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December 17, 2015, 1:00 pm - 2:30 pm ET
2016 Top 10 Health Technology Hazards and
2015 Top 10 Patient Safety Concerns for Healthcare Organizations
 Session Overview

TMIT is delighted to have Terry Wheat, RN, MPH, who is both a Quality Leader at her organization and a trustee of another major medical center and safety-net hospital, provide her uniquely valuable perspective on a summary of the major Patient Safety Hazards of 2015 as identified by ECRI and confirmed by our TMIT Research Test Bed. She will also discuss the very recently-identified Top 10 Technology Hazards for 2016. Christopher Peabody, MD, MPH, who is Assistant Professor of Clinical Medicine at UCSF, will address critical issues and make his invitation to the Health IT Community of Practice that we will launch in January 2016. We will provide access to media assets that can be downloaded by our members to use for their teams. A reactor panel of national patient advocates and leaders will respond to what they hear.

2016 Top 10 Health Technology Hazards and 2015 Top 10 Patient Safety Concerns for Healthcare Organizations, Including:

  1. Inadequate Cleaning of Flexible Endoscopes
  2. Missed Alarms
  3. Failure to Effectively Monitor Postoperative Patients and Opioids
  4. Depression Can Lead to Brain Injury or Death
  5. Inadequate Surveillance of Monitored Patients
  6. Insufficient Training of Clinicians on Operating Room Technologies
  7. HIT Configurations and Facility Workflow Conflicts
  8. Unsafe Injection Practices
  9. Gamma Camera Mechanical Failures
  10. Failure to Appropriately Operate Intensive Care Ventilators
  11. Misuse of USB Ports
Webinar Video and Downloads



Click here to download the Polling Data.     

Speaker Slide Sets:

Click here to download the combined speakers' slide set in PDF format – one (1) slide per page.     

Click here to download the combined speakers' slide set in PDF format – four (4) slides per page.     

To view the file, click the desired link (please note: the files may take several minutes to download). To save to your hard drive, right click on the link and choose "Save Target As." (In some browsers it might say "Save Link As.")

The slide set could take several minutes to download. The "four per page" slide set may download more efficiently.
Registration Information and CE Credit Information:
 Register:
Click here to register for this Webinar.

 When:  December 17, 2015 Time: 1:00 p.m.-2:30 p.m. ET
We are accepting questions now that relate to the session topics. Please e-mail any questions related to the specific session to webinars@safetyleaders.org with the session title in the e-mail message header.
  • Questions about the Webinar series?
    E-mail webinars@safetyleaders.org or call 512-473-2370 between 9:00 a.m. and 4:30 p.m. CT.
  • Need technical assistance with registration? Call 512-457-7605 between 9:00 a.m. and 4:30 p.m. CT.

Learning Objectives

Participants will learn:

  • Awareness: Participants will become aware of the most important and common patient safety hazards and those related to technologies.
  • Accountability: Participants will learn who should be accountable for the high-priority safety hazards.
  • Ability: Participants will learn what is necessary to address the most common patient safety hazards.
  • Action: Participants will understand what actions they can take immediately after the webinar to tackle the most common safety and technology hazards.

CE Participation Documentation

Texas Medical Institute of Technology, approved by the California Board of Registered Nursing, Provider Number 15996, will be issuing 1.5 contact hours for this webinar. TMIT is only providing nursing credit at this time.

To request a Participation Document, please click here.

 Session Speakers
Terry Wheat, RN, MPH
Summary of the Major Patient Safety Hazards of 2015

Terry Wheat, RN, MPH, serves as the Director of Patient Care Services & Chief Nursing Officer at Shriners Hospital for Children – Chicago. Under her leadership, the hospital received the 2011 and 2013 Outstanding Nursing Quality Award for pediatric hospital from the American Nurses Association.
Read more...

Christopher R. Peabody, MD, MPH
An Introduction to a Health Information Technology Community of Practice and Reaction to 2016 Tech Hazards (recorded)

Christopher R. Peabody, MD, MPH, is an Assistant Clinical Professor, Department of Emergency Medicine, at the University of California, San Francisco. He has a strong commitment to public service and healthcare delivery to vulnerable populations. Dr. Peabody completed his residency at one of the busiest safety-net hospitals in the country, Los Angeles County Hospital and was the Chief Resident in Emergency Medicine at the University of Southern California.
Read more...

 Introduction and Moderator
Charles R. Denham, MD
Welcome and Introduction

During Dr. Denham's business development career spanning 30 years, he and his organizations have served hundreds of innovation teams. While in practice as a radiation oncologist, he taught biomedical engineering and product development. He has taught innovation adoption, technology transfer, and commercialization in both academia and industry. He has been an adjunct Professor of Health Services Engineering at the...
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 Reaction Panelists
Arlene Salamendra
Discussion and Reaction to Presentations

Arlene Salamendra is a former Board member and Staff Coordinator of Families Advocating Injury Reduction (FAIR). A number of years ago, she was the subject of a preventable medical error. Since that time, she has devoted a portion of her time to giving support to other patients...
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Franck Guilloteau
Discussion and Reaction to Presentations

During the past 20 years with HCC Corporation, Franck Guilloteau has led multiple projects, spanning industry segments from aerospace and consumer products to software and fitness. As Chief Technology Officer, Mr. Guilloteau takes the lead role in developing Software as a Service (SaaS) offerings and knowledge management systems used by HCC's global partners, while keeping HCC on the leading edge of technological advancements in multimedia, IT, e-commerce, and product development.
Read more...

Related Resources
  1. [No authors listed.] Children’s Hospital Los Angeles achieves electronic medical records milestone. Business Wire website 2015 Dec 9. Available at http://www.businesswire.com/news/home/20151209006614/en/Children%E2%80%99s-Hospital-Los-Angeles-Achieves-Electronic-Medical.   
  2. [No authors listed.] US EMR Adoption ModelSM. HIMSS Analytics website. No date. Available at http://app.himssanalytics.org/hc_providers/emr_adoption.asp.
  3. [No authors listed.] U.S. EMR Adoption ModelSM trends. HIMSS Analytics website. No date. Available at .https://app.himssanalytics.org/docs/EMRAM%20Criteria%20Sheet%202014%20v2.pdf.   
  4. Evans M. 758 hospitals see Medicare pay cut over hospital-acquired conditions. Modern Healthcare 2015 Dec 10. Available at http://www.modernhealthcare.com/article/20141206/MAGAZINE/312069987.   
  5. Evans M. CMS posts new quality data for individual doctors over AMA protests. Modern Healthcare 2015 Dec 10. Available at http://www.modernhealthcare.com/article/20151210/NEWS/151219991.   
  6. Evans M. Half of hospitals penalized for hospital-acquired conditions are repeat offenders. Modern Healthcare 2015 Dec 10. Available at http://www.modernhealthcare.com/article/20151210/NEWS/151219988.   
  7. Rice S. Despite progress on patient safety, still a long way across the chasm. Modern Healthcare 2014 Dec 6. Available at http://www.modernhealthcare.com/article/20141206/MAGAZINE/312069987.   
  8. Sun LH. Superbug known as ‘phantom menace’ on the rise in U.S. The Washington Post December 4, 2015. Available at https://www.washingtonpost.com/news/to-your-health/wp/2015/12/03/superbug-known-as-phantom-menace-on-the-rise-in-u-s/.   
  9. Toussaint JS. To radically redesign health care, start with one unit. Harvard Business Review 2015 Dec 9. Available at https://hbr.org/2015/12/to-radically-redesign-health-care-start-with-one-unit.   
  10. National Quality Forum. Safe Practice 1: Culture of Safety Leadership Structures and Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  11. National Quality Forum. Safe Practice 2: Culture Measurement, Feedback, and Intervention. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  12. National Quality Forum. Safe Practice 3: Teamwork Training and Skill Building. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  13. National Quality Forum. Safe Practice 4: Risks and Hazards. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
  14. National Quality Forum. Chapter 9: Opportunities for Patient and Family Involvement. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.     
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