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TMIT
June 16, 2016, 1:00 pm - 2:30 pm ET
New Oral Anticoagulants: New Patient Safety Challenges
 Session Overview
Dr. Alan Jacobson is a pioneer and leader in the field of anticoagulation management, having implemented innovative strategies within the VA system to improve anticoagulation management and dramatically reducing risk with out-of-range INR and complications associated with anticoagulation therapy.

Dr. Jacobson will address the challenges associated with the new therapeutic drugs, which require less monitoring, but bring new risks. There are new lessons being learned that can help keep patients safer when these innovative new medications are being used.

Following his presentation, a reactor panel will discuss the new information shared by Dr. Jacobson.

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.     

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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:
Registration is closed for the 'live' online version of this webinar. You can view the entire webinar by watching the video above.

 When:  June 16, 2016 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.
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Learning Objectives:

  • Awareness: Participants will understand and be able to communicate the new frequency, severity, and preventability of errors, harm, and harm due to errors in the use of the novel anticoagulation medications.
  • Accountability: Participants will understand who is accountable for new behaviors to protect patients and caregivers from errors and harm with novel anticoagulation medication use.
  • Ability: Participants will learn the principles of importance in education, and how to enable key actors to reduce errors and harm with novel agent anticoagulation medication use.
  • Action: Participants will learn what direct line-of-sight actions must be taken to prevent and reduce the harm of novel agent anticoagulation medication-related adverse drug events.

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.

 Introduction and Moderator
Charles R. Denham, MD
In the News and Recent Polling Responses

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...
Read more...

 Session Speaker
Alan K. Jacobson, MD, FACC
New Oral Anticoagulants: New Patient Safety Challenges

Alan K. Jacobson, MD, FACC, is a staff cardiologist and the Associate Chief of Staff for Research at the Loma Linda VA Medical Center in Southern California. A native of Canada, Dr. Jacobson has been at Loma Linda since heading south in 1977 for medical school. In addition to practicing general cardiology, Dr. Jacobson has a special interest in antithrombotic therapy.
Read more...

 Reaction Panelists
Jennifer Dingman
Discussion and Reaction to Presentations AND The Voice of the Patient and Family

Jennifer Dingman realized, after her mother's death in 1995 due to errors in medical diagnoses and treatment, that there is little to no help available for patients and their families in similar situations. This life-changing experience left her feeling vulnerable, and she decided to dedicate her life to help prevent medical tragedies from happening to others.
Read more...

Related Resources
  1. Cunningham A, Stein CM, Chung CP, et al. An automated database case definition for serious bleeding related to oral anticoagulant use. Pharmacoepidemiol Drug Saf 2011 Jun;20(6):560-6. Available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3365595/pdf/nihms-326250.pdf.    
  2. Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. Ann Pharmacother 2013 May;47(5):714-24. Available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3815430/pdf/nihms522671.pdf.    
  3. van Walraven C, Jennings A, Oake N, et al. Effect of study setting on anticoagulation control: a systematic review and metaregression. Chest 2006 May;129(5):1155-66. Available at http://journal.publications.chestnet.org/data/Journals/CHEST/22043/1155.pdf.    
  4. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. National Action Plan for Adverse Drug Event Prevention. Washington, DC: U.S. Department of Health and human Services; 2014. Available at http://www.health.gov/hai/pdfs/ADE-Action-Plan-508c.pdf.    
  5. 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.     
  6. 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.     
  7. 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.     
  8. 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.     
  9. National Quality Forum. Safe Practice 5: Informed Consent. 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.     
  10. National Quality Forum. Safe Practice 29: Anticoagulation Therapy. 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. 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.     
In the News
  1. Graber, ML, Bailey, R, Johnston, D, ONC. Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT, Revised Report. Health IT Safety Center Road Map, RTI: May 2016. Available at https://www.healthit.gov/sites/default/files/task_9_report.pdf.    
  2. Bresnick, Jennifer. 6 EHR, Big Data Issues Impede Safety, Cut Quality. Health IT Analytics.com: June 13, 2016. Available at: http://healthitanalytics.com/news/6-ehr-big-data-issues-impede-patient-safety-cut-quality.    
  3. Graber, ML, Bailey, R, Johnston, D, ONC. Report of the Evidence on Health IT Safety and Interventions, Final Report. RTI: May 2016. Available at: https://www.healthit.gov/sites/default/files/task_8_1_final_508.pdf.    
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