<p> Quality Improvement Sharing Event Wednesday 14 October 2015 Registration Form</p><p>Surname of Applicant: Click here to enter text. First Name of Applicant: Click here to enter text. Job Title: Click here to enter text. Directorate: Choose an item. Email Address: Click here to enter text. Do you consider yourself to have a Choose an item. disability? If yes, do you have any specific requirements Click here to enter text. e.g. assistance on arrival, sign language, interpreter, materials in large print etc</p><p>Please identify below whether you wish to attend the Morning, Afternoon or Full Day</p><p>Morning ☐ Afternoon ☐ Full day ☐</p><p>If you plan to attend the Morning session, please select ONE of the options below:</p><p>Parallel Session 1 Parallel Session 2 (11.30am) (11.30am) </p><p> Frailsafe: Improving the care of frail,  Sign of the times older people in the Medical Eilish Kilgallon, Community Access Assessment Unit Worker, Sensory Team Dr Pat McCaffrey, Dr Mark Roberts, Mary Burke, Medicine & Unscheduled Care  Anaesthetic critical incident trigger  “Verve”: Healthy Living Centre list: A tool to facilitate reporting Network, Dr Laure Martin ATTICS Lisa Follis Neighbourhood Renewal Health Coordinator  The Review of the Direct Current Cardioversion service (DCC) within  Enhancing disabled children’s SHSCT participation in the LAC Process Kay Carroll, Head of Service, Medicine Angela Cannaway Social Care Worker and Unscheduled Care </p><p>Panel Discussion Panel Discussion</p><p>I wish to attend Session 1: ☐ I wish to attend Session 2: ☐</p><p>We require you to rank your preferences for the Afternoon Session (ordered 1 to 5) so that we can allocate appropriately</p><p>If you plan to attend the Afternoon Session please rank your preferences below (with 1 being your most preferred option and 5 your least preferred):</p><p> Communication, Communication, Communication Liam Creagh, Redbox Media  Making Quality Improvement happen John McClune, InvestNI  Gaining Support: Dragons Den Experiential Learning Workshop Roni McMillan, The Leadership Centre plus some of our own Staff as ‘Dragons’  Research in support of Quality Improvement Dr Patricia Gillen, SHSCT  Practical Hints and Tips on engaging Service Users and carers Carolyn Agnew, SHSCT</p><p>You are invited to make a donation to Marie Curie, our Trust Charity of the Year, and then collect your “Grab and Go” lunch </p><p>Collection buckets will be available on the day</p><p>I wish to avail of the “Grab and Go” Lunch ☐</p><p>If you are availing of the provided lunch and have any special dietery requirements please specify below Special Dietery Requirements………………………………………………… ……………………………………………………….…………………...…</p><p>Please return this form via email to:</p><p>[email protected]</p>