Immersion Workshops provide content and action-oriented guidance for foundational and advanced participants, strengthening competencies to set the path for individual and collective action around safety.
This interactive course is for Patient Safety Professionals who are starting on their journey or those who need a refresher on essential elements of building a patient safety program. The topics covered in this course include foundations for building culture of safety, improving event reporting and investigation and driving improvement in patient safety.
After this session attendees will be able to:
1. Describe elements of a culture of patient safety and a fair and just culture.
2. Discuss the role of communication and investigative tools to improve patient safety.
3. Apply basic improvement principles and their application in patient safety.
As an early adopter of the National Action Plan (NAP) to Advance Patient Safety, MemorialCare undertook the assessment in May 2022 as a way to move forward and re-energize our focus on patient safety coming out of the pandemic. Leveraging the NAP assessment framework, a survey of executives and quality leaders showed opportunities for improvement in key elements of each of the four Domains. An action plan was created, and the assessment was repeated in May 2023 showing improvement along this journey and further focus areas.
For those interested in learning more about use of the NAP over time, this session will share detailed examples over each of the four Domains, as well as lessons learned in practical application.
After this session attendees will be able to:
1. Describe use of the National Action Plan (NAP) Assessment to create a gap analysis for improvement.
2. Develop key local actions for your practice setting in each of the 4 Domains of the NAP.
3. Create key performance metrics and visualization to assess and monitor improvement over time.
Communication and Resolution Programs (CRPs) are structured programs to identify harm events and respond with accountability, compassion, and transparency. Hundreds of organizations are deploying CRPs, but many are struggling with inconsistent implementation. Historically marginalized patients are more likely to experience harm events and less likely to receive an effective response. Emerging practices can help CRPs provide support and accountability to all patients/families after harm and drive learning.
National CRP experts will discuss the CRP field and how implementation gaps can be closed. Carole Hemmelgarn will share the patient perspective on harm and how CRPs can enhance trust, safety, and equity. Thomas Gallagher will use a case of a delayed cancer diagnosis involving a historically marginalized patient to discuss CRP implementation. A CRP Process Map will be shared. Jeffrey Salvon-Harman will discuss how CRPs can enhance patient safety and align with the IHI Framework for Safe, Reliable, and Effective Care.
The session will identify learnings that participants can use at their organizations. The session is appropriate for any learners seeking to improve harm response processes. Participants will be able to implement a highly-reliable CRP and as an outcome their organizations will have an evidence-based CRP that builds trust, promotes equity, and enhances equity after harm.
After this session attendees will be able to:
1. Identify how highly reliable CRPs preserve patient/family trust after a harm event.
2. Summarize how CRPs can enhance equity by discussing a delayed cancer diagnosis case.
3. List strategies organizations can use to strengthen the link between CRP and safety.
The application of innovative human factors approaches supports the much-needed transformation of health care from reactive and less effective or non-sustainable solutions to proactive, evidence-based, effective and sustainable person-centered safety mitigations. Effective solutions must satisfy several constraints arising from clinical needs, social interactions, cognitive limitations, and health care policy. The solutions must be designed with appropriate consideration of the actual work environment, and must compensate for known human abilities, limitations, and baseline human error rates while considering the demands of the complex health care environment. In this hands-on workshop, participants will hear applied examples of how to apply human factors and systems safety concepts to understand true hazards in their organizations while fostering a culture of safety.
After this session attendees will be able to:
1. Describe how the work-system elements interact to create safe/unsafe conditions.
2. Apply HF concepts to identify system hazards and develop solutions for safer care delivery systems.
3. Identify system solutions to support the way humans work and minimize the opportunity for error.
The Institute for Healthcare Improvement (IHI) offers review courses to experienced patient safety professionals who plan to take the Certified Professional in Patient Safety (CPPS) examination. This course can help participants prepare for the exam by reviewing domain content areas and test-taking strategies.
After this session attendees will be able to:
1. Review the five patient safety domains, following the exam content outline.
2. Discuss patient safety scenario examples similar to actual exam questions.
3. Assess their own level of preparedness for the exam and address additional areas for self study.
The analysis of events involving diagnostic error and adverse outcomes often depends upon the quality of investigations and of investigative interviews in particular. The integration and interpretation of information to achieve a working diagnosis is a critical element of the diagnostic process. Yet, traditional interviewing methods are poorly suited to eliciting details of cognitive processes clinicians perform. Often adverse events are framed around individual decisions. Yet, we often fail to understand why those decisions were made and what factors influenced the cognitive process.
The Cognitive Interviewing protocol developed by Drs. Edward Geiselman and Ronald Fisher has been demonstrated through extensive laboratory research and field experience to be an effective technique for assisting interview subjects with recollecting impressions and thought processes that might otherwise be unavailable to fact-finders.
This workshop will introduce the fundamentals of investigative interviewing and the basic operations of memory and retrieval in the interviewing context and will present the full Cognitive Interviewing (CI) protocol. Participants will use CI techniques through a series of simulations.
After this session attendees will be able to:
1. Describe the fundamentals of effective investigative interviewing.
2. Explain techniques for eliciting information about diagnostic processes and contributing factors.
3. Demonstrate the skills of the Cognitive Interviewing protocol.
General Conference (May 15-16): $1,250 US
Pre-Conference (May 14): $450 USD
Email
info@ihi.org
617-301-4800
866-787-0831 (Toll Free)