatory settings, health IT optimization, and many more. Thursday, May 24 Thank you for being here with us this week. Your work continues to 12:00 PM – 1:30 PM inspire all of us, and continues to prevent harm and save lives. Welcome Networking Reception to the Congress! 4:30 PM – 6:30 PM Friday, May 25 7:00 AM – 8:30 AM Derek Feeley Tejal Gandhi, MD, MPH, CPPS President and CEO Chief Clinical and Safety Officer Institute for Healthcare Improvement Institute for Healthcare Improvement #IHICongress 3 Tuesday – Wednesday Registration and all sessions take place in the 8:00 AM – 3:00 PM Hynes Convention Center on Level 2. IMMERSION WORKSHOP 2 Leadership Day. Leading a Culture Supported by Internet access courtesy of Mallinckrodt. of Safety: A Blueprint for Success Connect to Mallinckrodt ROOM 210 Password 2018boston Jeffrey Brady, MD, MPH, Director, Center for Quality Improvement and Patient Safety Tim Ewing, PhD, Vice President for Talent Management and Inclusion, Baystate Health Susan Lawson, Member, Patient Safety Team; former President, Tuesday, May 22 Patient and Family Advisory Council; former member of Quality Council, Baystate Health Jack Lynch, FACHE, President and CEO, Main Line Health 3:00 PM – 6:00 PM Doug Salvador, MD, MPH, Chief Quality Officer, Baystate Health The Leadership Day immersion workshop is designed to equip Registration current and aspiring health care executives with tools and PRE-FUNCTION HALL C approaches that will enable them to create, shape, and sustain effective cultures of safety within their organization. The elimination of harm to our patients and workforce must be both an essential priority of health care leaders and a moral and ethical obligation. Wednesday, May 23 Recognizing that navigating the complex world of health care presents daunting challenges, this interactive workshop will provide health care leaders with a framework designed to help overcome 7:00 AM – 6:00 PM those obstacles. Through both lecture and hands-on learning, participants will be introduced to evidence-based resources and Registration tools designed for assessing and fostering a culture of safety. PRE-FUNCTION HALL C 8:00 AM – 3:00 PM FULL-DAY IMMERSION WORKSHOPS IMMERSION WORKSHOP 3 8:00 AM – 3:15 PM Application of Human Factors and Systems Safety Principles: Thinking Differently about Patient Safety IMMERSION WORKSHOP 1 ROOM 200 Certified Professionals in Patient Safety (CPPS) Review Course Natalie Abts, Usability Services Senior Program Manager, National Center for Human Factors in Healthcare, MedStar Institute for ROOM 207 Innovation, MedStar Health Maureen Frye, MSN, BC, CRNP, CPPS, Director, Center for Patient Natalie (Nat) Benda, Senior Research Fellow, National Center for Safety and Health Care Quality, Abington Memorial Hospital Human Factors in Healthcare, MedStar Institute for Innovation, Karen Garvey, BSN, MPA/HCA, CPPS, DFASRM, Vice President, Safety MedStar Health; PhD Candidate, Industrial Systems Engineering, and Clinical Risk Management, Parkland Health and Hospital System University at Buffalo John Hertig, PharmD, MS, CPPS, Associate Director, Purdue Rollin (Terry) Fairbanks, MD, FACEP, CPPS, Assistant Vice University College of Pharmacy, Center for Medication Safety President, Ambulatory Quality and Safety, MedStar Health; Founding Advancement Director, National Center for Human Factors in Healthcare, MedStar Judy Milne, MSN, RN, CPPS, Patient Safety Officer, Duke Institute for Innovation, MedStar Health; Associate Professor of University Medical Center Emergency Medicine, Georgetown University Kathryn (Kate) Kellogg, MD, MPH, Associate Medical Director and This review course is being offered to experienced patient safety Director of Human Factors Safety Integration, National Center for professionals who plan to take the CPPS examination. The course Human Factors in Healthcare, MedStar Health; Assistant Professor can help participants prepare for the exam by reviewing domain of Emergency Medicine, Georgetown University content areas and test-taking strategies. 4 Mobile app: See the instructions on page 2. Wednesday Seth Krevat, MD, FACP, Assistant Vice President, Safety, MedStar some of the roles that each of these team members will need to Health; Assistant Professor of Clinical Medicine, Georgetown University assume and suggest “first steps” that each team member can take Kristen Miller, DrPH, CPPS, Senior Research Scientist, National to achieve this new dynamic. There will be presentations on three Center for Human Factors in Healthcare, MedStar Health; Assistant core areas of the team, followed by group and table discussions and Professor of Emergency Medicine, Georgetown University Raj Ratwani, PhD, Acting Director, National Center for Human communication exercises. Factors in Healthcare, MedStar Institute for Innovation; Assistant Professor of Emergency Medicine, Georgetown University 3:30 PM – 5:30 PM Despite considerable investment and some advances in patient safety, there are still hundreds of thousands of patients being LEARNING & SIMULATION CENTER harmed by medical error each year. A different way of thinking is Welcome Reception, Simulations, Exhibits, Posters, required to “move the needle” on patient safety. Human factors and Innovation Theater systems safety focus on redesigning work as opposed to redesigning EXHIBIT HALL C the human who does the work. Incorporating a human factors and Simulation Headquarters: Live Simulations systems safety approach allows for the development and integration (See page 24 for details) of knowledge, skills, and attitudes that facilitate successful performance at the front lines of care. At this workshop, health care 4:00 PM – 4:30 PM Scenario 1. “We’re Not in Kansas leaders will learn how to apply human factors and systems safety Anymore”: A Preemie Homecoming concepts to understand true hazards in their organizations while 5:00 PM – 5:30 PM Scenario 2. “You’ve Always Had fostering a culture of safety. The faculty includes human factors the Power”: Empowering Peritoneal Dialysis Patients for engineers, practicing clinicians, and health care safety leaders who Home Care have vast experience studying risk and implementing innovative Innovation Theater (See page 23 for details) change within health care organizations. 4:00 PM – 4:30 PM
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