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Program

FRIDAY, JUNE 24 - CONCEPTS UNDERPINNING SURGICAL SAFETY
8:00am WELCOME & INTRODUCTION
Steven Yule, PhD
Brigham and Women's Hospital, Boston, MA
Thoralf M. Sundt, III, MD
Massachusetts General Hospital, Boston, MA
8:15am - 10:00am SESSION I: "FUNDAMENTALS IN UNDERSTANDING SAFETY IN SURGERY"

Co-Chairs: Kenneth Shann, CCP, LP
Thoralf M. Sundt, III, MD
8:15am Human as Hazard or Human as Hero?
Douglas A. Wiegmann, MD
University of Wisconsin, Madison, WI
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8:40am How Human Factors Professionals Understand Error: Frameworks for Understanding, Models and Classification Systems
Sarah Henrickson Parker, PhD
Virginia Tech Carilion Research Institute, Roanoke, VA
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9:05am Resilience in Teams and in Organizations: What it takes to be High Reliability in Medicine
Steven Yule, PhD
Brigham and Women's Hospital, Boston, MA
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9:30am PANEL DISCUSSION
10:00am - 10:30am COFFEE BREAK, VISIT EXHIBITS
10:30am - 12:00pm SESSION II: “TOOLS FOR UNDERSTANDING SAFETY AND ERROR”
Co-Chairs: Sarah Henrickson Parker, PhD
M. Blair Marshall, MD
10:30am Performing Root Cause Analysis Productively
Constance Haan, MD

ACGME, Billings, MT
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10:55am Applying the NASA Threat and Error to Surgery
Edward Hickey, MD

The Hospital for Sick Children, Toronto, Ontario, Canada
11:20am Measuring Technical Performance
Emile A. Bacha, MD

Children's Hospital of New York/ Columbia University, New York, NY
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11:45am - 12:15pm PANEL DISCUSSION
12:15pm - 1:00pm WORKING LUNCH SESSION

Why Do So Many Safety Solutions Fail? – Models for Understanding Implementation
Douglas A. Wiegmann, MD

University of Wisconsin, Madison, WI
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1:00 pm - 3:15 pm SESSION III: "OPTIMIZING INDIVIDUAL HUMAN PERFORMANCE: THE IMPACT OF THE PHYSICAL AND COGNITIVE ENVIRONMENT"
Co-Chairs: Jake Jaquiss, MD
Steven Yule, PhD
1:00pm Medical Devices: Ergonomic Device Design and Evaluation
Sarah Henrickson Parker, PhD
Virginia Tech Carilion Research Institute, Roanoke, VA
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1:25pm Medical Architecture – Making our ORs, ICUs and SDUs Safer by Design
Jake Abernathy, MD
Medical University of South Carolina, Charleston, SC
1:50pm Understanding limitations of Human Cognitive Performance
Steven Yule, PhD
Brigham and Women's Hospital, Boston, MA
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2:15pm Leveraging Data to Improve Individual Performance
David Westfall Bates, MD
Brigham and Women's Hospital, Boston, MA
2:15pm DISCUSSION
3:00pm - 3:30pm COFFEE BREAK, VISIT EXHIBITS
3:30 pm - 5:00pm BREAKOUT SESSION I: FOCUS ON INTERDISCIPLINARY CARE
(delegates choose one)

  1. USING SIMULATION TO INTRODUCE NEW TECHNOLOGIES AND MAINTAIN PERFORMANCE - CPB AND ECMO

    David C. Fitzgerald, CCP
    Medical University of South Carolina, Charleston, SC
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    Kenneth Shann, CCP, LP
    Massachusetts General Hospital, Boston, MA

  2. INSTITUTING A MULTIDISCIPLINARY BLOOD MANAGEMENT PROGRAM

    Daniel J. FitzGerald, CCP, LP
    Brigham and Women's Hospital, Boston, MA

    Prem S. Shekar, MD
    Brigham and Women’s Hospital, Boston, MA

    Stanton K. Shernan, MD
    Brigham and Women’s Hospital, Boston, MA

    Martin Zammert, MD
    Brigham and Women’s Hospital, Boston, MA
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  3. STANDARDIZING CARE WITH PROTOCOLS AND GUIDELINES
    Marco A. Zenati, MD

    Harvard Medical School, Boston, MA
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    Shannon Pengel, RN
    Cleveland Clinic Heart and Vascular Institute, Cleveland, OH
DISCUSSION
5:00pm - 8:00pm Simulation Fair and Networking Reception
 
SATURDAY, JUNE 25 - TOOLS TO ENHANCE PERFORMANCE
7:00am - 8:00am BREAKFAST: "OPEN MICROPHONE CASE PRESENTATIONS: WHAT WENT WRONG?"

Facilitators: Michael Fitzsimons, MD
Sarah Henrickson Parker, PhD
Thoralf M. Sundt, III, MD
8:00am - 10:00am SESSION IV: "TOOLS TO OPTIMIZE TEAM PERFORMANCE IN THE OR, ICU AND STEP-DOWN"

Co-Chairs: M. Blair Marshall, MD
David J. Bunnell, PA-C
8:00am Principles of High Functioning Teams and Effective Leadership Behaviors
Sarah Henrickson Parker, PhD
Virginia Tech Carilion Research Institute, Roanoke, VA
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8:25am Putting it Together: The Value of Experiential Learning/Simulation
Douglas S. Smink, MD, MPH

Brigham and Women's Hospital, Boston, MA
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8:50am Simple Tools for Structured Communication in Handoffs and Transitions of Care: SBAR and IPASS
Patricia A. Hickey, PhD, MBA, RN, FAAN

Boston Children's Hospital, Boston MA
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9:15am TEAM STEPPS in the ORs
Amanda Rhee, MD

Mt. Sinai Hospital, New York, NY
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9:40am - 10:20am PANEL DISCUSSION
10:20am - 10:50am COFFEE BREAK, VISIT EXHIBITS
10:50am - 12:20am BREAKOUT SESSION II: FOCUS ON INTERDISCIPLINARY CARE
(delegates choose one)
  1. CHALLENGES AND SUCCESSES IN IMPLEMENTING CHECKLISTS/BRIEFINGS/DEBRIEFINGS
    Thoralf M. Sundt, III, MD

    Massachusetts General Hospital, Boston, MA

    Kenneth Shann, CCP, LP
    Massachusetts General Hospital, Boston, MA

  2. SHARED DECISION-MAKING AND CONFLICT RESOLUTION IN THE ICU
    Patricia A. Hickey, PhD, MBA, RN, FAAN

    Boston Children’s Hospital, Boston, MA
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  3. COORDINATING AND COOPERATING IN THE INTRODUCTION OF NEW TECHNOLOGY: TAVR AND THE HYBRID OR
    Douglas C. Shook, MD

    Brigham and Women’s Hospital, Boston, MA

  4. HOW TO ASSESS AND IMPROVE NON-TECHNICAL SKILLS IN THE OPERATING ROOM (NOTSS)
    Steven Yule, PhD

    Brigham and Women's Hospital, Boston, MA

    Douglas S. Smink, MD, MPH
    Brigham and Women's Hospital, Boston, MA
12:20pm - 1:30pm LUNCH
1:30pm - 3:10pm SESSION V: "SAFETY AT THE INSTITUTIONAL LEVEL"
1:30pm Implementing a Safety Reporting System Productively
Cassandra M. Kelleher, MD
Massachusetts General Hospital, Boston, MA
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1:55pm Maintaining the Gains: Strategies to Combat "drift"
Jake Jaquiss, MD

Duke University, Durham, NC
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2:20pm Accountability in the Context of “Systems Thinking”: Who is Responsible?
Thoralf M. Sundt, III, MD

Massachusetts General Hospital, Boston, MA
View Slides
2:45pm When Bad Things Happen: Disclosure and Supporting Caregivers in the Aftermath
Jo Shapiro, MD

Brigham and Women’s Hospital, Boston, MA
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3:10pm - 3:40pm DISCUSSION
3:40pm CLOSING REMARKS
3:45pm MEETING ADJOURNS
 

 
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