OCHU

Agenda - June 4 2012

• 8:00 am : Registration
• 8:30 am : Keynote: William CharneyThe Keynote Address will cover the systemic causes of the epidemic verses the 'low hanging fruit'. It is believed that without addressing the systemic causes of medical error, which it is believed have been now designed into the healthcare delivery system, only small impacts will be made and the risk to patients and staff will continue to increase over time.
  
• 9:00 am : Epidemiology of the Epidemic: Joe and Terry GraedonData accumulated when all the categories are counted define medical error as the leading cause of death to Americans.
• 9:30 am : For Profit Care and Factory Medicine: Joseph Schirmer, MSFor profit medicine hospitals have 2 to 4X the rates of medical error as not-for-profit institutions.
• 10:00 am : The Canadian Situation: Michael HurleyData now shows that medical errors, and all the categories it implies are the 3rd leading killer of Canadians.
• 10:30 am : Break
• 11:00 am : Under Reporting: John LangeNon-reporting hovers over the healthcare industry like a dark cloud. Underreporting of adverse effect and error rates ranging from 60-90% have been reported. This creates a deep chasm of hard data on medical error and leaves the science of intervention somewhat in the dark.
• 11:30 am : Staffing Ratios: Beth Piknick, RNStaffing ratios, or the lack thereof, are directly linked in all the peer review science to medical error and infections. Yet only one state in the US and no provinces in Canada have any regulations dealing with staff to patient ratios.
• 12:00 pm : Lunch
• 1:00 pm : Shiftwork: Christine Pontus, RN, COHN-S/CCMShiftwork has always been directly linked to medical error. Yet little has been done to correct the shiftwork paradigm to acceptable levels that would remove the toxicity of shiftwork in healthcare.
• 1:30 pm : Non Accountability: Susan Gallagher, PhDHealth care workers, doctors, nurses et al in most studies, over 50% do not wash their hands between patients. Policies, though looking good in administrative manuals, are hard to enforce in healthcare and the 'great white wall' protects the guilty.
• 2:00 pm : Bullying: Kathleen Bartholomew, RN, MNBullying is now one systemic cause for medical error in healthcare. Once bullied a healthcare worker's cognitive function decreases reducing their ability to make critical decisions.
• 2:30 pm : Cleaning of Hospitals: Tom Fuller, PhD, CIH, MSPH, MBAWe do not know how to clean hospitals. Hospital acquired infections lead to mortality and morbidity. The presenter will also cover personal protective equipment and their issues associated with infecting patients and workers.
• 3:00 pm : Break
• 3:30 pm : Ethics and Medical Error: James BrophyEthics in healthcare, though revered as a principle, slides down slippery slopes all too often. In a macro sense, many of the systemic problems that have led to the epidemic of patient harm have been known for over a decade, but little has been done to correct or eliminate them.
• 4:00 pm : Legal Issues: J.P. MenardLegal issues that conflict with patient safety issues abound. The silence that surrounds errors and reporting in order to protect institutions literally put patients at greater risk.
• 4:30 pm : The Quebec Situation: Marc PineaultAlong with the issues of C. difficile in Quebec, 171,000 medical errors were reported in one year.
• 5:00 pm – 6:00 pm: Discussion with Attendees
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