Programme for 2021 International Virtual Conference (all times are UTC+1)

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07:45 - 08:45

A1 - Building Sustainable and Comprehensive Care (10 Minute Orals)

Health Service and Social Care Use by Community-dwelling Heart Failure Patients in NW London (Abstract no. 1781)
Alex Bottle, Dani Kim, Paul Aylin, Benedict Hayhoe; UK

Building social capital to effect change in a regional suicide prevention program (Abstract no. 1032) 
Louise A Ellis, Janet C Long, Colum Ruane, Yvonne Zurynski - Australia

Implementing a Holistic Inpatient Decision Support Service based on Machine Learning (Abstract no. 985) 
Juang Wang-Chuan - Taiwan

Analyzing the facilitators for innovation in primary care provision. The case of primary care centers in Austria (Abstract no. 1579)
Eva Krczal, Arleta Franczukowska, Alexander Braun - Austria

Greening the healthcare facilities leading to Climate-Smart, Low-Carbon Healthcare through accreditation (Abstract no. 487)
Bhupendra Kumar Rana; India

A2 - Leading for Quality (10 Minute Orals)

A case study on the impact of a risk management programme implemented at a tertiary hospital in Malawi over a period of six years (2013 – 2019 (Abstract no. 1968)
Leonard Londa, Jacqui Stewart, Petra Sewing, Bongani Chikwapulo - South Africa

Hospital-wide Evidence-based Practice Change from Dorsogluteal to Ventrogluteal Intramuscular Injection by Nurses in Hong Kong (Abstract no. 719) 
Man Ling Wai, Hang Au Sek, Ivy Cheng Po Yee, Cecilia Chau Lai Tim - Hong Kong

Process Improvement project aimed to reduce admission hypothermia among newborn infants by 50% and moderate hypothermia by 75% from baseline in a tertiary neonatal unit in Singapore (Abstract no. 2446)
Ebenezer Edison Priyantha, Srabani Bharadwaj; Singapore General Hispital

Improving pain Assessment in the Emergency Department and Its impact on Overall Patient Experience in their pain Management (Abstract no. 741)
Nazia Usmani; India

Leading and managing healthcare organisations through the use of performance intelligence – a pan-European survey among healthcare managers (Abstract no. 977)
Damir Ivankovic, Mircha Poldrugovac, Niek Klazinga, Dionne Kringos - Netherlands 

Providing quality melanoma care in primary practice: Australian general practitioners’ knowledge and attitudes towards sentinel lymph node biopsy (SLNB) for patients with invasive melanoma (Abstract no. 757) 
Andrea Smith, Caroline Watts, Frances Rapport, Anne Cust - Australia

A3 - External Evaluation (10 Minute Orals)

Enhancing appropriate prescribing in primary care with a national financial incentive, based on near real-time electronic health records data (Abtract no. 968)  
Lotte Ramerman, Karin Hek, Robert Verheij - Netherlands

Deepening our Understanding of Quality in Australia (DUQuA): findings from a nation-wide, multi-level analysis of relationships between quality management systems and patient factors in 32 hospitals (Abstract no. 1074)
Robyn Clay-Williams, Natalie Taylor, Gaston Arnolda, Jeffrey Braithwaite - Australia 

Hospital effect in restraint usage: Inspiration for quality improvement and more patient safety (Abstract no. 325)  
Silvia Thomann, Sandra Zwakhalen, Sabine Hahn - Switzerland 

Satisfaction Survey on Hospital Accreditation - The Effect of IEEA International Accreditation Programme (IAP) (Abstract no. 1105) 
Yi Ping, Han-Chi Chung, Pa-Chun Wang, Chung-Liang Shih - Taiwan

The role of the regulator in promoting a just culture in healthcare organizations (Abstract no. 1840) 
Jan-Willem Weenink, Laura Hartman, Ian Leistikow, Roland Bal - Netherlands

09:00 - 10:00

Conference Opening, HAL Award and Plenary 1 Melanie Calvert

This is the area for details

 

 

 

 

10:00 - 11:00

A4 - External Evaluation

Regulating for the future of health and social care in England – a vision for 2021 - onwards (Abstract no. 967)
Chief Executive, Ian Trenholm; CQC

A5 - Focus on the Person

Person Centred Care: From Theory to Implementation (Abstract no. 2094)
Gro Rosvold Berntsen, Caitriona Curran, Isabela Castro , Louis Ako-EgbeMorgan Chetty, Sara Yaron

A6 - Focus on the Person (10 Minute Orals)

Vulnerability and patient safety: evidence from ISQua (Abstract no. 1079)
Joanne Travaglia, Hamish Robertson, Deborah Debono,Clifford Hughes - Australia 

Second victims’ support resources: preferences from a cross-sectional study in a large Academic Hospital in Udine (Abstract no. 1787)
Enrico Scarpis, Federico Farneti, Rosanna Quattrin, Silvio Brusaferro - Italy

Identifying factors which impact health staff speaking up about unprofessional behaviours (Abstract no. 1395) - Australia
Neroli Sunderland, Ling Li, Ryan McMullan, Johanna Westbrook; Australia

Co-designing and evaluating innovations with people with disability: what is best practice? (Abstract 1696)
Deborah Debono, Joanne Travaglia, Janice O'Connor, Hamish Robertson - Australia

Understanding genomic health information. How to meet the needs of the Culturally and Linguistically Diverse Community, a mixed methods study (Abstract no. 1040)
Stephanie Best, Eloise Uebergang, Michelle de Silva, Keri Finlay - Australia 

11:15 - 12:15

A7- Education, Knowledge & Learning

Master’s programmes on quality improvement and leadership in healthcare – lessons learned in Sweden and the Netherlands over the past decade (Abstract no. 2059)
Johan Thor,; Jönköping University - Sweden

The why, what and how of Learning Health Systems: Complexity, Coproduction and essential themes found in research (Abstract no. 2042)
Andreas Gremyr, Jönköping Academy For Improvement of Health and Welfare, Jönköping University - Sweden)

A8 - (WHO)  WASH & IPC as a key driver for quality of care – investing in the basics.

This session presents an opportunity to walk-through key WHO technical resources at the intersection of IPC, WASH and quality. It will explore how the three communities can strengthen their collaboration to accelerate the necessary health system actions that will further contribute to improvements in outcome at the health facility level
Speaker 1: Ms Evelyn Nelima Wesangula; Speaker 2 TBC; Speaker 3 TBC

A9 – Good Governance Sponsored Session - 'The importance of the arts and healthcare'

The session will explore how the arts could benefit healthcare on an international scale.We’ll bring together presentations from East London NHS Foundation Trust and an arts organisation, to showcase the approach and ask international healthcare leaders for their thoughts and approaches to the arts supporting healthcare.

12:15 -12:45

ISQua Patient Council Session

More Details Coming Soon

Learning Journey - Melanie Calvert, John Brennan & Dal Hothi

More Details Coming Soon

A10 - Designing for People Safety

Vulnerability and patient safety: a social epidemiology perspective (Abstract no. 1087)
Joanne Travaglia - Australia

A Continuous Quality Improvement (CQI) project with multidisciplinary approach in enhancing anticoagulant safety in haemodialysis patients in South of China (Abstract no. 794)
Pearl Pai, Qiu-Zhen Tan, Helen Chan, Li Lin - China

Evaluating parent preferences for preventing and managing medication errors in paediatric acute care: Designing a discrete choice experiment (Abstract no. 1401)
Virginia Mumford, Magdalena Z Raban, Peter Gates, Johanna Westbrook - Australia

12:45 -13:15

ISQua Patient Council Session (cont.)

Digitalisation & Quality Improvement: Challenges for Better Health Outcomes
Michael Marx; evaplan GmbH - Germany 

Learning Journey - Melanie Calvert, John Brennan & Dal Hothi (cont.)

More Details Coming Soon

Digitalisation & Quality Improvement: Challenges for Better Health Outcomes

Michael Marx; evaplan GmbH - Germany

13:15 - 14:15

A11 Designing for People Safety (10 Minute Orals)

Developing a patient safety framework for primary care in an era of Covid-19
Mondher Letaeif, Triona Fortune - Ireland

Zzz is for Zero (Abstract no. 1314) 
John Brennan, Richard Brennan, Marina Hennessy, Janine English - Ireland

“Medical Accident Investigation System / Japan”. It’s fundamental structure, the difference from the “Reporting System”, and the preventive measures made from 1,200 cases (Abstract no. 1613) 
Sosuke Kimura - Japan

Elaboration of patient safety solutions to improve patient safety (Abstract no. 608)
Christiane Dosseh, Marie Coniel, Laetitia May Michelangeli, Bruno Bally -France

Organisational learning from patient complaints (Abstract no. 2038)
Jackie van Dael, Erik Mayer, Alex Gillespie, Tom Reader - UK

A12 - Education, Knowledge and Learning (10 Minute Orals)

Q at 5: Learning from the developmental and summative evaluation of a large network of improvers in UK health and social care (Abstract no. 1974) 
Matthew Hill, Tom Ling - UK 

Educational Support for Mandatory Reporting of Serious Adverse Drug Reactions and Medical Device Incidents (Abstract no. 2301) 
Sylvia Hyland, Ambika Sharma, Maryanne D'Arpino, Feria Bacchus - Canada

Enhancing Patient Safety in the Pediatric Emergency Department through Simulation (Abstract no. 747) 
Ulfat Shaikh, JoAnne E. Natale, Dale A. Till, Ian M. Julie - US 

A Methodology to Evaluate Mass Open On Line Courses for Impact and the Improvement of Patient Care (Abstract no. 1358) 
Tricia Woodhead, Sian Smith-Lickless, Christos Vasilakis, Anna Burhouse - UK 

eLearning in quality improvement: not as accessible as you think (Abstract no. 2114)
Doina Schimpf, Christian Zange, Michael Marx, Svetla Loukanova - Germany

A13 - Facilitating Future Health (10 Minute Orals)

Hepatitis B Vaccination Uptake Among Healthcare Workers: An Occupational Health and Safety Project in a Nigerian Hospital (Abstract no. 2131) 
Temitope Bakare, Mahadiyu Adegbite Olawale, Oyebanke Taiwo Oluyemi, Afolabi Oyapero - Nigeria

Evaluating the Impact of Integrating Technology in the Healthcare Environment on Nursing Practice: Results from Seven Qualitative and Quantitative Studies (Abstract no. 484) 
Vanessa Burkoski, Jennifer Yoon, Shirley Solomon, Barbara E. Collins - Canada

Improving COPD management in primary care: findings gaps and causes of quality problems in the province of Quebec, Canada (Abstract no. 1326)
Brigitte Vachon, Isabelle Gaboury, Marie-Pascale Pomey,Véronique Noël de Tilly - Canada

Impact of the Electronic Health Record on Quality in Clinical Practice (Abstract no. 97) 
Jennifer Clark - Canada

A Strategic Organizational Learning Model for Improving Compliance of Safety Operation Procedures (PSO), in 10 Brazilian Public Hospitals (Abstract no. 2209)
Maria Magalhaes, Mansur Nacime, Barreto Paloma; Brazil

14:30 - 15:30

Plenary 2 - Walter Ricciardi

More Details Coming Soon

 

 

 

 

15:30 - 16:00

NAHQ Stephanie Mercardo

We can only improve what we measure; it’s time to measure workforce competencies for quality.
Clinical disciplines benefit from a well-worn path for education, training, and life-long learning. The same is not true for the discipline of Quality. Decades of effort to advance quality and safety have led to improvements, but they are largely realized on the fly at a local level, without the benefit of a common standard. Reducing variability is core to advancing quality and safety and reducing variability in healthcare quality competencies requires equal effort. NAHQ’s CEO Stephanie Mercado will discuss how NAHQ’s twice-validated Healthcare Quality Competency Framework is supporting individuals and organizations as they standardize quality competencies. We can only improve what we measure, and for the first time, NAHQ is measuring the expressed competencies of the quality workforce at local and national levels. The improvement journey for quality professionals has begun! Join us to learn more!

 

 

 

 

16:00 - 17:00

A14- Quality in Resource-Challenged Settings

Governance of Quality in Long-Term Care (Abstract no. 1877)
Gail Nielsen; Luther Park Community; USA

A15 - Designing for People Safety 

Rewiring our approach to safety: Building capacity for patient safety in partnership with patients (Abstract no 329)
Anne MacLaurin, Maaike Asselbergs,Virginia Flintoft, Wayne Miller; Canadian Patient Safety Institute (Canada)

Just and Trusting … When Things Go Horribly Wrong (and Learning from Failure) (Abstract no. 2020)
Deborah Prowse, Canadian Patient Safety Institute (Canada)

A16 - Building Sustainable and Comprehensive Care

Human-centered design for value creation in healthcare 
Speakers: Martine de Bruijne, Armagan Albayrak, Marijke Melles

17:15 - 18:15

A17 - Facilitating Future Health

Health Data Management for AI-based P4 Medicine: Interdisciplinary Insights (Abstract no. 1347)
Gastone Ciuti, Denise Amram; LIDER Lab, Dirpolis Institute, Scuola Superiore Sant'Anna; Italy     

Improving population health; where, when and how? (Abstract no. 1554)
Dominique Allwood, Suzanne Wood, Guddi Singh, Clare Cable; The Health Foundation; UK

A18 - (Popular topic) Implementation

Integrating Quality Improvement and Implementation Science to Enhance Coproduction of Patient Care (Abstract no. 1470) 
Julie Johnson, Rohit Ramaswamy; Northwestern University; US                               

Innovate Implement Improve: Implementation Science 101 (Abstract no. 1026)
Lisa Zubkoff, Eugene Nelson; White River Junction VA Medical Center; US

A19 - Invited Session (IHI)

Not just another fad – improvement is our business 
Speakers: Pierre Barker (IHI), Amar Shah (ELFT), Pedro Delgado (IHI)

18:15 - 19:15

A20- Designing for People Safety (5 Minute Lightning Talks)

Test Results from an Anti Flu Vaccination Indicator for Healthcare Personnel (Abstract no. 981)
Meriem Bejaoui, Zineb Messarat-Haddouche, Karen Assmann, Raphael Veil; France

Advancing Diagnostic Safety Research: Results of a Systematic Research Priority Setting Exercise (Abstract no. 1313)
Hardeep Singh; USA

Investigation into the Cleaning Methods of Smartphones and Wearables from Infectious Contamination in a Patient Care Environment (I-SWIPE) (Abstract no. 268)
Sean Spina, Stephanie Huffman, Carly Webb; Canada

Multicentre study for the reduction of adverse events in Argentine Pediatric Intensive Care Units using a program to improve handoffs: a stepped wedge trial (Abstract no. 768)
Ezequiel Garcia Elorrio, Jorro Baron Facundo, Luis Landry, Ines Suarez Ansorena; Argentina

Implementation of e-Triggers for Measurement of Diagnostic Errors in a Large Health Care System (Abstract no. 1027)
Hardeep Singh, Divvy Upadhyay,Saritha Korukonda, Dennis Torretti; USA

A21 - Quality in Resource-Challenged Settings (10 Minute Orals)

Evaluating Supply-side Readiness To Provide Quality Healthcare In A Resource-challenged Setting – PharmAccess Experience in Adamawa State, Nigeria (Abstract no. 2115) 
Temitope Oke, Ibironke Dada, Njide Ndili, Attahiru Bello - Nigeria

Effect of Protocol Based Nursing Interventions in the Prevention and Healing of Incontinence- Associated Dermatitis among patients in Critical Care Units (Abstract no. 2900) 
Vevila Braganza - India

Reaching the first 90: Improving HIV Testing Yield from Community-Led Outreach Services in Kogi State, Nigeria (Abstract no. 103) 
Stephen Balogun, Aminat Adewole, Zainab Rufai, Patrick Adah - Nigeria

Using off the shelf software for cost-effective quality improvement (Abstract no. 1338) 
Sihem Majoul, Jan Mackereth Hill - Tunisia

Effectiveness of Instructional Training Videos in Enhancing the Quality of Adult Patient Screening and Management for Hypertension in Tanzania (Abstract no. 1850)
Anbrasi Edward, Frank Manese, Kunihiro Matsushita, Lawrence Appel; USA

A22 - Italian Session - 4 Orals

Progetto Handover – progetto di miglioramento del Dipartimento Emergenza Accettazione della AOU Careggi – Firenze volto a migliorare la continuità assistenziale del paziente in trasferimento dal Pronto Soccorso verso un reparto di degenza dell’area medica (Abstract no. 2425)
F. Rocchi, M. Fratini, S. Bausi, C. Nozzoli 

EVENTI SENTINELLA: STANDARD TOOL VS INNOVATION TOOL (Abstract no. 2434)
M. Barisone, F. Bracco, M. Vaira, E.Garbarino ASL 2, Sistema Sanitario Regione Liguria; Italy

Fast track pronto soccorso: un percorso per la gestione della polipatologia e delle cronicità (Abstract no. 2413
Anna Santa Guzzo; Italy

L’handover infermieristico e la sicurezza del paziente: uno studio osservazionale presso le Degenze di un Dipartimento Cardiotoracico (Abstract no. 2399)
Maria Filomena Speltri, Marco Vaselli, Stefania Baratta, Tommaso Bellandi

La informatizzazione della cartella clinica come strumento per il miglioramento della qualità e della sicurezza del paziente (Abstract no. 2400)
Benedetta Valli, Sara Marsupini, Giulia Tenti

07:45 - 08:45

B1 - Education, Knowledge and Learning (10 Minute Orals)

How is primary care prescribing data used? An explorative study in the Dutch context (Abstract no. 279) 
Erica Barbazza, Robert Verheij, Lotte Ramerman, Niek Klazinga, Dionne Kringos - Netherlands


Relationship Exploration of Design Participation, Perceived values and User Satisfaction of Nursing Staff Regarding Mobile Stations (Abstract no. 1082) 
Shu-Mei Chen, Li-Chu Wu, Ting-Ting Wu, Cheng-Lung Hung - Taiwan

Developing education, knowledge and learning tools to support staff to improve the quality of health and social care by adopting a human rights-based approach. (Abstract no. 1584)
Linda Weir, Davina Swan, Sarah Fitzgerald, Rachel Flynn - Ireland

STANDING Collaboration: a wiki-based process for developing clinical standards and indicators (Abstract no. 1096)
Peter Hibbert, Louise Wile, Chris Maher, William Runciman; Australia

Evaluating and exploring of the learning of the person-centred therapeutic relationship skills: Innovating an intensive training with the use of a new learning technology (Abstract no. 2288)
Faith Liao, David Murphy; Taiwan       

B2- Focus on the Person (10 Minute Orals)

Private health expenditure in orthopaedic elective surgery. Preliminary findings from PROMs in Tuscany(2384)
Sabina De Rosis; IT

A patient-centred approach to identifying patients with familial hypercholesterolemia and improving quality of care to in a lipid clinic setting (Abstract no. 2164)
Cormac Kennedy, Orlaith McNulty, Patricia O'Connor; Ireland

Labouring Together: Womens' Experiences of "Getting the Care that I Want and Need" in Maternity Care (Abstract no. 909)                    
Vanessa Watkins, Alison Hutchinson, Cate Nagle, Bridie Kent - Australia

Identifying vulnerable patients to improve patient care: Testing four vulnerability question (Abstract no. 1628)
Karen Roberts, Marnie Graco, Bridget Wall, Bronwyn McFadyen - Australia

Patients and Citizens Collaborative Experiences with Professionals in Social and Health Care : a French survey for feedbacks (Abstract no. 294)
Joelle Andre Vert, Marie Citrini, Karen Jeuland, Pascal Jarno; France

B3 - Building Sustainable and Comprehensive Care (10 Minute Orals)

Could community-based health insurance schemes be a creative approach to achieving equitable care in Nigeria? – Findings from a baseline survey of existing schemes in Benue State (Abstract no. 731) 
Ajala Oluwadara, Ugonna Ofonagoro, Chibuike Alagboso - Nigeria

Implementation of bundle care helps to effectively reduce surgical site infection (Abstract no. 1176) 
Jiun-Yi Li, Hsiang-Ting Chen, Hsiu-Tzy Chiang - Taiwan

Interruptions and Multitasking in Clinical Work: - A Summary of the Evidence (Abstract no. 2419) 
Michela Tanzini, Stefano Guidi, Mirela Prgomet, Neroli Sunderland; Centre for Clinical Risk Management and Patient Safety, Tuscany Region - WHO Collaborating Centre in Human Factors and Communication for the Delivery of Safe and Quality Care; Italy

Established the sustainability model of quality improvement initiatives (Abstract no. 1089) 
Hsun-Hsiang Liao, Tsung-Hsien Yu, Weyu Hu, Kuo-Piao Chung - Taiwan

Development of hospital standardized readmission ratios (HSSRs) for pneumonia model in Japan using DPC/PDPS claim data (Abstract no. 1446)
Ryo Onishi, Yosuke Hatakeyama, Rebeka Amin, Tomonori Hasegawa; Japan

09:00 - 10:00

Plenary Pascale Carayon

How to support the work of care teams? A human factors and systems engineering perspective to address the global quality chasm

Members of the care team, including patients, care partners, clinicians and other health care professionals, often experience challenges in doing their work. Those challenges can result in patient safety issues, frustration, stress and other negative outcomes, therefore contributing to the global quality chasm. In this presentation, I will describe the SEIPS (Systems Engineering Initiative for Patient Safety) model that can be used to analyze and improve work systems and care processes along the patient journey. System barriers and facilitators in the actual work of care teams are primary contributing factors to a range of safety, quality and well-being outcomes for both patients and health care workers. Using a human factors and systems engineering perspective can, therefore, help to address the global quality chasm.

 

 

 

10:00 - 11:00

B4 - (WHO) Towards Eliminating Avoidable Harm in Health Care

All WHO Member States (MSs) and partners are striving to progress towards universal health coverage (UHC) and achieve the Sustainable Development Goals. However, the benefits of increased access to and improved coverage of health care services have been undermined by systemic issues, including inefficient service delivery models, lack of human and financial resources, ineffective communication and teamwork, inappropriate cultures and behaviours that lead to significant human suffering and patient harm. In recent years, the global efforts to recognize the urgent need to reduce patient harm in health care systems around the world, have dramatically increased, with the paradigm shift in addressing patient safety within broader health system strengthening context and as a foundation to moving ahead in the journey towards UHC. 

Following the adoption of the World Health Assembly (WHA) 72.6 resolution on “Global action on patient safety” in 2019, WHO, in collaboration with MSs and key international stakeholders, developed the “Global Patient Safety Action Plan 2021-2030” that provides a strategic direction for concrete actions to be taken by countries, stakeholders, health care facilities and WHO to implement the WHA72.6 resolution. The global action plan was endorsed by WHO Executive Board in January 2021 and was recommended to WHA in May 2021 for adoption, requesting the Director-General to report back on progress in implementation of the action plan to the WHA in 2023 and thereafter every biennium until 2031.
Speaker 1: Sir Liam Donaldson; Speaker 2: Dr Neelam Dhingra; Speaker 3: Dr Yasser Alaska; Speaker 4: Dr Evelyn Wesangula; Speaker 5: Dr. Carsten Engel; Speaker 6; Dr. Anupam Sibal; Speaker 7: Francesco Venneri; Speaker 8: Ms Sue Sheridan 

B5 - Symposium - Lessons from Ireland (Philip Crowley)

[1339] Putting governance of quality first at national health system level; Ireland - HSE; Jennifer Martin

[468] Creating a quality movement in a national health service, Ireland
1Health Services Executive, Dublin, Ireland; Philip Crowley

[1866] A systems approach - building capacity and capability; Lisa Toland

[1717] Co-Production: Working together as experts; HSE; Patient representative, Cairde; Lorraine Murphy

[1830] Being person centered to change culture: that starts with me; HSE; Lorraine Murphy

[1902] Building QI leaders and positively impacting patients in the Irish Health Service through QI Educational Initiatives – how we can make the next 10 years of QI in Ireland better the last 10!; Royal College of Physicians of Ireland, ; ISQua; Victoria Taylor

[762] Building QI Teams - one Microsystem at a time; HSE; Lisa Toland

[2125] PlayDecide: Patient Safety - a new “serious game” for multidisciplinary healthcare teams to discuss error reporting, patient safety, and medical professionalism
1UCD Centre for Interdisciplinary Research Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery, and Health Systems, University College Dublin, Dublin, Ireland; Eilish McAuliffe

[1557] Whole System Improvement: The Challenge of Implementation
1University College Dublin, DUblin, Ireland; 2Ministry of Health, Lilongwe, Malawi; Eilish McAuliffe

B6- Designing for People Safety (10 Minute Orals)

Reduction of medication errors on a surgical ward: a baseline measurement of the medication error rate during preparation and administration (Abstract no. 2293)
Barbara Zonderhuis, Esmee Beers; Netherlands

Infection Control Nurse Manager Initiative - Reduction of Occupational Injuries at AGGH (Abstract no. 2901)
Kavita Reddy, Mervin Leo, Dr.Bheem, Dr.Sukesh Kumar, Prameela, Mercy Isabella - India

Exploring the Efficacy and Effectiveness of a Controlled Substance Management System in a Tertiary Medical Center in Southern Taiwan (Abstract no. 1495)
Lung Hung Cheng, Li-Chu Wu, Shu-Mei Chen, Ting-Ting Wu - Taiwan

Redesigning a direct, public funded, claims compensation system according to a risk management-driven quality improvement program (Abstract no. 1986)
Giuseppina Terranova, Annamaria Lupi, Mario D'amico, Tommaso Bellandi - Italy

Effective Communication and Team Collaboration in Multicultural Health Care Environment; Challenges and creative solutions (Abstract no. 25)
Manasik Hassan, Magda Youssef; Hatim Abdelrhman; Ahmed Alhammadi; Qatar

11:15 - 12:15

B7 - Invited Session (IHI)

Are the fields of improvement and Implementation Science converging
Speakers: Sodzi Sodzi-Tettey (IHI), Pierre Barker (IHI), Ezequiel Garcia Elorrio

B5- Symposium - Lessons from Ireland (Philip Crowley)

[1339] Putting governance of quality first at national health system level.
Ireland - HSE; Jennifer Martin

[468] Creating a quality movement in a national health service, Ireland
1Health Services Executive, Dublin, Ireland; Philip Crowley

[1866] A systems approach - building capacity and capability.
Lisa Toland

[1717] Co-Production: Working together as experts.
HSE; Patient representative, Cairde; Lorraine Murphy

[1830] Being person centered to change culture: that starts with me.
HSE; Lorraine Murphy

[1902] Building QI leaders and positively impacting patients in the Irish Health Service through QI Educational Initiatives – how we can make the next 10 years of QI in Ireland better the last 10!
Royal College of Physicians of Ireland, ; ISQua; Victoria Taylor

[762] Building QI Teams - one Microsystem at a time.
HSE; Lisa Toland

[2125] PlayDecide: Patient Safety - a new “serious game” for multidisciplinary healthcare teams to discuss error reporting, patient safety, and medical professionalism
1UCD Centre for Interdisciplinary Research Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery, and Health Systems, University College Dublin, Dublin, Ireland; Eilish McAuliffe

[1557] Whole System Improvement: The Challenge of Implementation
1University College Dublin, DUblin, Ireland; 2Ministry of Health, Lilongwe, Malawi; Eilish McAuliffe

B8- Facilitating Future Health (10 Minute Orals)

CareTrack Aged: The world’s first indicator set that comprehensively defines evidence-based care for people who reside in aged care facilities (Abstract no. 910) 
Peter Hibbert, Louise Wiles, Charlotte Molloy, Jeffrey Braithwaite - Australia - need to change time

 Building Smart Ventilators Management System to Improve Patient Safety – A case of Taiwan Medical Center Experience (Abstract no. 783) 
Sheng-Hui Hung, Chieh-Jen Wu, Ming-Huang Chiu, Pa-Chun Wang - Taiwan

Introducing an Advance Care Plan (ACP) documentation tool in the Adult Intensive Care Unit (ICU) of an HSE Hospital (Abstract no. 431) 
Niamh Joyce - Ireland

Promotion of proactive wellness and wellbeing in the community (Abstract no. 1070)
Anuradha Pichumani, Parthasarathi Pichumani; India

Barriers And Enablers To Data Capture For Process Improvement In Operating Theatres In Sub-Saharan Africa (Abstract no. 1908)
Siobhan McCarthy; Ireland

12:15 -12:45

Sponsored Session - Digital Health: Promise and Perils on the Road to Achieving the Quadruple Aim

Chair: Riccardo Tartaglia Marconi University

Speakers Paul Barach, MD, MPH Thomas Jefferson University, College of Population Health, Sigmund Freud University, Vienna, Austria, Politecnico di Milano, Italy; Giovanni Sbrana - Arezzo Hospital /Chiara Parretti - Marconi University; Josep Redon, MD, PhD Full Professor of Internal Medicine University of Valencia, Spain Head of Institute of Internal Medicine Clinical University Hospital of Valencia Scientific Director of INCLIVA Research Institute (until March 2017)

Outline: The aim of the session is to present the opportunities and advantages of the adoption of remote monitoring systems (RPM). In fact, today healthcare systems are facing important challenges regarding their sustainability and therefore "universal health coverage". The adoption of RPM, in an accelerating digitized context, allows the remote treatment of chronic diseases and provides healthcare providers with reliable, real-time data to make clinical decisions faster, with a higher degree of reliability. In the session Prof Barach will present the importance of the design of systems for their effectiveness, Prof Redon will present the opportunities offered today by ICT technologies and Dr Sbrana and Dr Parretti will present an application case of remote monitoring used for patients affected by SARS COV-2.

 

More Details Coming Soon

B9 - Leading for Quality (10 Minute Lightning Talks)

From Bedside to Boardroom introducing a Board of Directors Quality Dashboard at Temple Street Children’s University Hospital (Abstract no. 1417)
Eilis Murphy, Mona Baker; Ireland

To Improve Patients’ Satisfaction In Outpatient Department With Strategic Integrated Quality Control Circle (SiQCC) (Abstract no. 2331)
Qianli Jiang, Guangqing Zhang, Wenyuan Li, Junming Yang; China

All roads lead to Rome. Many ways for achieving quality (Abstract no. 2219)
Camila Sardenberg, Daniela Menezes, Regiane Pereira dos Santos; Brazil

How quality indicator monitoring is carried out in the Japan National University Hospital Alliance on Patient Safety (JANUHA-PS)? (Abstract no. 964)
Shin Ushiro; Japan

Lessons Learnt in Leading Large Scale Change to Deliver Consistent, Safe Quality Care (Abstract no. 1389)
Natalie Wilson, David Greenfield, Kathy Eljiz; Australia

12:45 - 13:15

Sponsored Session - Digital Health: Promise and Perils on the Road to Achieving the Quadruple Aim

 

More Details Coming Soon

B9 - Leading for Quality (10 Minute Lightning Talks)

From Bedside to Boardroom introducing a Board of Directors Quality Dashboard at Temple Street Children’s University Hospital (Abstract no. 1417)
Eilis Murphy, Mona Baker; Ireland

To Improve Patients’ Satisfaction In Outpatient Department With Strategic Integrated Quality Control Circle (SiQCC) (Abstract no. 2331)
Qianli Jiang, Guangqing Zhang, Wenyuan Li, Junming Yang; China

All roads lead to Rome. Many ways for achieving quality (Abstract no. 2219)
Camila Sardenberg, Daniela Menezes, Regiane Pereira dos Santos; Brazil

How quality indicator monitoring is carried out in the Japan National University Hospital Alliance on Patient Safety (JANUHA-PS)? (Abstract no. 964)
Shin Ushiro; Japan

Lessons Learnt in Leading Large Scale Change to Deliver Consistent, Safe Quality Care (Abstract no. 1389)
Natalie Wilson, David Greenfield, Kathy Eljiz; Australia

13:15 - 14:15

B10 - Designing for People Safety (10 Minute Orals)

Implementation of a national hip and knee arthroplasty-related infections indicator using hospital discharge databases (Abstract no. 1371) 
Linda Banaei-Bouchareb, Agnès Solomiac, Leslie Grammatico-Guillon, Pascal Astagneau - France

Being open in Safety Walkrounds: patients’ and professionals’ involvement to build trust and change the systems (Abstract no. 2376) 
Tommaso Bellandi, Mario D’Amico, Valentina Gelmi, Giuseppina Terranova - Italy

Strengthening Commitment for Improvement Together: Canada Designs a new Policy Framework for Patient Safety (Abstract no. 999) 
Jan Byrd - Canada

From reporting to learning: lessons from a quality improvement study developing personalised medication safety feedback to hospital doctors in the context of electronic prescribing (Abstract no. 1102) 
Monsey McLeod, Kirsty Macaulay, Sheth Trupti, Bryony Franklin - UK

Inspiring new physicians to engage in patient safety: an ACGME national collaborative (Abstract no. 1405) 
Robin Wagner, Morgan Passiment, Robin Newton, Kevin B Weiss - US 

B11- Flow Coaching Academy

Coaching Academy: discovering great care (Abstract no. 810)
Tom Downes; Sheffield Teaching Hospitals; UK

B12- Invited Session - External Evaluation

The Survey Analysis for Evaluating Risk® (SAFER™) Matrix (Abstract no. 1350)
Claudia Jorgenson; Joint Commission International; USA 

TUSKA SURVEYORS PERFORMANCE MEASUREMENT MODEL(Abstract no. 1887)
Ceren Can, Asiye Gökçe, Umut Beylik, Figen Cizmeci Senel; Turkey - 10 Minutes

Accreditation Journey of a Public Hospital: Comparison of Survey, Re-Survey and Annual Survey Results (Abstract no. 1848)
Asiye Gökçe, Umut Beylik, Keziban Avci; Turkey - 10 Minutes

THE EFFECT OF MISSION DIFFERENTIATION ON ACCREDITATION STANDARDS IN AN ACCREDITED HOSPITAL (Abstract no. 888)
Umut Beylik, Figen Çizmeci Şenel; Turkey - 10 Minutes

14:30 - 15:30

Plenary: Making room for voice: Coproducing Quality -
Speakers Glyn Elwyn, Boel Andersson Gare, Sylvie Manti, Valerie James

The aim of this plenary is to introduce coproduction principles and methods, to explore how coproduction makes an essential contribution to health and health care quality, to describe what coproducing is and how to make it works

 

 

 

 

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16:00 - 17:00

B13 -Focus on the Person

Psychological Safety - Practical Approaches to Unleashing Improvement Potential (Abstract no. 1311)
Uma Kotagal, John Brennan, Gail Nielsen; Royal College of Physicians of Ireland; Ireland

B14 - Symposium on Co-production 

[1396] Coproduction Value Creation: A Simulation Workshop;
Dartmouth Institute, Lebanon, United States of America; Brant Oliver

[817] What does coproduction of healthcare services mean for professional development?
1The Dartmouth Institute, New Hampshire, United States of America; 2Northwestern University, Chicago, United States of America; 3Region Jonkopings lan, Jonkoping, Sweden; 4Region Jonkopings lan, Jonkoping, Sweden; Tina Foster

[1343] Improving Health, Healthcare Value and Outcomes Science: A Workshop on Starting a Coproduction Learning Health System
1The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, United States of America; 2Sahlgrenska University Hospital/Jönköping Academy, Jönköping, Sweden; 3Upstream Dream AB, Stockholm, Sweden; 4Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America; 5Geisel School of Medicine at Dartmouth, Lebanon, NH, United States of America; 6Parent of a Chid with a Chronic Illness, Stockholm, Sweden; Aricca Van Citters

B15 - Education, Knowledge and Learning

Inter-professional Patient Safety Immersion – Our Journey of 10-years and 1,400 learners (Abstract no. 1938)
David Mayer; Medstar - US

17:15 - 18:15

B16- Leading for Quality

How to Fit Diagnostic Error Reduction In Your Safety Improvement Strategies: Pragmatic Approaches For Progress (Abstract no. 1735) 
Christine Goeschel, Kelly Smith , Hardeep Singh; Medstar; US

International collaboration and data sharing accelerates improvement (Abstract no. 1722)
Robert Douce, Tamsma Jouke; Global Health Data @Work; NL

VB14 (cont.)

[1396] Coproduction Value Creation: A Simulation Workshop;
Dartmouth Institute, Lebanon, United States of America; Brant Oliver

[817] What does coproduction of healthcare services mean for professional development?
1The Dartmouth Institute, New Hampshire, United States of America; 2Northwestern University, Chicago, United States of America; 3Region Jonkopings lan, Jonkoping, Sweden; 4Region Jonkopings lan, Jonkoping, Sweden; Tina Foster

[1343] Improving Health, Healthcare Value and Outcomes Science: A Workshop on Starting a Coproduction Learning Health System
1The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, United States of America; 2Sahlgrenska University Hospital/Jönköping Academy, Jönköping, Sweden; 3Upstream Dream AB, Stockholm, Sweden; 4Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America; 5Geisel School of Medicine at Dartmouth, Lebanon, NH, United States of America; 6Parent of a Chid with a Chronic Illness, Stockholm, Sweden; Aricca Van Citters

B17- Invited Session - Building Sustainable and Comprehensive Care 

A surveillance program for patients implanted with Metal-on-Metal (MoM) hip prosthesis: preliminary results from an Italian public health system.
Tommaso Bellandi; Northwest Trust, Regional Health Service of Tuscany 2385n  needs to register  Moved from Saturday

A Salutogenic Approach Towards Physical Healthcare Environments that Reduces Harm, Lowers Costs and Improves Satisfaction Scores (Abstract no. 2297)
Paul Barach, James Barlow; Imperial College Business School; US

18:15 - 19:15

B18- Focus on the Person (10 Minute Orals)

Improving person-centeredness and safety of hospital care through a national participatory assessment based on partnership between citizens and healthcare professionals (Abstract no. 1910) 
Flavia Cardinali, Barbara Labella, Sara Carzaniga, Micaela Cerilli, Giorgia Duranti, Alessandro Lamanna - Italy

Diagnosing Diagnostic Error: The Patient (Abstract no. 1466) 
Kelly Smith, Jamison Tate, Kelley Baker - US

Developing, implementing and responding to a survey of women’s experiences of maternity care in Ireland: The National Maternity Experience Survey (Abstract no. 848) 
Conor Foley, Linda Drummond, Claire Beecher, Declan Devane; Ireland

Shared Decision Making: Developing a peer-support strategy to help Inuit in their cancer care journey – A knowledge translation study (Abstract no. 1822)
Danielle Dorschner, Janet Julle, Alex Hizaka, Gwen Barton; Canada

The role of mixed sex wards in women’s experiences of acute hospital care: A secondary analysis of the Irish National Inpatient Experience Survey (Abstract no. 863) 
Tracy O'Carroll, Daniela Rohde, Conor Foley, Rachel Flynn; Ireland

B19- Facilitating Future Health

Inspiring Positive Change: Real-World Examples of Bringing Integrated Care to Life (Abstract no. 2000)
Leslee Thompson, Karen Luxford, Guy Behet, Asmita Gillani; CEO, Health Standards Organization; Canada

B20 - Symposium (Covid-19) COVID Lessons from the Frontlines

COVID Lessons from the Frontlines: the pandemic’s impact on people
Laura Botwinick, Gail Neilsen, Ron Wyatt, Judy Fleishman, John Dean, Tom Downes, Carol Peden

19:15 - 20:15

B20 - BP1 - Infection Control Nurse Manager Initiative

Reduction of Occupational Injuries at AAGH (Abstract no. 2901)
Mervin Leo, Dr.Bheem, Dr.Sukesh Kumar, Prameela, Mercy Isabella, Kavitha Reddy; India

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07:45 - 08:45

C1 - Designing for People Safety (10 Minute Orals)

Epidemiology of Adverse Drug Events and Medication Errors in Nursing Homes in Japan: THE JADE STUDY (Abstract no. 1101) 
Ayani Nobutaka, Mio Sakuma, Jin Narumoto, Takeshi Morimoto - Japan

Using the e-paper system to improve the safety of medication (Abstract no. 1457)
Cheng-Yu Fan, Chen-Tsung Kuo - Taiwan

Utilisation of Patient data to improve Safety and Quality outcomes in rural India (Abstract no. 865)
Anuradha Pichumani, Pichumani Parthasarathi - India

Building a replication model for the national rollout of a pharmacist-led IT-based intervention (PINCER) to reduce medication error in primary care using a social franchising approach (Abstract no. 1998) 
Sarah Rodgers, Tony Avery, Kerry Oliver, Martha Paren - UK

The human factors and ergonomics that contribute to a resilient Emergency Department: A thematic analysis (Abstract no. 1409)
Robyn Clay-Williams, Elizabeth Austin, Colum Ruane, Jeffrey Braithwaite; Australia

C2 - Italian Session

NEO-SAFE - Neonato, SicurezzA e Formazione, Elba – Neonatal Safety And Field training for Elba healthcare personnel (Abstract no. 2406)
Federica Cetica, Massimiliano Ciantelli , Marzia Chellini, Tommaso Bellandi 

How Nursing Organizational Models impact patient experience (Abstract no. 2427) 
Sabina De Rosis, Milena Vainieri, Nicola Bellè, Chiara Barchielli 

Gestione del rischio: un esempio di applicazione sulle fasi di trasporto e ricezione del campione. (Abstract no. 2417)
A. Aita, A. Padoan, L. Sciacovelli , M. Plebani 

Medication safety e apprendimento clinico degli studenti del Corso di Laurea in Infermieristica (Abstract no. 2409)
S. Parigi, S. Sannazzaro, M. La Regina, M.A. Banchero

C3 - External Evaluation  (10 Minute Orals)

Making inpatient fall rates of hospitals comparable - inspiration for a risk-adjustment model (Abstract no. 1562)
Niklaus Bernet, Jos Schols, Irma Everink, Sabine Hahn - Switzerland

Our Journey Towards Achieving COHSASA Accreditation: The Experience Of Oil & Gas Industrial Hospital On An Island In Southern Nigeria (Abstract no. 962) 
Edith Lemoha, Agu Osondu, Muhammad Idris, Jennifer Emelue - Nigeria

Designing Quality Awards to Highlight best practices in hospitals (Abstract no. 80)
Bruno Lucet, Muriel Jakubowski, Anne Chevrier, Catherine Grenier; France

Missing Link Between HIV Program Assessment And Quality Improvement: Insights From 5 Years NigeriaQual Performance Measures Implementation and the 2018 Nigeria HIV/AIDS Indicator And Impact Survey in Nigeria (Abstract no. 1364) 
Ifeoma Tony-Monye, Sandra Esin, Derick Nwosu, Joseph Enegela - Nigeria

Evaluation of Accreditation Program at Health Care Accreditation Council (Abstract no. 290)
Thaira Madi; Jordan

09:00 - 10:00

Plenary - Trish Greenhalgh

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10:00 - 11:00

C4 - Quality in Resource-Challenged Settings

Learning through a tripartite collaboration to improve quality and safety of care in Addis Ababa (Abstract no. 1749)
Lorraine Murphy, Peter Lachman - Ireland

Catastrophic Bushfires and their affect on Health Care (Abstract no. 563)
Stephen Clark; AGPAL Australia

C5 - Symposium confirmed

Developing and Using Healthcare Performance Intelligence. Experiences from the Healthpros Initiative (410)
Workshop planners: Jan Mainz, Søren Paaske Johnsen and Niek Klazinga

C6 - Italian COVID Symposium

The Italian National Health Service during COVID-19
Speakers: Fidelia Cascini, Silvio Brusaferro, Ricciardi Walter, Sabina Nuti, Claudio Cricelli, Micaela La Regina, Giovanni Rezza, Moderators Riccardo Tartaglia and Francesco Venneri

Roles and critical issues of the Technical Scientific Committee on the pandemic management, Silvio Brusaferro - National Institute of Health (ISS)
Impacts of the COVID-19 crisis and emerging post-COVID challenges, Walter Ricciardi - Catholic University of Sacred Heart, Rome
NHS preparedness and responses through the pandemic phases, Fidelia Cascini - Italy In Health Foundation
The primary care reforms following the COVID-19 experience, Claudio Cricelli - Italian Society of Primary Care
The resilience of the Italian regional health services, Sabina Nuti - School of Advanced Study Sant’Anna Pisa
A comparison between Italian and international health systems initiatives in fighting COVID-19, Micaela La Regina - Italian Network for Safety in Healthcare
The national vaccines solution and the EU context Rezza Giovanni - General Directorate for Prevention, Ministry of Health

11:15 - 12:15

C7 - Focus on the Person

Values and Kindness- enhancing the psychological safety of people in healthcare
Peter Lachman, Kris Vanhaecht

C5 - Symposium confirmed (cont.)

Developing and Using Healthcare Performance Intelligence. Experiences from the Healthpros Initiative (410)
Workshop planners: Jan Mainz, Søren Paaske Johnsen and Niek Klazinga

C6 - Italian COVID Symposium (cont.)

The Italian National Health Service during COVID-19
Riccardo Tartaglia; Marconi University, Rome

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13:15 - 14:15

C8 - Education, Knowledge and Learning (10 Minute Orals)

Let’s Talk - Building trust and confidence in the quality of clinical coding (Abstract no. 1355) 
Jacqui Curley - Ireland

Comparing the effectiveness and cost-effectiveness of on-line versus in-person training for strengthening the Zika response in Ecuador (Abstract no. 764) 
Emily Evens, Andres Martinez, Eunice Okumu, Jorge Hermida - US 

Building a Culture of Quality: An Education Programme to Develop Improvement Capability in Decontamination Practice (Abstract no. 1400)       
Eilis Murphy, Caroline Conneely - Ireland

Just because it’s online, it’s not less work: managing the QI e-Learner’s expectations (Abstract no. 2176)
Doina Schimpf, Svetla Loukanova, Irmgard Marx, Michael Marx; Germany

The Development of a Simulation Based After Action Review Training Programme in the Irish Health Services (Abstract no. 1707)
Siobhan McCarthy, Theresa Keane, Cornelia Stuart; Ireland   

C9 - Leading for Quality

National strategies for safety and quality improvement: What is the best approach? (Abstract no. 467)
Denis Herbaux, Andrew Likaka, Anthony Staines, Charles Vincent; PAQS ASBL; Belgium               

Assessing the nature, use and effectiveness of quality strategies in (European) health systems (Abstract no. 1614)
Reinhard Busse, Niek Klazinga, Dimitra Panteli, Wilm Quentin; European Observatory on Health Systems and Policies; Germany 

C10- Connecting Person-Centered Care Values

Strategies and Actions To Improve Healthcare Outcomes: Results from Three Continents (Abstract no. 219) (pre-recorded)
Susan Frampton, Lisa Allen, Malek Almoosa, Robert Chabot; USA

14:30 - 15:30

Plenary Amelberti Vincent

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16:00 - 17:00

C11 - External Evaluation

Session A: Accrediting for Procedures Yields Big Rewards (Abstract no. 2035)
Bonnie Weiner; Accreditation for Cardiovascular Excellence; USA

Session B: Improving the patient experience of Medical Travel Patients through standards and accreditation (Abstract no. 2047)
Karen Timmons; Global Healthcare Accreditation for Medical Travel Services; USA

C12 - Quality Improvement and Safety Symposium

Raising the Bar with a New Definition of Quality (Abstract no. 2014)
Christina Krause, Ben Ridout, Chelsea Hochfilzer; BC Patient Safety & Quality Council; CA   

Creating Renaissance Clinicians in Quality Improvement – Developing timely improvement skills for evolving healthcare environments (Abstract no. 746)
Ulfat Shaikh, Peter Lachman, Sara Albolino, Daljit K. Hothi; 

2442 Variation in procedures and outcomes among hospitals is a form of inequality. The example of Neonatal Intensive Care Units in Italy
Luigi Gagliardi needs to register 

Utilising the creative arts for health and wellbeing of service users and staff in a large NHS organisation (Abstract no. 1817)
Paul Gilluley, Stephen Sandford, Frank Rohricht; East London NHS Foundation Trust; UK

C13 - Symposium - People powered health: from concept to practice

2008 Quality Reporting that matters - How to choose relevant quality indicators with patients and get stakeholders on board.
Coordinator NFU-consortium Quality of Care; Nico van Weert      

2150 Bridging differences in international knowledge exchange for quality management.
UMCeXpert; Jan Driessen Harm 

725 Crying in the wilderness? About the voices of persons as patients being (un)heard.
Health and Youth Care Inspectorate; Anne Margriet Pot

1646 People-powered quality improvement: a structured approach to engage patients as partners.
NIAZ; Patricia Lahana 

From Clinical Pathway development to Medical Metroline Mapping for optimizing shared decision making in co-creation. Marion van der Kolk, Ingeborg Griffioen; The Netherlandsmarion.vanderkolk@radboudumc.nl

Philosophical-ethical approach to person-empowerment in the patient-physician relationship (NEW Abstract) : new abstract number?
IIke Montag, Belgium

17:15 - 18:15

C14 - Symposium (Covid-19)

Lessons from Around the World from the COVID Pandemic for the Healthcare System
B.K. Rana
Jeffrey Braithwaite
David Bates
Odet Sarabia
Andrew Likaka
Salma Jaouni
Shin Ushiro
Yuichi Imanaka

C12 - Quality Improvement and Safety Symposium (cont.)

Raising the Bar with a New Definition of Quality (Abstract no. 2014)
Christina Krause, Ben Ridout, Chelsea Hochfilzer; BC Patient Safety & Quality Council; CA   

Creating Renaissance Clinicians in Quality Improvement – Developing timely improvement skills for evolving healthcare environments (Abstract no. 746)
Ulfat Shaikh, Peter Lachman, Sara Albolino, Daljit K. Hothi; 

2442 Variation in procedures and outcomes among hospitals is a form of inequality. The example of Neonatal Intensive Care Units in Italy
Luigi Gagliardi needs to register 

Utilising the creative arts for health and wellbeing of service users and staff in a large NHS organisation (Abstract no. 1817)
Paul Gilluley, Stephen Sandford, Frank Rohricht; East London NHS Foundation Trust; UK

C13 - Symposium - People powered health: from concept to practice (cont.)

2008 Quality Reporting that matters - How to choose relevant quality indicators with patients and get stakeholders on board.
Coordinator NFU-consortium Quality of Care; Nico van Weert      

2150 Bridging differences in international knowledge exchange for quality management.
UMCeXpert; Jan Driessen Harm 

725 Crying in the wilderness? About the voices of persons as patients being (un)heard.
Health and Youth Care Inspectorate; Anne Margriet Pot

1646 People-powered quality improvement: a structured approach to engage patients as partners.
NIAZ; Patricia Lahana 

From Clinical Pathway development to Medical Metroline Mapping for optimizing shared decision making in co-creation. Marion van der Kolk, Ingeborg Griffioen; The Netherlandsmarion.vanderkolk@radboudumc.nl

Philosophical-ethical approach to person-empowerment in the patient-physician relationship (NEW Abstract) : new abstract number?
IIke Montag, Belgium

18:15 - 19:15

C14 - Symposium (Covid-19) (cont.)

Lessons from Around the World from the COVID Pandemic for the Healthcare System
B.K. Rana
Jeffrey Braithwaite
David Bates
Odet Sarabia
Andrew Likaka
Salma Jaouni
Shin Ushiro
Yuichi Imanaka

C15 - External Evaluation

Honouring the Voices of Vascular Access Patients: A call to action for the development of international standards for vascular access (834)
Lena Cuthbertson, Jocelyn Hill, Louise Clément

C16  - Focus on the Person

Second victims’ coping after adverse events: what are the positive and negative effects on patients, providers, and the healthcare system?
Michela Rimondini; Section of Clinical Psychology, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona  861

Patient Safety Walkrounds for improving patient safety and quality of care in the penitentiary system of the Tuscany Region
Giulia Dagliana 2421

Progetto aziendale “Parto sicuro”: sperimentazione e introduzione della checklist per il parto (Safe Childbirth Check-List - SCCL)
Guzzo Anna Santa 2412

07:00 - 09:00

D1 - Symposium on Safety Lessons from Australia

911 / 1252 / 125 / 639     

1.What are the latest innovative models being trialled into patient safety investigations? Peter Hibbert Australian Institute of Health Innovation, Macquarie University

2.Co-creating the conditions for consumer lead improvement: Facilitating the conversation; Karen Patterson; Clinical Excellence Commission

3.Giving voice to minority consumer populations: the hidden consumer experiences; Reema Harrison; University of New South Wales                 

4. Disrupting the culture of a large healthcare organisation: successes, challenges and lessons learnt; Prof Erwin Loh; St Vincent's Health Australia

5. In pursuit of healthcare transformation: building system improvement capability through an ecosystems approach - Michael Tresillian

07:45 - 08:45

D2 - Facilitating Future Health (10 Minute Orals)

Learning from practitioner experiences of delivering rapid genomics in acute paediatrics at a national scale: a qualitative study (Abstract no. 1038) 
Stephanie Best, Helen Brown, Zornitza Stark - Australia

Building a Social Marketing Nursing Program against antimicrobial resistance (Abstract no. 1647)
Francesca Cargioli, Stefania Sannazzaro, Paola Lorenzani, Micaela La Regina; Italy

 Advance Care Planning for older people who experience clinical deterioration in subacute care (Abstract no. 567)
Maryann Street, Trisha Dunning, Helen Rawson, Julie Considine - Australia

Return presentations to the ED within 30 days in older patients: A sign of frailty? (Abstract no. 463)
Babiche Driesen, Hanneke Merten, Cordula Wagner, Prabath Nanayakkara; Netherlands

Optimizing transitioning to Tenofovir/Lamivudine/Dolutegravir combination as the preferred regimen for HIV treatment in Kogi State, Nigeria (Abstract no. 64)
Stephen Balogun, Orogbemi Idowu, Zainab Rufai, Amarachi Nwaogwugwu; Nigeria

D3 - External Evaluation (10 Minute Orals)

Measuring the safety climate in Scotttish General Practice (Abstract no. 1215) 
Paul Bowie, Carl de Wet, Duncan McNab, Gordon MacWalter - Australia

Comparison of Quality, Efficiency and Accreditation Standards in Health Case of Turkey (Abstract no. 1617) 
Demet Gökmen Kavak, İbrahim Halil Kayral, Ayşe Sibel, Canan Öksüzcengiz- Turkey

How a Peer Exchange Program is helping to improve patient flow in public hospitals in Queensland(abstract no. 1080)
Carl de Wet, James Lind, Jennifer Helios, Elizabeth Garrigan - Australia

International comparisons of pressure ulcers in long-term care facilities: methodological robustness of four point prevalence measurements (Abstract no. 1234)
Mircha Poldrugovac, Michael Padget, Niek Klazinga, Dionne Kringos; Netherlands

Validation Panel in TUSKA Accreditation Process (abstract no. 1249)
Ibrahim H. Kayral, Canan Cengiz, Demet Gökmen Kavak, Keziban Avci; Turkey

09:00 - 10:00

Plenary Sumaia Al-Ariki and Dilshad Jaff, Frances Mortimer

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10:00 - 11:00

D4 - Safety and Quality – Friends, not Foes

Safety and Quality – Friends, not Foes (Abstract no. 1126) 
Erik Hollnagel, Jeffrey Braithwaite, Axel Ros; University of Jönköping 

D5 - Building Sustainability and Comprehensive Care

Integrated Care Initiatives, Operation, and Its Effectiveness – Taiwan Experience (Abstract no. 739)
Chii-Jeng Lin, Pa-Chun Wang, Kuan-Mihg Chiu, Shang-Feng Tsai; Taiwan 

D6 - Quality in Resource-Challenged Settings

Measuring quality of care for women and newborns: Different approaches, one aim; Generating robust evidence from a quality improvement programme for package of interventions including HIV, TB and Malaria in integrated people-centred antenatal and postnatal services in selected LMIC settings (Abstract no. 1931)
Barbara Madaj, Nicholas Furtado, Alexandre Quach; Liverpool School of Tropical Medicine - UK

Lessons learned from introducing patient safety in low-income countries (Abstract no. 2111)
Edwin Lugazia, Paul Barach, Matiur Rahman; Muhimbili University of Health and Allied Sciences-MUHAS - Norway

11:15 - 12:15

D7 - Education, Knowledge and Learning

Health Management - Training Programme for personalized health management.
Larisa Fedyk,; Russia

Outcome of nurses’- led community-based intensive Multi-Drugs Resistant Tuberculosis (MDR-TB) treatment in Montserrado county, Liberia (Abstract no. 1435)
Lydia Mianue, Louis Ako Egbe, Moses Bolongei; Cameroon

Crossing healthcare boundaries and improving AECOPD care on the island of Ireland (Abstract no. 2179)
Rachel MacDonell, Orla Woods, John Brennan, Richard Costello; Ireland

D8 - Building Sustainable and Comprehensive Care

Overuse and unnecessary clinical practices: methods for evaluation (Abstract no. 2185) 
Jose Lorenzo Valencia-Martin; Hospital Universitario Ramon y Cajal / IRYCIS - Spain

D9 - Designing for People Safety

A human factors approach to incident analysis using the London Protocol (Abstract no. 2402)
Charles Vincent, Tommaso Bellandi, Helen Higham, Riccardo Tartaglia; BSDesign - Italy

12:15 - 12:45

Dedalus Sponsored Session; The relation between “Complexity Science and ICT" a Frame for Understanding the Management and Delivery of High Quality and Safer Care

Speakers:Giorgio Morett, Alessandro Pollini BSDesign interview, Donald Norman and Jeffrey Braitwaite PhD, FIML, FCHSM, FFPHRCP, FAcSS, Hon FRACMA, FAHMS

The evolution of the Electronic Medical Record (EMR) towards the Clinical information System (CIS) opens new revolutionary scenarios for the quality of care improvement and for an effective clinical risk management, where the user experience, between ergonomics and functionality, must follow official certification and / or evaluation rules. The aim of the session is to start a discussion and set up a roadmap to close this gap as soon as possible, to give to all stakeholders the possibility to operate with software tools, well-designed, validated an certified, supporting the delivery of the best quality of care

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12:45 - 13:15

Dedalus Sponsored Session; The relation between “Complexity Science and ICT" a Frame for Understanding the Management and Delivery of High Quality and Safer Care

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13:15 - 14:15

D10 - Focus on the Person (10 Minute Oral)

Applying short-message-service (SMS) texting in gestational diabetes mellitus (GDM) management in Viet Nam (Abstract no. 2191) 
Trang Pham, Hieu Huynh, Ha Ngo, Trang Huynh - US

Developing a training package to prepare and support parents to care for children with complex medical needs (Abstract no. 1244) 
Bethan Page, Charles Vincent, Alex Lee, Emily Harrop ; UK

What is patient engagement? (Abstract no. 1468)
Kelly Smith, Kelley Baker; USA

Bridge to home: how to improve the quality and safety of the transition from hospital to primary care in partnership with patients completing cancer treatment (Abstract no. 1357)
Marie-Pascale Pomey, Christine Arsenault, Françoise Poirier; Canada

The Impacts of Health Literacy and Tea-drinking Habits on Fluid Management in Chinese Hemodialysis Patients: A Structural Equation Modeling Analysis (Abstract no. 1015)
Chen Chen, Liming You, Jing Zheng; China

D11 - Leading for Quality (10 Minute Orals)

“Grounded Accountability” from the Front-line: Insights from Healthcare Settings (Abstract no. 1782)
Maureen Flynn , Niamh Brennan

PROJECT EXCEL - The Quality for Excellence (Q4E) Program (Abstract no. 1967) 
Sagar Ganga - India

Innovate Multidisciplinary Information System and Case Management System Can Enhance Post-Acute Care and Interdisciplinary Quality of Holistic Care in Patients after Acute Stroke (Abstract no. 1882) 
Ching-Huang Lin, Cheng-Chang Yen, Wang-Chuan Juang, Yao-Sheng Chen - Taiwan

Interventions to prevent or reduce rationing and missed nursing care: a scoping review (Abstract no. 2143)              
Maria Schubert, Dietmar Ausserhofer, Alvisa Palese - Switzerland

The Global Patient Safety Collaborative (GPSC) (Abstract no. 959)
Alexandra Shaw, Mike Durkin, Irina Papieva, Neelam Dhingra-Kumar - UK

D12 - Leading for Quality (10 Minute Orals)

Driving quality improvement through language analysis of real-time patient experience feedback (Abstract no. 1754) 
Mustafa Khanbhai - UK

Effectiveness Of Two Methods Of Patient Satisfaction Survey As A Tool For Continuous Quality Improvement (Abstract no. 759) 
Joseph Lallu,Christopher Manju- India

An ISQua Emerging Leader’s journey: About Leadership and Quality (Abstract no. 2071) 
Wafa Allouche, Shams Syed, Katthyana Genevieve Aparicio Reyes, Peter Lachman - Tunisia

Prevention of Harm Caused to Patients by Information-Technology-Related Medical Errors (Abstract no. 315) 
Hsiao-Hsien Rau, Hsun-Hsiang Liao, Chii-Jen Lin, Pa-Chun Wang - Taiwan

Understanding relative importance of status quo bias, patient expectations and clinical evidence in antibiotic prescribing decision-making: A discrete choice experiment (Abstract no. 893) 
Sophie Wang, Nicola Belle, Oliver Gröne - Canada

14:30 - 15:30

Plenary - Wyatt, Coghill

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30 min sponsor sessions

The COVID-19 Pandemic and Global Inequity

Don Goldmann & Andrea Taylor

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16:00 - 17:00

D13 - Facilitating Future Health

Creating a Global Community for Health Equity through Stories in an Online Literary Journal for Healthcare Narratives (Abstract no. 164)
Tracy Granzyk; MedStar Institute for Quality & Safety; USA

D14 - Education, Knowledge and Learning

Breakthrough Collaborative to Improve Quality in Healthcare: lessons to share from real examples (Abstract no. 2903)
Paulo Sousa; Portugal 

D15 - External Evaluations Symposium

A panel of experts and thought leaders will guide this 2.5 hour session. There will be mix of presentation and dialogue with participants to foster engagement and inspire people to make change in their own jurisdictions.
Leslee Thompson; CEO HSO & AC Canada

17:15 - 18:15

D16 - Designing for People Safety

Session A: NEWS2 – A common language in managing patient deterioration. Lessons from implementing across a country and across care settings (Abstract no. 927)
John Dean, Matt Inada Kim, Alison Tavare; UK

Session B: Leading the Way to Zero: Translating High Reliability into Practice (Abstract no. 70)
Kathy Leonhardt, Debbie Sears Barnard; Joint Commission International; USA

D17 - WHO briefing session: action and learning for quality health services

Inadequate quality of care results in between 5.7 and 8.4 million deaths in low- and middle-income countries annually, a situation likely exacerbated by disruption to services during the COVID-19 pandemic and one that requires a comprehensive, system-wide response. To support countries to meet this challenge, WHO has recently released key technical products that will be presented in this briefing session. The first, Quality health services: a planning guide, focuses on actions required at the national, district and facility levels to enhance quality of health services, providing guidance on implementing key activities. The second, WHO’s technical package on quality of care in fragile, conflict-affected and vulnerable (FCV) settings, has been developed to provide a starting point for multi-actor efforts to address quality of care in FCV settings, where nearly a quarter of the global population lives. The technical package proposes practical approaches to action planning and implementation of a set of quality interventions that take account of the needs of FCV settings. The session will also introduce the WHO COVID-19 Health Services Learning Hub, a platform to gather and share important knowledge on how quality essential health services are being maintained in the COVID-19 context across the world.                                             
Speaker 1: Shams Syed; Speaker 2: Nana Mensah Abrampah; Speaker 3: Matthew Neilson; Spaker 4: Sunny Khan

D15 - External Evaluations Symposium (cont.)

A panel of experts and thought leaders will guide this 2.5 hour session. There will be mix of presentation and dialogue with participants to foster engagement and inspire people to make change in their own jurisdictions.
Leslee Thompson; CEO HSO & AC Canada

18:15 - 19:15

D18 - Quality in Resource-Challenged Settings (10 Minute Orals)

Improving The Processes of The Emergency Department Of A Training And Research Hospital (Abstract no. 1666)
Keziban Avci, Mustafa Yildiz, Mehmet Okumuş - Turkey

Patient safety baseline survey: Implications for patient safety policy and infection prevention and control (IPC) in Liberia (Abstract no. 1424) 
Louis Ako Egbe, Moses Bolongei, Garrison Kerwilain, Lekilay Tehmeh - Cameroon

Participatory Action Research: Holistic Leadership for Quality in the Public Health Sector in Cambodia aiming to Strengthen the Psychological Internal Locus of Control (Abstract no. 140) 
Elias Engelking, Ratha Nin - Cambodia

Creating Quality One Step at a Time- H.O.P.E for Resource Challenged Settings (Abstract no. 1714) 
Mohan Kochhar Atul - India

A Mixed-Methods Analysis of International Standards Implementation in Kamuzu Central Hospital, Lilongwe, Malawi (Abstract no. 2088)
Omar Khan, Seleman Kondwe, Bongani Chikwapulo, Andrew Likaka; Malawi  

D19 - Mixed Session - Building Sustainable and Comprehensive Care/Quality in Resource- Challenged Settings (10 Minute Orals)

A framework for interventions targeting potentially avoidable hospital admissions (Abstract no. 1278)
Cecilie Nørby Thisted, Marianne Johansson Jørgensen - Denmark

Building Sustainable Palliative Care Services for Advanced Cancer Patients and their Caregivers: Comparing Two Implementation Strategies among Community Oncology Practices (Abstract no. 1028)
Lisa Zubkoff, Marie Bakitas, Kathleen Lyons, Supriya Mohile - US

Home palliative care program: preliminary results (Abstract no. 1893)
Heloisa Amaral Gaspar Goncalves, Ana Carolina Capuano, Stephanie Santin, Flavia Canutto; Brazil

Reviewing the Global State of Patient Safety (Abstract no. 1919)
Kelsey Flott, Gianluca Fontana, Alexandra Shaw, Mike Durkin ; UK

D20 - Focus on the Person

Able to Improve? The hard part is the SOFFT skills (Abstract no. 1601) 
John Gabbay, Andrée le May, David Wright - UK

Implementation and scaling-up of a tailored patient-centred care intervention using Quality Improvement Collaboratives in paediatric care in Spain: The “Miremos” program (Abstract no. 1570) 
Carola Orrego, Pilar Hilarion,Maria José Bueno, Rosa Sunol - Spain

Co-production of healthcare service for all? (Abstract no. 1641) 
Christina Radl-Karimi, Anne Nicolaisen, Paul Batalden, Christian von Plessen - Denmark

Safe spaces for patient concern about patient safety (Abstract no. 1443) 
Marie-Pascale Pomey, Christine Arseneault, Jean-Luc Gendron - Canada

Laws that apply to patients recording clinical encounters: a scoping review (Abstract no. 2085)
Jaclyn Engel, Peter Scalia, Carmel Shachar, Glyn Elwyn; USA