Featured Sessions | Track 1 | Track 2 | Track 3 | Track 4 | Track 5 | Track 6 | Track 7 | Track 8 | Track 9
Track 9-I Plausibly correct, but wrong: Failure Phenotype in Health IT
This session will use case studies to illustrate four instances when the lack of a human intermediary led to conclusions that were plausibly correct, but wrong. These scenarios show examples of what can happen when IT solutions designed to reduce error can actually become the cause of error. Panelists will also discuss how to overcome these types of errors.
Facilitator:
Robert Wears,University of Florida
Presenters:
Robert Wears
Shawna Perry
Christopher Johnson
Nick Chozos Presentation
Monday June 5, 10:30am-12:00pm
Auditorium
Track 9-II Validating the AHRQ Patient Safety Indicators: Current Uses and Research
This session focuses on the Patient Safety Indicators (PSIs), a module of the AHRQ Quality Indicators. PSIs use hospital administrative data to offer a window into the medical care delivered in the nation's hospitals. The purpose of this panel is to provide an overview of the PSIs, their development, and uses. Recent research using the PSIs will also be reviewed and discussed.
Facilitator:
Marybeth Farquhar, Agency for Healthcare Research and Quality
Presenters:
Marybeth Farquhar Presentation
Patrick Romano Presentation
Jeff Geppert Presentation
Monday June 5, 1:30pm-3:00pm
Auditorium
Track 9-III Uses and Misuses of Technology in Creating High Reliability Hospital Systems
This panel is comprised of members of an AHRQ-sponsored learning network of healthcare systems committed to becoming high reliability organizations. Panelists will discuss their experiences in using technology to make patient care safer, measure key safety processes and outcomes and support the redesign of important care processes.
Facilitator:
Steve Hines, Delmarva Foundation
Presenters:
Dave Munch Presentation
Paul Conlon Presentation
Shannon Sayles Presentation
Robert Porter Presentation
Monday June 5, 4:00pm-5:30pm
Congressional Hall C
Track 9-IV Uncovering Solutions to MRSA Transmission through Positive Deviance
Positive deviance (PD) is a successful approach to mobilizing for behavior and social change that has only recently been applied to problems in Western healthcare organizations. This session will offer an overview of PD, results achieved at Waterbury Hospital and VAPHS, differences between PE and conventional quality improvement methodologies and opportunities for exploratory conversations.
Facilitator:
David Introcaso, Agency for Healthcare Research and Quality
Presenters:
David Introcaso Presentation
Curt Lindberg Presentation
Jon Lloyd Presentation
Tuesday June 6, 1:00pm-2:30pm
Congressional Hall C
Track 9-V Applying Lean in Health Care: Prospects and Challenges
In health care, as in production industries, Lean (which is derived from Toyota Production Systems) is a way of thinking and an accompanying set of techniques for continuous quality improvement. This symposium brings together three practitioners who have applied Lean in different settings and in divergent ways, along with an AHRQ researcher who led an informal scan of Lean practices. Dr. Gabow is using Lean to restructure work processes as part of a total system transformation at Denver Health, Dr. Munch has applied it to Exampla's pharmacy, and is currently preparing for its roll out across service lines, and Dr. Lloyd participated in the application of Toyota Production Systems in the MRSA reduction project at the Pittsburgh VA Healthcare System (VAPHS).
Facilitator:
Michael Harrison, Agency for Healthcare Research and Quality
Presenters:
Dave Munch Presentation
Patricia Gabow Presentation
Tuesday June 6, 3:30pm-5:00pm
Auditorium