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2009 Seminar Series
Strategies for improving medication safety in hospitals:The way forward
Venue: Royal Brisbane and Women's Hospital, Herston, QLD;
Medication errors are one of the most common types of adverse events reported in the hospital system. It is estimated that around 2-3% of admissions to hospital have an adverse medication event; in some populations it is estimated to be as high as 30%. Half of these errors are deemed to be potentially preventable. A priority area for peak quality and safety bodies at an international, national and jurisdictional level has been to identify areas where additional patient safety activity could enhance patient safety. Investment is needed in assessing gaps in care, improving product safety, developing medication management systems and education and competency assessment. Various efforts have been directed at understanding and reducing medication errors and improving safety at the system level and also at the practitioner level.
Session 1: Overview
Session 2: Medication safety in the electronic age
Session 3: Managing high risk medication
Session 4: Implementing what we know works
Workshop in "Human Factors"
This workshop provides a practical overview for health professionals to understand the role of "human factors" in understanding and improving patient safety. It describes the different fields in human factors, what each field offers and how this knowledge should be utilized. The workshop will debate the opportunities and challenges of integrating human factors into the healthcare context, specifically examining when and how human factors can be integrated into safety strategies and practice. The learning methods are interactive small group study with the use of specific healthcare example.
Venue: Dept of Epidemiology and Preventive Medicine, Melbourne Vic 3004.
Patient Consent and Blood Transfusion
Transfusion of blood components is one of the most common medical procedures utilized in almost all clinical settings and like other medical interventions, has associated benefits and risks. The National Health and Medical Research Council (NHMRC)/Australasian Society of Blood Transfusion (ASBT) Clinical Practice Guidelines on the Use of Blood Components recommend that as ‘part of the informed consent process, a patient should be given clear explanation of the potential risks and benefits of blood component therapy in his or her situation’. The requirement for informed consent for transfusion has now also been included in the Australian Council of Healthcare Standards (ACHS) Evaluation and Quality Improvement Program (EQuIP) 4th Edition standards. There are many questions about how clinicians and hospitals should meet these requirements.
Venue: Charles Latrobe Lecture Theatre, Royal Melbourne Hospital Function and Convention Centre, Grattan St, Parkville, Victoria 3050
Implementing Quality Indicators: Moving from Theory into Practice
A national priority area for improving safety and quality in health care is better use of data to identify, learn from and prevent errors and system failure. The Council of Australian Governments has recently endorsed collection and reporting of performance indicators in the National Healthcare Agreement. Measurement is now an integral part of healthcare delivery. Quality indicators should represent strategically placed probes into the health system to assess how well a service or an individual is performing. They should be regarded as tools to be used as part of an overall strategy to drive quality improvement: a means to an end and not an end in themselves. This seminar will provide delegates with practical experiences from those who have implemented quality indicators in their institution or specialty area. It is designed to provide advice and guidance by sharing lessons learned from those who have used them to effectively introduce change and improve service delivery.
Venue: Kerry Packer Auditorium, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW
Session 1: Setting the scene
Session 2: Building indicators into existing systems
Session 3: Establishing new indicators
Session 4: The feedback loop
Acute Medical Assessment Units: Improving Care and Flow for Medical Patients
Date: Friday 24th April 2009
The interface between hospital Emergency Departments and the inpatient medical wards presents many potential barriers to effective patient flow. In the context of increasing demands on hospital resources together with a reduction in the number of acute inpatient beds, many Australian and International hospitals have introduced Acute Medical Assessment Units/Medical Admission Planning Units to overcome these barriers. These units have been designed to enable rapid and effective assessment and planning for hospital admission. But do Acute Medical Assessment Units improve patient safety? How should they be integrated into existing structures? What resources are required to get them up and going and what are the barriers to successful implementation?
Session 1: Overview
Session 2: Identifying and addressing barriers
Session 3: Lessons learned from existing units
Session 4: Implementation