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AUDIOCONFERENCE ON CD OR AUDIO ARCHIVE

Sponsored by Briefings on Patient Safety

presented on November 15, 2007

Are staff in your facility afraid to report near misses?
Near misses are inevitable within hospitals. The key to improving near miss reporting is to build a non-punitive environment. By eliminating the fear of consequences and clearly defining what constitutes a near miss, you’ll receive a more complete picture of what causes medical errors in your facility. You can then use the lessons learned to make necessary process changes to improve patient safety.

Replace fear and uncertainty with clarity and confidence!
Listen to this 90-minute audioconference on Thursday, November 15. Expert speakers provide an accurate definition of a near-miss, tips to improve near-miss reporting among staff, and ways to promote a culture of safety.

TAKE A LOOK AT THE AGENDA

1. What is near-miss reporting?
   1. Patient safety reporting on a facility, state, and national level
   2. What do we mean by near-miss reporting?
   3. The Institute of Medicine definition of a near-miss
   4. The distinction between a near miss and a no-harm event
   5. The Pennsylvania Patient Safety Authority's efforts regarding near-miss reporting
2. Benefits of near-miss reporting
   1. Provides useful information
   2. Helps hospitals learn lessons the easy way
   3. Puts focus on processes and at-risk behaviors, not just on outcomes
   4. Provides insight into the things that stop errors
   5. Helps frontline staff distinguish harm/no-harm events
3. Case study: Allied Services Rehabilitation Hospital
   1. Getting frontline staff to report near-misses
   2. Promoting the culture of safety within your organization
   3. Responding to internal data
   4. Responding to advisories

Question & Answer Session

LEARNING OBJECTIVES
After this program, participants will be able to:

1. Understand why near-miss reporting is so important
2. Define what constitutes a “near miss”
3. Determine strategies/best practices for getting staff to report near misses
4. Establish a near-miss reporting system in their facilities

MEET THE SPEAKERS

MICHAEL C. DOERING, MBA, has served as the administrator of the Pennsylvania Patient Safety Authority since January 2007. In that capacity, he administers an independent state agency, under an 11-member Board of Directors, that is charged with taking steps to reduce and eliminate medical errors by identifying problems and recommending solutions that promote patient safety.

WILLIAM M. MARELLA, MBA, is the project manager for the Pennsylvania Patient Safety Reporting System, a statewide adverse event and near-miss reporting system, under contract to the Patient Safety Authority. Mr. Marella has 15 years of program development and project management experience, primarily in healthcare.

BONNIE HALUSKA, RN, CRRN, serves as the assistant vice president of Allied Services Rehabilitation Hospital, Scranton, PA. Mrs. Haluska has 35 years of experience in rehabilitation and is nationally certified in rehabilitation nursing. She has also served in assistant director, director, and executive director roles in nursing and hospital administration. She chairs the Color of Safety Task Force, which received the Pennsylvania Hospital Association 2007 Innovation Award as well as the 2007 Patient Safety Award.

PROGRAM MATERIALS

Program materials are provided with PDF links.

WHO SHOULD LISTEN?

Quality improvement officers, patient safety officers, risk managers, survey coordinators, nursing

NEW PURCHASE OPTION
In addition to the regular purchase option for HCPro audioconferences, audio CD, we are pleased to offer a new option: audio archive. An audio archive allows you to download the program and play it back at your convenience on your computer or MP3 player.

HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks.

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