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Geneva 2012

Presentations from Geneva on
Sunday 21st October 2012

Session 1 - Accreditation Symposium: The many faces of external evaluation

Health service accreditation programmes – what does the empirical literature tell us? 
David Greenfield; AU

The benefit to consumers of publishing reports: A panel discussion
Wendy Nicklin; CA, Charles Bruneau; FR, David Greenfield; AU and Barbara Farlow; CA

Moving beyond traditional accreditation: applying lessons from safety-critical industries
Karen Timmons; US

Quality in social care for older persons: how you inspect or regulate
Mark Brandon; AU, Tracey Cooper; IE and Wendy Nicklin; CA

Session A - Measurement and Evaluation  

Rating Principles in Accreditation Programmes: Should we strive for a gold standard? 

Carsten Engel 
and Anne Mette Falstie-Jensen; DK

Combining accreditation and quantitative indicators   
Heather Walker
; UK

There’s No Evidence that Accreditation Improves Healthcare Quality and Safety”: What We’ve Learned, What We Agree and Disagree On, and The Strategy From 2012  
John Helfrick; US, BK Rana; IN, Paul Van Ostenberg; US, Helen Crisp; UK, Wendy Nicklin; CA

Session B - Evaluation in Lower Income Countries

The interaction between quality assurance, quality improvement, accreditation and patient-safety programmes and their role in improving quality and safety in resource-restricted settings
Stuart Whittaker; ZA, Jacqui Stewart; ZA, Baile Moagi; BW

Patient-Safety Standards in Egypt, Jordan, Morocco, Pakistan, Sudan, Tunisia and Yemen
Riham Elassady; WHO

GP accreditation in resource-poor setting with an associated middle-income component
Morgan Chetty; ZA

Preparing primary care facilities for accreditation using the SafeCare approach
Nicole Spieker; NL

Session 2 - Indicator Summit : Strengthening the information Infrastructure for quality

Strengthening the information infrastructure for quality measurement: data linkage and secondary data use from Electronic Health Records in OECD countries
Jillian Oderkirk; OECD

Strengthening the information infrastructure; national experiences from South Korea and Belgium; A panel discussion 
Sun Min Kim; KR Pascal Meeuws; BE and Jillian Oderkirk; OECD

Full cycle care in AMI and stroke in France
Armelle Leperre-Desplanques; FR

Measuring and reducing disparities in quality of community care; the Clalit experience
Ran Balicer; IL

Improving quality of primary care in Denmark
Jan Mainz; DK

Measuring and improving primary care in the US
Cliff Fullerton; US

Measuring and improving primary care in the UK
Tim Doran
; UK

Session 3 - Best Practice Implementation Through Clinical Programs

Implementing Evidence-based medicine

Anthony Staines
; CH, Tracey Cooper IE, Oliver Groene; UK and Pierre Chopard; CH

Intermountain Healthcare’s Clinical Programs - the Brand
Anthony Staines
; CH, Brenda Reiss-Brennan; US and Pascal Briot; US 

Success factors in implementing clinical programs
Anthony Staines
; CH, Alice Teil; FR, Pascal Briot; US, Pierre Chopard; CH, Brenda Reiss-Brennan; US and François Kundig; CH

Anthony Staines; CH

Pre Conference 4  -  WHO Workshop: From research to action: a practical guide for achieving evidence-informed policy-making

Evidence-informed policy-making is key to achieving safe, effective and sustainable healthcare and health system improvements. But how exactly can available research evidence be translated into practical actions?


 Presentations from Geneva on Monday 22nd October 2012

Opening Plenary

"Safer Health Care in a Global Perspective: The Coming Challenges for WHO and the World"
Margaret Chan, 
Director General; WHO and 
Sir Liam Donaldson,
Envoy for Patient Safety; WHO

 Concurrent Morning Sessions

A1 - Patient Centered Care

Putting the patient at the center of a Patient Safety Incident Analysis

Hugh MacLeod;

1899 -  What do you mean the patient called a reach rapid response? Patient engagement at the ‘sharp  end’
K. Luxford, A. Gal, C. Hughes; AU

1420 -  Development of evidence-based information tool for public in Japan: support for effective utilization of clinical practice guidelines
A. Okumura, 
Y. Sato, M. Yoshida, N. Yamaguchi; JP

1569 -  What are healthcare organisations doing to measure and improve patient experience? 12 case studies from England
J. Cornwell, 
G. Robert, R. Levenson, N. Joule; UK

 A2 - Education in Safety and Quality

0001 - Managing knowledge for improvement: Why knowledge management approaches are new and essential tools for improving health systems
T. Shaw
; AU, M R Massoud; US, L Marquez; US

2573 - Patient safety knowledge, attitudes and skills - the impact of an online programme for graduate medical practitioners in Ireland
S. McCarthy, 
M. Burgdorf, D. O’Flynn, A. O’Shaughnessy; IE

2402 -  What is leadership for quality improvement? Making sense of leadership in a complex system
H. Hunter, 
K. Hooton, T. Smerdon, L. Wiggins; UK

1448 -  Application of kano methods to identify and categorize quality improvement training preferences of healthcare workers 
I. Seoudi, 
N. Dymond; QA

A3 - Governance Leadership and Health Policy

2539 -  Clinical governance assurance by NHS professionals for nurses, midwives and careworkers working as flexible workers

A. O’Brien
K. Barraclough, P. Khaira, M. Verghese; UK

1832 -  Determinants of burnout, job satisfaction, and intention to leave among four categories of hospital professionals
I. Gilles
B. Burnand, I. Peytremann-Bridevaux; CH

2675 -  The influence of hospital complexity on surgical mortality
M. L. McCrum, K. E. Joynt, A. A. Gawande, A. K. JhaUS

2667 -  National reference values for the German inpatient quality indicators
U. Nimptsch, T. ManskyDE

2323 -  Large scale quality improvement in primary care in Australia
D. J. Wright
C. Caesar; AU

A4 - Patient Safety Systems

The Second Victim Phenomenon: Caring for our Own
Susan Scott
; CA, Nicoletta von Laue; CH, Anthony Staines; CH

 A5 - Measuring Service Performance and Outcomes

Measuring value: Integrating Patient-Reported Outcomes on a System-Wide Level
Eyal Zimlichman
; US

Interoperable systems in healthcare: A national traceability solution based on global standards for surgical instruments
Alana McMahon, Jim Bracken; IE

A6 - Integrated Care and Interface with Primary Care

1757 -  Social capital as a predictor of risk management in hospitals
H. Pfaff, 
N. Ernstmann , A. Shukor , A. Hammer; DE

1312 -  Developing national standards for integrated care pathways (ICPS) for child and adolescent mental health services (CAMHS)
D. Thomson, 
J. Byrne, F. Forbes, C. Macmillan; SC

1421 -  Transitions between care settings and patient experienced quality
M. T. Sandager, C. Sperling, J. L. Knudsen; DK

1450 -  Improving quality and safety of ortho-geriatric cooperation in the treatment of geriatric trauma: a peer review based concept to audit centres for geriatric trauma in Germany
T. A. Friess, E. Hartwig; DE

1155 -  A collaboration between a restructured hospital team and nursing home staff to reduce pneumonia in nursing home
D. Wild, H. Yang, D. Yong, SG

 A7 - Innovative Technology using e-health and Health Technology Assessment

How do we ensure quality and safety from new technology?

Guy Maddern; AU

 A8 - Quality and Safety in Transitional and Developing Countries

2366 -  The safecare essentials: a rapid and cost-effective tool to screen healthcare quality in resource-restricted settings 
P. van Ostenberg, 
N. Spieker, S. Whittaker, T. Rinke de Wit; NL & ZA

1896 -  Spread of better care practices and quality improvement for maternal and newborn services from Niger to Mali
M. A. Boucar, 
Z. Saley, S. Djibrina, K. Sangare; NE

2636 -  Evaluation of mortality rates and length of hospital stay using reduction risk models by ap-drg in Hospital Estadual de Diadema
M. N. De Paula, F. L. Gastal, N. S. Mansur, M. H. Kono; BR

0002 -  National study of adverse events incidence in public Chilean hospitals, 2009
N. J. Alvarez Ortíz, 
G. I Ramirez Donoso, M. E Carrasco Portiño; CL

2212 -  Patient-centered care in the labor and delivery wards of Rwandan health facilities: results of an observational assessment of 72 health facilities
H. Rosen, 
R. Favero, J. Zoungrana, S. Arscott-Mills; US

 A9 - Accreditation and Regulation of Systems and Professionals

Professional Regulation and Patient Safety: Parallel planets or two halves of one whole?
Harry Cayton; UK, Martin Fletcher; AU, Penny AndrewNZ

Lunchtime Session and Short Orals

A10 - Publishing your paper
Eric Schneider
; US

A11 - Building a collaborative network to research accreditation: an invitation to participate
David Greenfield
and Reece Hinchcliff; AU

A12 - WHO’s High 5s initiative: implementing standard operating protocols (SOPs) in patient safety by hospitals in participating countries
Edward Kelley
and Agnes Leotsakos; WHO

AP1 - Patient Safety Systems- Short Orals

2447 -  Global patient safety alerts - sharing for learning
E. Pollock
, S. Kossey, H. MacLeod; CA 

2251 -  Safety culture in a university hospital: results of a questionnaire survey
J. B. Wasserfallen, S. Vialle, P. Michel, I. Peytremann-Bridevaux; CH

0005 -  Increase of Outpatient Surgery cases by improving the management process
Hyunkyung Lee; TW

2174 -  Procedural sedation complication & training for doctors
C. W. Lau, C. W. Kam, P. F. Tang; HK

2617 -  Investigating Nurses’ Reporting Intention Of Medical Incidents                                    
S. Y. Hsieh, S. Chan, W. Hsu; TW

 AP2 - Accreditation and Regulation of Systems and Professionals

1684 - Excellence in governance: paramount to Accreditation Canada’s role in promoting quality  healthcare
W. Nicklin, B. MacDonald, J. Mitchell, M. Lee; CA

1883 - Users’ views on the role of self-assessment in the Australian residential aged care accreditation  process
V. Crawford, M. BrandonL. Irwin; AU

2701 - Does cancer care accreditation really improve quality performance among cancer centers?
Y. Y. Chen, K. P. Chung, R. K. Hsieh, C. S. Huang; TW

2668 -  Value and impact of international hospital accreditation in Spain
D. S. ShepardE. A. Undurraga, J. M. Gutierrez, P. J Saturno; US

 AP3 - Measuring Service Performance and Outcomes

1222 - Clinical impact of a critical pathway for heart failure patients
A. Zawodnik, N. Garin, S. Carballo, A. Perrier; CH

1368 -  Effective team management of diabetic foot discovered by timely review of prolonged hospital stay
J. H. Chuang, H. C. Wang, S. C. Hsiang, C. J. Hsieh; TW

2104  - Exploring & optimizing surgical patient flows in an eye hospital
L. Wauben, D. de Korne, J. van den Dobbelsteen; NL

1699 -  Comparison of adverse drug events and medication error between adult and pediatric inpatients: the jade study
T. Morimoto, M. Sakuma, H. Ida, D. W. Bates; US

1465 - Has there been quality improvement? Long-term trends of quality indicators in 58 Swiss hospitals
W. Wiedermann, D. Wiedenhöfer, B. Eckl, U. Frick; DE

AP4 - Patient-Centered Care

1360 -  Why do people from ethnic minority groups report poorer experiences of hospital care?
J. Ellins; UK

2580 -  Patient satisfaction with the tuberculosis control program in Rio de Janeiro metropolitan area, Brazil
M. C. Portela, 
S. M. L. Lima, C. Brito, C. C. Escosteguy; BR

1945 -  Major quality improvements in a short time through managerial focus - development and implementation of a new nursing documentation system
M. B. Pedersen, 
I. Sørensen; DK

1147 -  Impact of “silence in hospital” on patient and employee satisfaction
S. Nagarajan, N. Puri; IN

0006 -  Patients are given estimated time to see doctors at Primary Care Clinic
Evan Sim Chin Sing; SG

 AP5 - Innovative Technologies using e-health and Health Technology Assessment

2088 -  E-health to support mental health integrated care pathways development across Scotland
M. Fleming, D. ThomsonSC

1999 -  Advancing safety, science and service in community care through technology
C. Cheung, C. SzaboCA

1675 -  Can we improve patient safety with analyzing medical incident reports?
M. Akiyama, K. Fujita, I. Sakata; JP

2001 -  Evaluation of a highly structured electronic nursing record
K. Lawton, K. M. Lyng; DK

1573 - Healthcare workers’ perceptions and attitude in using electronic incident reporting system eirs, Hamad Medical Corporation HMC, in state of Qatar
M. Alishaq, J. Alajmi; QA

 AP6 - Education in Safety and Quality

2373 - Does training in family medicine in Hong Kong help in the quality of care and empowerment of patients with chronic illness?
F. S. K. Yu, 
K. Kung, S. Wong S. W. Mercer; HK

1092  - Workflow model – a new approach to reducing handoffs & improving patient safety in the post anesthetic care unit
M. Zubrinic, 
L. Steel; CA

1268  - ‘Lessons learnt: building a safer foundation’ – a national program for embedding patient safety into postgraduate medical training
M. Ahmed, 
S. Arora, S. Tiew, N. Sevdalis; UK

1297 - The WHO multi-professional patient safety curriculum: the implementation of key modules and its impact on patient safety knowledge and attitudes in medical students at the university of the Algarve
J. Fonseca
, P. Sousa; PT

2084 -  End-of-life in the intensive care unit
V. Gardaz, S. Doll, B. Ricou; CH

 AP7 - Governance Leadership and Health Policy

2164 -  Defining patient expectations for an academic healthcare institution through public consultation: a qualitative approach
M. P. Law, P. McKernan, D. Sinclair; CA

2296 -  Improving diabetes care through policy formulation: a case study of the expert advisory group for diabetes
S. Mc Hugh, 
R. Brugha, I. J. Perry; IE

1178 -  A multi-pronged quality management approach to improving cardiac mortality
Y. Dlugacz, J. Scheinerman, D. Moravick, K. Nelson; US

1808 -  The ethics of decision-making in healthcare quality improvement programmes
T. Grüning
, R. Höchstetter; DE

1492 -  Improving healthcare quality through human resource management’s association with team functioning and performance: a blueprint for the future
D. Pereira
, D. Greenfield, G. Ranmuthugala, J. Braithwaite; AU

A13 - Patient Centered Care

435 - Applying Innovative Cloud Technologies for an ICU On-Line Registration Service
S. H. Hung, C. H. Wang, S. L. Guo, P. C. Wang; TW

0003 - The Impact of a Proactive Patient-Centered Care Model on Patient Satisfaction during Hospitalization
Ronen Rozenblum; N. Efrati, J. Donze, DW Bates; US

2090 - How to disclose the diagnosis from the patient’s perspective
C. Sperling, M. Sandager, J. L. Knudsen; DK

1889 - The enactment of patient participation in medication management during acute episodic illness requiring hospitalisation 
L. Mc Tier, M. Botti, M. Duke; AU

1193 - Is improving a patient’s confidence to manage their depression worthwhile? A study of the effectiveness of a self-management of depression course on severity of symptomatology and functional impairment
D. Pearce; UK

A14 - Education in Safety and Quality

From Undergraduate to Leader: What is the quality and safety education agenda?

Kim Oates;
AU, David Mayer; US, Peter Carter; AU

A15 - Governance Leadership and Health Policy

Tackling the Cost and Quality Challenge                                                                                
Jim Easton; UK  

A16 - Patient Safety Systems

2597 - Barriers and facilitators for taking action after classroom-based crew resource management training: results from three intensive care units
P. Kemper, 
C. van Dyck, C. Wagner, M. de Bruijne; NL

1560 - Distractions and disruptions in surgery: a threat to patient safety?
A. Wheelock
, A. Suliman, C. Vincent, S. Arora; UK

2477  - The nature, frequency, severity and outcomes of nurse-related sentinel adverse events in New Zealand public hospitals
M. P. Finlayson, D. Rowe; AU & NZ

1563 - Impact of nurses’ working hours on hospital patient-safety culture among Japan, the US and Chinese Taiwan
Y. Wu
, S. Fujita, S. Ito, T. Hasegawa; TW

1118 - Trans-Atlantic alliance to compare patient safety (in-patient falls) performance between the UK and USA organizations
M. Adil, B. Crawford, P. Briot, S.Dahlgren; US

A17 - Measuring Service Performance and Outcomes

Application of Health System Quality Governance by the OECD following Quality of Care reviews from South Korea and Israel, in 2012

Niek Klazinga; NLKim Sun Min, KR

Deepening our understanding of quality improvement in Europe – DUQuE
Rosa Sunol; ES, Oliver Groene; UK, Basia Kutryba; PL, Niek Klazinga; NL

 A18 - Integrated Care and Interface with Primary and Social Care

Mental Health Integration: Enhancing Primary Care Value at Lower Cost to the Community

Brenda Reiss-Brennan and Pascal Briot; US

A19 - Innovative Technologies using e-health nd Health Technology Assessment

1452 -  Electronic medical record systems enhancing quality and equity in primary care
C. A. Leaver, S. Hagens, J. Zelmer; CA

1708 - Shrinking distances and broadening horizons via tele-radiology: a success story of  reaching out to  the under-privileged using innovative technology in the third  world
 R. Amin
, S. M. Sohail, M. Yusuf, S. Habib; PK

1483 - Impact of a clinical alert within an electronic health record on the diagnosis and management of  pediatric overweight and obesity 
U. Shaikh
, J. Berrong , J. Nettiksimmons; US

1976 - Automated dispensing systems: how could they improve the efficiency of the  drug logistic process?
O. François
, S. Dumont, M. F. Métivier, P. Bonnabry; CH

1276 -  Incident reports using a virtual toolbox
J. A. Robblee
, M. J. Cleland, T. Zakutney; CA

A20 - Quality and Safety in Transitional and Developing Countries

WHO: Strengthening capacity for patient safety in low-resource settings
Shams Syed; WHO, Tonny Tumwesigye; UG, Nittita Prasopa-Plaizier; WHO, Margaret Murphy; IE

 A21 - Accreditation and Regulation of Systems and Professionals

1685 - Achieving safer care: Accreditation Canada’s pivotal role in strengthening patient safety nationally and internationally
W. Nicklin, B. MacDonald, J. Mitchell, C. Dean; CA

2657 -  The importance of consumers in the accreditation of long-term aged care
V. Crawford, M. BrandonAU

1970 - Stakeholders’ views on the effects of national standards on mental health services in Ireland
L. M. O FarrellL. Moore; IE

1991 -  Impact and future of healthcare accreditation: fifteen-year achievement of Japan  Council for Quality Health Care (JCQHC)
Y. Imanaka, M. Hashimoto, T. Hasegawa, H. Kawakita; JP

1340 -  Prediction of accreditation decisions from a reduced number of mandatory standards   and quality  indicators: can we use hospitals’ self-assessment?
S. GuerinP. Loirat, B. Lucet, C. Grenier; FR

Afternoon Plenary

Using e-health and Health Technology Assessment
Christian Lovis
; CH, Andrew Morris; SC


0006 -  Patients are given estimated time to see doctors at Primary Care Clinic
Evan Sim Chin SingSG
0006 -  Patients are given estimated time to see doctors at Primary Care Clinic
Evan Sim Chin SingSG
1492 -  Improving healthcare quality through human resource management’s association with team functioning and performance: a blueprint for the future
D. Pereira, D. Greenfield, G. Ranmuthugala, J. Braithwaite; AU

 1991 -  Impact and future of healthcare accreditation: fifteen-year achievement of Japan  Council  for  Quality Health Care (JCQHC)
 Y. Imanaka, M. Hashimoto, T. Hasegawa, H. Kawakita; JP
 1991 -  Impact and future of healthcare accreditation: fifteen-year achievement of Japan  Council  for  Quality Health Care (JCQHC)
 Y. Imanaka, M. Hashimoto, T. Hasegawa, H. Kawakita; JP

 2701 -  Does cancer care accreditation really improve quality performance among cancer  centers?
 Y.-Y. Chen, K-P Chung, R.-K. Hsieh, C.-S. Huang; TW

 2701 -  Does cancer care accreditation really improve quality performance among cancer  centers?
 Y.-Y. Chen, K-P Chung, R.-K. Hsieh, C.-S. Huang; TW

 2701 -  Does cancer care accreditation really improve quality performance among cancer  centers?
 Y.-Y. Chen, K-P Chung, R.-K. Hsieh, C.-S. Huang; TW
0006 -  Patients are given estimated time to see doctors at Primary Care Clinic
Evan Sim Chin SingSG
Presentations from Geneva on Tuesday 23rd October 2013

 Breakfast Sessions

Special Breakfast Sessions                                                                                                           

Breakfast Session supported by The Health Foundation
Helen Crisp; UK

Swiss Session: Improving Medication Safety with Technology: perspectives, pitfalls and results
David Bates; US
 Morning Plenary

Measuring Service Performance and Outcome
Carolyn Clancy; 

Concurrent Sessions 

B1 - Patient Centered Care

B2 - Education in Safety and Quality

1299  - Understanding and improving patient experience: A national survey of training courses provided by higher education providers and healthcare organisations in England
G. Robert, 
J. Cornwell, R. Waite, J. Maben; UK

2649 - Assessment of and the factors that influence patient-safety competence among health professionals  at entry to practice
D. Tregunno
, L. Ginsburg, P. Norton, J. Medves; CA

1803 - Effective delivery of an electronic safe prescribing module for medical interns
L. V. Graudins
, E. Tong, L. Denby, L. Rotstein; AU

2198 - Reducing errors in pharmaceutical calculations - educating & training medical Staff
R. Lahat, L. Baitelman, M. Leonenko, D. Netzer

2361 - Patient safety transformation
B. P. Y. Lau, C. Gomersall, G. Joynt, K. M. Ho; HK

B3 - Governance Leadership and Health Policy

Implementing Value Improvements
John Ovretveit;

1723 -  Impact of pay for performance on quality of care for minority patients: the premier   hospital quality  incentive demonstration
A. Epstein, E. J. Orav, A. K. Jha; US

1993 - Making tough decisions in hard times
H. Crisp, D. Patel, M. Airoldi; UK

B4 - Patient Safety Systems

A Continuum of Design for Patient Safety Research
Oliver Anderson, Jonathan West, Susanna Walker, Merrilee Briggs; UK

B5 - Measuring Service Performance and Outcomes

1924 - Demonstration of patient-safety indicators in Japan
T. Kitazawa, K. Matsumoto, S. Lida, T. Hasegawa; JP

1440 - Effect of modified early warning score (mews) in a Hong Kong regional hospital on outcome of adult patients with infection compared with regional hospitals not implementing mews
K. C. Chan, H. P. Shum, K. S. Liu, L. Y. C. YamHK

2575 - Precision of composite performance scores: The ideal number of indicators in an indicator set
A. Van Doorn - Klomberg, J. Braspenning, D. Reeves, S. Campbell; UK & NL

1117 - Evaluating implementation of a rapid response team: considering multiple outcome measures
J. P. Moriarty, M. G. Johnson, N. E. Schiebel, J. M. Naessens; US

2397 - Refinement and validation of 3 AHRQ patient-safety indicators (PSIS) adapted to the French diagnosis and procedure coding systems: the CLARTE research project
M. A. Le Pogam, S. Couray-Targe, J. M. Januel, C. Colin; FR

 B6 - Integrated Care and Interface with Primary and Social Care

1454 - Work division between primary and secondary care - effect on mortality
G. K. R. Berntsen, G. Ersdal, T. Deraas; NO

1543 - The role of practice accreditation as quality improvement for primary care practices
K. Goetz, S. Campbell, S. Willms, J. Szecsenyi; DE

1418 - Impact of Intermountain Healthcare’s integrated primary care practice on patients’ long- term  medical  utilization
P. Briot, W. Cannon, T. Belnap, A. Teil; US & FR

1615 - Sustaining the gains: quality improvement of HIV and AIDS programs in South Africa (2007 – 2011)
D. Jacobs; ZA

1886 - Comparisons of patient-safety culture among Japan, Taiwan and the US
S. Fujita, K. Seto, Y. Wu, T. Hasegawa; JP

B7 - Innovative Technologies using e-health and Health Technology Assessment

WHO: E-innovation for patient safety
Diana ZandiMisha KayItziar LarizgoitiaAngela LashoherWHO

B8 - Quality and Safety in Transitional and Developing Countries

Making Healthcare Better in Low and Middle Economies
Rashad Massoud; US

1444 - Trends and determinants of quality of adult ambulatory care in Afghanistan
A. Edward, K. A. Osei-Bonsu, A. Agarwal, D. H. Peters; US & IN

1909 - Evaluation of training quality for Libyan nurses in public hospitals: a pre-revolution survey  in  Benghazi, Libya
S. Mohapatra, A. Al-Shekhteria, H. Adetunji; SA

1989 - Prevalence of adverse events in Brazilian hospitals (IBEAS-Brazil study)
C. Travassos,
 M. Martins, W. Mendes, A. L. Pavão; BR

B9 - Accreditation and Regulation of Systems and Professionals

External Evaluation and Social Care
Mark Brandon;
 AU, Pilar Hilarion; ES, Clive Bowman; UK

Lunch Sessions and Short Oral Presentations

B10 – DNV: Reducing patient safety risk through independent international accreditation

B11 - WHO: Teaching about patient safety in countries
Bruce Barraclough; AU, Zheng Hao; WHO

BP1 - Patient Safety Systems

1179 - What near misses tell us about our organizational management and perceptions of the healthcare team towards this approach in intensive and intermediate care
C. Tschanz, F. Taalba, G. Sridharan, H. KsouriCH 

1859 - Implementation of patient-safety practices in international healthcare organizations
C. MengerS. Ahmed, S. Audette, K. Tarasova; CA

2410 - C.A.R.E. multidisciplinary falls and fractures prevention intervention program for a rehabilitation setting
N. Shkuratova, S. Howell, H. Jones, J. Butchers; AU

1106 - “A workman may blame his tools”: an audit of difficult airway trolleys in emergency   departments in Ireland
I. CallananT. Soyemi; IE

2268 - Critical analysis of current system and processes in ENT one day surgery
K. Marquet, N. Claes, T. Postelmans, A. Vleugels; BE 

BP2 - Accreditation and Regulation of Systems and Professionals

1997 - Organisational self-assessments compared with survey team assessments: an accreditation mechanism to improve quality
B. St Clair, M. Moldovan, D. Greenfield, J. Braithwaite; AU

2635 - Improvements in the surveyors qualification program through the ISQua surveyor training programme
J. A. Carrasco Peralta, D. Núñez García, M. D. M. Castellano Zurera, R. Burgos Pols; ES

1221 - Quality approach on quality of life in the workplace
V. Ghadi, B. Lucet, V. Mounic, T. Le Ludec; FR

2631 - Proposed law on healthcare quality in Poland and institutional settings of healthcare quality policy in EU member states
T. R. Hermanowski, D. Duleba, J. Hutton, G. Pignataro; PL

2610 - Evaluating the potential effect of accreditation on Danish hospitals’ performance and clinical outcomes for chronically ill patients
N. Ghith; DK

BP3 - Measuring Service Performance and Outcomes

1959 - Measuring efficiency of the enhanced recovery after surgery (ERAS) pathway in colorectal surgery
D. Roulin, A. C. Griesser, A. Donadini, N. Demartines; CH

1928 - Job stress among healthcare workers in Japan
S. Ito, S. Fujita, K. Seto, T. Hasegawa; JP

2576 - Falls and pressure ulcer prevalence in Swiss acute care hospitals: results of the first national scale quality assessment
C. Vangelooven, S. Hahn, R. Heller; CH

2074 - Development of a cross-specialty organization to improve the screening and the management of malnutrition in hospitalized children
P. Occelli, A. Duclos, S. Touzet, N. Peretti; FR

2358 - Correlation between reperfusion rate and mortality of AMI (Acute Myocardial Infarction)
S. H. Joung, Y. M. Park , M. K. Kang, H. A. An; KR

BP4 - Patient-Centered Care

2238 - To improve the admission registration process so as to reduce process time and deliver timely care to patients
S. L. Lee, S. K. Yeo, R. W. K. Teo , M. T. B. Ramat; SG

2159 - Multidisciplinary care for patients with amyotrophic lateral sclerosis at Geneva University Hospitals, Switzerland
A. C. Heritier Barras, D. Adler, R. Iancu Ferfoglia, J. P. Janssens; CH

1292 - Nurses’ attentiveness and attitudes regarding patient satisfaction: an international multicenter study
M. Lisby, R. Rozenblum, D. W. Bates; US & DK

1837 - ‘Your story’ – a consultation tool designed to capture the experiences of children and young people who have used child and adolescent mental health services in Scotland
C. Macmillan, J. Byrne, V. Rigley, J. Mouriki; SC

2281 - Towards optimal patient involvement in guideline development groups
C. Pittens, T. Brouwer, A. Snijders, S. KerstenNL

BP5 - Innovative Technologies using e-health and Health Technology Assessment

2531 - The implementation of an electronic document of the Braden Scale to assess the risk of developing pressure ulcer among hospitalized patients
E. O. Ribas, F. I. Farias, M. S. Malta, M. L. Silva; BR, Fabio Gastal, BR

2154 - DUR for providing real-time safe drug management and information in Korea
Y. Lee, S. J. Kim, G. S. Kim, S. M. Yuk, S. M. Kim, C. U. Kim, W. H. Choi, Y. l. Yoon; KR

2429 - Does implementing a DVT/PE prophylaxis system reduce the incidence of hospital DVT/PE?
J. M. Naessens, M. Johnson, T. Morgenthaler, J. Lovely; US

1272 - Compilation of standardized common rheumatological private practice case records in Denmark
G. Ølsgaard, F. Johannsen, B. Christau; DK

2602 - Online construction of continuous education itineraries in clinical and care management
M. Periáñez, T. Esposito, F. García; ES
 BP6 - Patient Safety Systems

1383 -  Redesign how we receive, transcribe and pick medications at the outpatient pharmacy to reduce medication errors
C. M. Hua Heng, L. Y. Ching, E. T. D. Uson; SG

1676  - The operation of the CDUR program enabling cost saving and fewer prescribed drugs?
Y. A. Do, J. S. Kim, S. J. Kim, Y. H. Lee; KR

1319 - Promote the reporting culture of near-miss medication to enhance patient safety
K. L. G. L, Y. T. P. Ko, G. H. Aboo, S. K. C. Leung; HK

1472 - Medication reconciliation at hospital admission and discharge: Implementation of a national hospital patient-safety program
E. S. KosterC. de Blok, C. Wagner; NL

1384 - Recuperare model applied to serious adverse drug events (SADE)
C. Chenaud, A. Ourahmoune, M. Bourrier; CH

BP7 - Quality and Safety in Transitional and Developing Countries

2549  - Supporting clinical audit in Botswana
T. GothusangF. Madzimbamuto; BW

2303 - Risk analysis of medication process in a medical intensive care unit
H. Ravaghi, Z. Abdi; IR

1923 - Engaging clients in quality improvement: a pre and post assessment of a client engagement intervention at 12 HIV facilities in western Uganda
M. NamwabiraH. Kisamba, S. Smith, H. Megere; UG

1481 - Simple, low-cost measures at the National Institute of Child Health’s pediatric intensive care unit in Lima, Peru decrease healthcare-associated infections
R. Shimabuku, G. NakachiD. Fernandez, M. Alvarado; PE

2637 - Are chronic conditions related to patient-safety indicators? A cross-sectional study of the Argentine healthcare cost and utilization project
J. T. Insua, D. Giunta, P. Ioli, R. Villalon; AR

1269 - Improving the quality of cervical cancer prevention services using the SBMR model
F. M. Lambe, D. Soetikno, Y. M. Kim; ID

B12 - Patient Centered Care

Measuring the quality of patient experience in primary care – lessons from general practice, pharmacy and dentistry
Michael Greco 
(1),  Michael Greco (2), Stephen Clark, Robert Boyd-Boland, Peter Reeves; AU

B13 - Education in Safety and Quality

New challenges for Quality and Patient-Safety Officers
René Amalberti
; FR

B14 - Governance Leadership and Health Policy

WHO: Safer care outside the hospital: a discussion
David Bates; US, Aneez Esmail; UK, Benedetta Allegranzi; WHONana Twun-Danso; US, Itziar Larizgoitia; WHO

B15 - Patient Safety Systems

1184 -  Risk appetite in clinical commissioning groups in England, UK
J. R. Bullivant, 
M. Aiken, S. Arnold, A. Zeineldine; UK

2227 -  Positive Recognition Program Increases compliance with Medication Reconciliation by Resident Physicians in an Outpatient Clinic: 2 Years of Sustainability Data
N. J. Neufeld
, M. Gonzalez Fernandez, P. J. Christo, K. A. Williams; US

2333 - The need to conquer ‘cat-herding’ and ‘opaque quality’ to improve patient safety in hospitals
E. Renkema
, M. Broekhuis, K. Ahaus; NL

1506 - Examining the efficacy of three patient-led, patient-safety incident reporting mechanisms in a hospital setting
J. Ward
, G. Armitage; UK

B16 - Measuring Service Performance and Outcomes

Improvement science – Developing evidence for what works in the real world
Don Goldmann
; US

Measuring outcomes across a nation – the Scottish experience
Jason Leitch
; SC

B17 - Integrated Care and Interface with Primary and Social Care

Consolidating Quality Management Systems – Innovation in a Time of Austerity
Pamela Fagan
; IE, Jason Graefling; AU and David O’Keefe; IE

Quality Systems for External Quality Evaluators – Practicing What We Preach
John Sweeney
; IEMark Brandon; AU and Paul van Ostenberg; US

B18 - Innovative Technologies using e-health and Health Technology Assessment

Quality of Healthcare in the Cloud: Advantages and Security Issues
Anastasius Moumtzoglou; GR, Olga Ferrer Roca; ES, Ales Bourek; CZ, Anastasia N. Kastania;  GR

 B19 - Quality and Safety in Transitional and Developing Countries

2491 - Building patient-safety systems for African hospitals: utilizing the potential for community-driven change
R. Gooden
P. Rutter, E. Kelley, S. B. Syed; UK & WHO

1844 - Infection prevention and control in labor and delivery wards in Madagascar 
E. Bazant
, V. Tripathi, J. P. Rakotovao, J. Ranjalahy Rasolofomanana; MG & US

1968 - Maternal health service improvements in Kunduz province, Afghanistan  
E. Broughton,
 A. N. Ikram, I. Sahak, A. J. Majidi; US & AF

1753 - Developing patient-safety systems in a rural Ugandan hospital: the power of a partnership-based approach
S. Hoyle, T. Tumwesigye, S. B. Syed; UK & UG

2439 - A multi-faceted intervention to increase the use of prophylactic oxytocin for the management of the third stage of labor and to reduce the routine use of episiotomies in selected facilities in Nicaragua
E. Garcia Elorrio
, Y. Lacayo, A. Aleman, H. Espinoza; AR

20 - Accreditation and Regulation of Systems and Professionals

1237 - Patient-Safety Culture Improvement Fundamental Change (PSCIFC): A case study at King Fahd Hospital, Jeddah 
M. A. Shugdar; 

2235 - A comprehensive assessment of healthcare systems - Beyond a clinical focus 
L. O’Connor, E. Kingsley, B. Johnston, K. Linegar; AU

2069 - Accreditation in Lebanon 1999-2011 
S. Haroun
; LB

2191 - Nurse- reported patient-safety culture one year after ISO certification - A retrospective study 
K. Brubakk
, I. S. Sjetne, D. Hofoss, O. Tjomsland; NO

1504 - The positive impact of accreditation on hospital climate - 4 years’ follow up in Taiwan 
C. M. Lo, 
H. H. Liao, C. L. Shih, W. C. Lee; TW

 Afternoon Plenary

Patient Safety - Translating global safety concepts into practice
Didier Pittet and François Clergue; CH


2575  - Precision of composite performance scores: The ideal number of indicators in an indicator set
A. Van Doorn - Klomberg, J. Braspenning, D. Reeves, S. Campbell; UK & NL
2575  - Precision of composite performance scores: The ideal number of indicators in an indicator set
A. Van Doorn - Klomberg, J. Braspenning, D. Reeves, S. Campbell; UK & NL
Presentations from Geneva on Wednesday 24th October 2012

Breakfast Session

Breakfast Session:
 WHO: Global Burden of Unsafe Care                                                         
Itziar Larizgoitia; WHOAshish Jha David Bates; US

Morning Plenary

Quality and Safety in Transitional and Developing Countries
Sam Zaramba; UG, Sodzi Sodzi-Tettey; GH

C1 - Patient Centered Care

2652 - Patient-centered approach in clinical guidelines: a position paper of the allied health community of the Guidelines International Network (G-I-N)
S. V. Dulmen, P. V. D. Wees; NL

1517-  Is there a relationship between information concerns of patients and adherence to therapy? Findings from the Swiss Inflammatory Bowel Disease Cohort Study
V. Pittet, G. Rogler, B. Burnand, J. P. Vader; CH

2025 - The Perspectives of Young Adults with Type 1 Diabetes: Shared Decision Making
J. Wiley, D. GreenfieldJ. Braithwaite, R. Day; AU

1778 - Patient experience in safety-net hospitals: implications for improving care and value-based purchasing
P. Chatterjee, K. Joynt, E. J. Orav, A. Jha; US

0004 - The Kaleidoscope of Clinical Quality; Perspectives, Points of View and What Really Matters
D. Cohen; US

C2 - Education in Safety and Quality

Learning by Doing: Linking Quality Improvement Theory and Practice
Johan Thor 
and Boel Andersson-Gäre; SE

C3 - Governance Leadership and Health Policy

Asking the Unaskable, Thinking the Unthinkable
Tracey Cooper; 
IEHugh McLeod; CA

Policy and practice – The chicken or the egg? An exploration of policy leadership and experience
Cliff Hughes; AU

 C4 - Patient Safety Systems

WHO: Safer injections, safer healthcare (tentative)
Selma Khamassi, Edward KelleyBenedetta Allegranzi; WHO, Marie Denis; WHO

C5 - Measuring Service Performance and Outcomes

2434 - Instituting Client Orientated Provider Efficient Services (COPE) in Anti-Retroviral Therapy (ART) Centres in Karnataka State
C. RangarajuS. G. Shastri, R. Washington; IN

2194 - Three years improving Qis assessing the quality of care at AMI discharge: better prescription or traceability of contraindication?
F. Capuano, P. Loirat, C. Grenier; FR

1754 - The relationship of unit characteristics and safety climate with clinical outcomes in Swiss nursing homes
F. Zúñiga, S. De Geest, R. Schwendimann; CH

2200 - Changes of in-hospital mortality after implementation of an outcome-driven quality management system
U. Nimptsch, T. Mansky; DE

 C6 - Integrated Care and Interface with Primary and Social Care

1950 - The Out-patients Integration Care (OPIC) for multiple chronic conditions patients – the Taiwan experience
C. L. Chan, H. J. You, M. J. Shieh, H. W. Ting; TW

1853 - Impact of an EHR-based diabetes management form on quality and outcomes of diabetes care in primary care practices
D. J. Ballard, J. Herrin, C. Fullerton, P. Aponte; US

1364 - Spanning boundaries between primary and social care: examining knowledge exchange and the impact of integration efforts on healthcare quality
L. C. Nasir, G. Robert, M. D. Fische, I. J. Norman; UK

2614 - Patients’ views on the role of general practice during cancer diagnostics and treatment
C. Enevoldsen, J. L. Knudsen; DK

1667 - Association between patient and family practitioner characteristics and unplanned first-time admissions for cancer
A. Bottle, C. Tsang, A. Majeed, P. Aylin; UK

C7 - Innovative Technologies using e-health and Health Technology Assessment

1881 - Direct-to-consumer breast cancer imaging devices: a systematic review of their effectiveness in diagnostic and screening settings
T. VreugdenburgC. Willis, L. Mundy, J. E. Hiller; AU

1390 - Evolving quality benefits through the use of telehealth: measuring the impacts
B. Gheorghiu, S. Hagens, J. ZelmerCA

1875 - Health technology assessment as a framework for assessing health service accreditation
M. B. Kristensen, C. Engel, J. Mainz, S. P. Johnsen; DK

1824 - Clinical and cost-effectiveness evidence in context to ensure best quality care for all: making best use of health technology assessments in NHS Scotland
K. Macpherson, S. Myles, F.Elliot; SC

1258 - Active pharmacovigilance and healthcare utilization
J. Haas, E. J. Orav, G. Schiff, D. Bates; US

 C8 - Patient Safety System

2184 - WHO’s High 5s Medication Reconciliation Project: the Australian experience
G. Bedford, M. DuguidH. Stark; AU

2215 - Overuse of antipsychotics and other psychotropics in Alzheimer’s patients: the results of a 4-year French national survey
A. Leperre-Desplanques, J. Deligne, J. M. Harlin, P. Ricordeau; FR

1990 - An audit of dispensing practice of weekly, low-dose oral methotrexate in Ireland
A. O’Leary, L. Geraghty, T. Delaney, I. Callanan; IE

1417 - A multimodal safety system significantly reduces errors in the recording and administration of drugs during anaesthesia
C. S. Webster, A. F. Merry; NZ

2674 - Reducing medication errors and adverse events: Is bar code medication administration the key?
M. G. Johnson, J. M. Naessens, K. M. Swanson, P. J. Santrach; US

 C9 - Accreditation and Regulation of Systems and Professionals

1518 - Managing infection risks in healthcare organisations
A. H. Robertson, 
I. M. Blix, P. Huntly, S. McAdam; NO

2441 - Adapting a medical model of credentialing to evaluate competence and safety for nurses practising at expanded scope: a New Zealand pilot
I. Stolarek, J. Dean, N. Richardson, M. Halford; NZ

1605 - Developing credentialing checks in voice recognition system (VRS) for detecting radiology reporting violations
S. M. Sohail
, S. Wasif, Z. Sajjad, M. Imran; PK

1061 - Towards a formative assessment of diagnostic competencies for personnel performing malaria microscopy in Saudi Arabia
M. Afifi
, N. H. Al Hussainy; SA

2519 - Setting up document control structure in Caritas Medical Centre and beyond: where bottom up and top down meet
D. M. W. Tse, J. C. W. Chan, A. Au, F. Lee; HK

Special Lunchtime Session and Short Oral Presentations 

Special Lunchtime Session

C10 - Advancing the Field of Clinical Governance Research and Practice
Julie Johnson; AU, Maureen Robinson; AU

C11 – European Society for Quality in Healthcare Workshop
Paul Bartels; DK, Basia Kutryba; PL

CP1 - Patient Safety

0007 - Eliminating Central Line-Associated Bloodstream Infections: A National Patient Safety Cohort Collaborative
Kristina Weeks; US

1666 - Patient safety working group as part of patient safety management system – experiences from the department of operative care of Turku University Central Hospital
M. Ervast, M. Viljanen-Peuraniemi, K. Peltomaa; FI

1552 - Are protocols for second victim support following established international gold standards?
E. Van GervenK. Vanhaecht, D. Seys, W. Sermeus; BE

1058 - To have 100% compliance with pre-op checks for elective urology surgery in operating theatre 15, in 6 months: the “urology time-out script trial
Y. L. Chong, S. Bang, S.-H. Chou, L. L. Goh; SG

1549 - Benchmarking clinical risk of chemotherapy processes through standardized FMECA
M. Cavallin, P.Trucco, F. Lorenzi, S. Amato

 CP2 - Measuring Service Performance and Outcome (Innovation in QI)

2561 - A controlled trial of crew resource management training at emergency departments: a mixed model analysis on explicit professional oral communication (EPOC)
I. Van Noord
M. C. de Bruijne, C. van Dyck, C. Wagner; NL

1290 - Building one common language of quality through wiser-driven educational & staff development activities
L. W. F. Chan, 
E. Y. W. Liu, K. H. L. Tsang, C. T. Hung; HK

1280 - Trainees’ satisfaction with the effectiveness of “post-graduate 2-year medical staff training programs” in Taiwan
H. Y. Chiu, E. F. Chen, H. C. Su, W. C. Lee; TW

1511 - Getting knowledge into action: the evidence-based care delivery of a novel sepsis improvement collaborative
S. Wilson
, A. Hunter, K. D. Rooney, M. Kirkwood; UK

1630 - Change of human factors attitude survey (HFAS) after crew resource management training
W. T. Wu, P. C. Wang, S. M. Hou, S. L. Guo; TW

CP3 - Education in Safety and Quality

1548 - The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey
D. Ausserhofer, 
M. Schubert, S. De Geest, R. Schwendimann; CH

1983 - Impact of community factors on readmission rates
K. E. Joynt, E. J. Orav, A. K. Jha; US

1938 - 30 days readmission rates used as quality indicator for hospital performance in Norway
A. Schou Lindman, K. Damgaard, O. Tjomsland, J. Helgeland; NO

1225 - Effect analysis of public reporting of medical cost and length of stay
M. Shin, W. M. Jang, A. Kim; KR

CP4 - Accreditation and External Evaluation Systems

2122 - Healthcare reform in Newfoundland and Labrador, Canada: a 10 year trend of acute care registered nurses’ perceptions of quality and patient safety and measurements of attitudinal and behavioural intentions
D. M. Gregory, C. Y. Way, P. S. Parfrey; CA

1091 - The factors associated with the do-not-resuscitate decision or intention among elderly nursing home
Y. P. Tseng, T. H. Huang, S. I. Hsieh; TW

2567 - Contribution of a scientific society to knowledge: the sadeca case
V. Reyes-Alcázar, M. Dotor-Gracia, A. Torres-Olivera, E. Ignacio-García; ES

1209 - Writing patient information in plain language: does it improve readability?
L. C. Zandbelt, C. Both, M. Fransen, S. Molenaar; NL

 CP5 - Integrated Care and Interface with Primary and Social Care

2255 - Validation of a measure of youth-friendly primary care services
D. M. Haller, A. Meynard, N. Perone, F. Narring; CH

1677 - Assuring continuity of care by improving communication and information between hospitals and primary care physicians in Germany with integrated health intelligence (IHI) and team learning
M. Holderried, J. Maschmann, M. Bamberg, C. Ernst; DE

2125 - The coordination of health reform: target population?
T. Heggestad, B. Skilbrei, H. Bergmann, I. Halstensen; NO

CP6 - Governance Leadership and Health Policy

1947 - A six sigma approach to reduce non productive time in OT                                            
S. Singh; IN

1637 - Whether financial incentives could retain doctors in rural areas: lesson learnt from Thailand
N. Pagaiya, S. Sriratana, C. Labkum, W. Worarach;TH

1721 - Developing clinical leaders to deliver change
P. I. Lachman, D. Vaughan, G. Walsh, A. O’Shaughnessy; UK

CP7 - Patient Safety Systems

2424 - Interventions for hand hygiene in moderately compliant intensive care units: a stepped wedge trial to improve hand hygiene among healthcare workers in 11 sites in Argentina
E. Garcia Elorrio, V. E. Rodriguez, C. Giuffre; AR

2370 - Using electronic alert system to improve the administration of prophylactic antibiotics
T. C. Chao, Y. Y. Su, C. H. Lee, H. Y. Dai; TW

2509 - Variability in use of the WHO surgical safety checklist and relationship with teamwork and the timing of antibiotic prophylaxis in UK operating theatres
S. J. Russ, S. Rout, N. Sevdalis, A. Darzi; UK

1431 - Barriers and bridges to infection prevention and control in the Netherlands and Canada: two comparative case studies
C. Backman; CA

2209 - Reducing  Sepsis Mortality  by  Achieving High Reliability
D. Parmentier, J. D' Angelo, M. Doerfler, L. Stier; US

Afternoon Concurrent Sessions 

 C12 - Patient Centered Care

The Scottish Approach to Person-Centred Care
Frances Elliott; SC

 C13 - Education in Safety and Quality

1157 - Implementing a sustainable hand hygiene program to reduce HAI
A. Vandiver,S. L. Grand-Clement; US

2452 - Navigating healthcare quality and safety through hospital administrative residency at private hospital in Thailand
K. Reungjarearnrung, K. Intra, S. Manoleehagul, V. Kongsakulyanond; TH

1357 - Developing future leaders in quality and safety: the equip programme
J. Runnacles, P. Lachman; UK

2388 - Proposed curriculum for a Harvard Medical School Clinical Fellowship in Quality and Patient Safety
S. A. Abookire, T. K. Gandhi; US

C14 - Governance Leadership and Health Policy

2615 - Evaluation of a national mental health services collaborative project - A quality improvement initiative to facilitate the implementation of mental health policy in Ireland
P. Gilheaney, R. SmythIE

1640 - Doing transformational change in the English NHS in the context of ‘big bang’ redisorganisation: findings from an evaluation of the north east transformation system
J. Erskine, D. Hunter, C. Hicks, T. McGovern; UK

1936 - Payment reform that physicians, policy makers, care executives and researchers across western health systems value most: a discrete choice experiment
P. Van Herck
, W. Sermeus, L. Annemans, R. Kessels; BE

1741 - Evaluation of new shift models for doctors at a German university hospital three years after: Do they fulfil the demands of the European Working Time Directive without increasing costs?
J. Maschmann
, M. Holderried, G. Blumenstock, M. Bamberg; DE

C15 - Patient Safety Systems

Crew Resource Management: simulation
Daniel Scheidegger; CH

C16 - Measuring Service Performance and Outcomes

1929 - The effects of weekend and after-hours admissions on mortality in acute myocardial infarction patients in Japan
T. Otsubo,
 J. Lee, H. Ikai, Y. Imanaka; JP

2205 - Across country comparisons of venous thromboembolism events occurring in patients undergoing hip arthroplasty using an external benchmark
J. M. Januel
, J. P. Vader, C. Colin, B. Burnand; CH & FR

2321 - Integrating equity within the corporate quality improvement frameworks for an academic healthcare setting
P. McKernan
, J. Li, J. O’Neill; CA

1257 - Performance measures of diabetes management do not always predict better glycemic control: the need for case-mix adjustment
G. Sidorenkov
, J. Voorham, F. M. Haaijer-Ruskamp, P. Denig; NL

C17 - Integrated Care and Interface with Primary and Social Care Quality

Designing and managing care integration in the County of Jönköping
Pernilla Söderberg; SE

C18 - Innovative Technologies using e-health and Health Technology Assessment

Health Information Technology Comes of Age
Ashish Jha; US

C19 - Quality and Safety in Transitional and Developing Countries

Five Alive project in Ghana                                                                                                
Sodzi Sodzi-Tettey; GH

A proposal for a national health system plan for quality and safety in healthcare - The Argentine experience
Jose Maria Paganini;

C20 - Accreditation and Regulation of Systems and Professionals

1781 - The secret to success: factors that influence the ability of accreditation programs to improve the quality and safety of health services
R. Hinchcliff, D. Greenfield, J. Westbrook, J. Braithwaite; AU

1826 - Improvements related to the safe management of biomedical equipment driven by the healthcare accreditation programs at hospital level
R. Burgos-Pol, S. Nogueras-Ruiz, J. Carrasco-Peralta, D. Núñez-Garcia; ES

2665 - Promoting infection prevention and control through accreditation
J. Dreiher, L. Perelman, A. Mordehay, E. Davidson; IL

1446 - Accreditation: complex adaptive system approach in knowledge creation and organization learning
S. Y. F. Kwan; CN

Closing Plenary 

Behavioural and Cultural Change
Peter Pronovost; US


1058 - To have 100% compliance with pre-op checks for elective urology surgery in operating theatre 15, in 6 months: the “urology time-out script trial”
Y.-L. Chong, S. BangS.-H. Chou, L.-L. Goh; SG