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March 21, 2013, 1:00 pm - 2:30 pm ET
Dr. Aryeh Shander – Patient Safety: From Transfusion to Patient Blood Management; and
Dr. Lachlan Forrow – The Albert Schweitzer Fellowship

 Session Overview

Reducing transfusion-related morbidity and mortality is achievable with an integrated approach to blood management. The outcome is positive for patients and the business case is compelling. Join Dr. Aryeh Shander, one of our nation's experts in the field of blood management, for this exciting webinar in which Dr. Shander will present some of the tools and best practices employed to reduce a patient's exposure to risks from donor blood. Dr. Shander is an anesthesiologist who is especially respected for his innovations and skill in performing bloodless procedures. He has authored numerous articles and many books in the fields of anesthesiology, critical care transfusion medicine, and other disciplines. In 1997, Dr. Shander was recognized by Time magazine as one of America's "Heroes of Medicine."
Dr. Aryeh Shander

Dr. Lachlan Forrow
The second portion of the webinar will be led by Dr. Lachlan Forrow, President of The Albert Schweitzer Fellowship (ASF), who will present the work undertaken by ASF in pursuing its mission of "improving the health of vulnerable people now and for the future by developing a corps of Leaders in Service – professionals skilled in creating positive change with and in our communities, our health and human service systems, and our world." The impact of ASF through its fellowship program has been tremendous, with nearly 2,500 Schweitzer Fellows delivering 500,000 hours of service to 300,000 people in need. Additionally, more than 100 Fellows have provided care at the 100-year-old Schweitzer Hospital in Lambaréné, Gabon, Africa, where Dr. Forrow is also president. Lambaréné Fellows are four third-year medical students who spend three months working at the Albert Schweitzer Hospital in Lambaréné, Gabon, on clinical rotations.

Drs. Shander and Forrow will be joined by a blue-ribbon reactor panel of quality and patient-safety experts, including Thomas Zeltner, MD, expert leader in Public Health, Bern, Switzerland; Sanjiv Chopra, MD, MACP, Professor of Medicine, Faculty Dean for Continuing Medical Education, Harvard Medical School, Boston, MA; Kavita Patel, MD, MSHS, Fellow and Managing Director, Delivery System Reform and Clinical Transformation, Engelberg Center for Health Care Reform, Brookings Institution, Washington, DC; and Jennifer Dingman, Founder, Persons United Limiting Substandards and Errors in Healthcare (PULSE), Colorado Division, Co-founder, PULSE American Division, TMIT Patient Advocate Team Member, Pueblo, CO.

Webinar Video and Downloads

To download a complete version of the transcript of the webinar, click here.  

Speaker Slide Sets:

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

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.

Related Resources:
Goodnough LT, Shander A. Patient blood management. Anesthesiology 2012 Jun;116(6):1367-76. Available at http://journals.lww.com/.  
Shander A, Van Aken H, Colomina MJ, et al. Patient blood management in Europe. Br J Anaesth 2012 Jul;109(1):55-68. Available at http://bja.oxfordjournals.org/.  
Hofmann A, Farmer S, Shander A. Five drivers shifting the paradigm from product-focused transfusion practice to patient blood management. Oncologist 2011;16 Suppl 3:3-11. Available at http://theoncologist.alphamedpress.org/  
Seeber P, Shander A. Basics of Blood Management. Chichester, West Sussex, UK: Wiley-Blackwell; 2012. Available for purchase at www.amazon.com/  
Shander A, Hofmann A, Ozawa S, et al. Activity-based costs of blood transfusions in surgical patients at four hospitals. Transfusion 2010 Apr;50(4):753-65. Available at http://onlinelibrary.wiley.com/  
Shander A, Hofmann A, Gombotz H, et al. Estimating the cost of blood: past, present, and future directions. Best Pract Res Clin Anaesthesiol 2007 Jun;21(2):271-89. Available at www.ncbi.nlm.nih.gov/pubmed/  
[No authors listed.] The cost of blood: multidisciplinary consensus conference for a standard methodology. Transfus Med Rev 2005 Jan;19(1):66-78. Available at www.ncbi.nlm.nih.gov/pubmed/  
The Albert Schweitzer Fellowship  
Forrow L. "What if something serious happened, and we didn't know what you would want the doctors to do?" The Conversation Project website. Cambridge (MA): The Institute for Healthcare Improvement; No date. Available at http://theconversationproject.org/about/lachlan-forrow/  
Forrow L. When in doubt, try to save a life. Mortal Matters blog. Boston (MA): The Boston Globe; 2013 Mar 11. Available at www.boston.com/lifestyle/health/mortalmatters/  
Registration Information and CE Credit Information:
 Register:
Click here to register for this Webinar.

 When:  March 21, 2013 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:

  • Develop background knowledge in blood management, its organization, methods, and tools.
  • Understand the concepts of blood management as a multidisciplinary effort and the possible economic benefits.

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.

Nurse Faculty: Justine Medina

To request CE credit, please click here.

 Moderator
Charles R. Denham, MD
Welcome

Faith, great teams, and wonderful partners have served a calling to save lives, save money, and create value in communities held by both the not-for-profit TMIT and for-profit HCC Corporation founded by Dr. Denham. He is very grateful for having a supporting role in development of leadership, practices, and technology innovations that have led to safer healthcare for children and vulnerable populations over the last 30 years.
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 Patient Safety Advocate
Jennifer Dingman
The Voice of 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.
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 Session Speakers and Reaction Panel
Aryeh Shander, MD, FCCM, FCCP
Patient Safety: From Transfusion to Patient Blood Management

Aryeh Shander, MD, FCCM, FCCP, is the Chief of the Department of Anesthesiology, Critical Care Medicine, Pain Management and Hyperbaric Medicine at Englewood Hospital & Medical Center in Englewood, NJ. He is also Clinical Professor of Anesthesiology, Medicine & Surgery at Mt. Sinai School of Medicine in New York City; Executive Medical Director of The Institute for Patient Blood Management and Bloodless Medicine and Surgery at Englewood Hospital; and President of the Medical/Dental Staff at Englewood Hospital and Medical Center.
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B. Lachlan Forrow, MD
The Albert Schweitzer Fellowship

B. Lachlan Forrow, MD, earned his AB (summa cum laude in Philosophy) from Princeton University in 1978 and his MD from Harvard Medical School (HMS) in 1983. As a senior medical student, he spent three months in Africa as an Albert Schweitzer Fellow at the Schweitzer Hospital in Lambaréné, Gabon. After completing his residency training in primary care internal medicine at Rhode Island Hospital/Brown University, he returned to Harvard for a two-year Faculty Development Fellowship in General Internal Medicine, followed by a year as a Fellow in the Harvard University Program in Ethics and the Professions, where he continues as a Faculty Associate.
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Thomas Zeltner, MD
Reaction to Presentations

Thomas Zeltner, MD, former Secretary of Health of Switzerland and Director-General of the Swiss National Health Authority (1991-2009), has a long history as an innovative and progressive leader in public health. He currently serves as Special Envoy for Financing of the World Health Organization (WHO). In this capacity he advises the Director General of WHO, Margaret Chan, on the identification of an improved financing framework for the organization, a cornerstone of the current reform of this UN agency.
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Sanjiv Chopra, MD, MACP
Reaction to Presentations

Sanjiv Chopra, MD, MACP, is Professor of Medicine and Faculty Dean for Continuing Medical Education at Harvard Medical School, and Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center in Boston, MA. Dr. Chopra has several publications and five books to his credit. His books have been translated into several languages including Portuguese, Japanese, Italian, and Czech. He is Editor-in-Chief of the Hepatology Section of UpToDate, an outstanding and innovative clinical reference on CD-ROM that is subscribed to by an estimated 450,000 physicians worldwide.
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Kavita Patel, MD, MSHS
Reaction to Presentations

Kavita Patel, MD, MSHS, is a Fellow and Managing Director of Delivery System Reform and Clinical Transformation at the Engelberg Center for Health Care Reform at the Brookings Institution. She was previously Director of the Health Policy Program at the New America Foundation, a nonpartisan public policy institute in Washington, D.C.
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