Monitoring INTERNATIONAL PATIENT SAFETY GOALS and other Quality Improvement Initiatives

6th February 2018

Time: 8:30 AM to 6:00 PM
Venue: Mandarin Plaza Hotel, Cebu City
Registration Fee:  US$250

This workshop is designed to provide students with an overview on the requirements for patient safety and risk management in a healthcare organization related to the International Patient Safety Goals (IPSGs). The focus of the course is on how to understand Monitoring IPSGs and how to identify errors and patient safety; to understand how to identify, report and analyze adverse events related to IPSGs; to understand the role of a culture of safety and to understand the role of root cause analysis in managing IPSGs events. The course provides a focus on managing risk and how to categorize and define near miss events and risks related to IPSGs; how to report and analyze near miss events; how to identify high risk processes; how to prioritize risk-related processes; and how to apply proactive risk assessment analysis methods to identify areas for improvement dealing with IPSGs. It also provides several tools and techniques that enable participants to guide teams and lead the process improvement efforts to control and prevent medical errors and near misses with the use of the TRACER technique. The course uses a competency-based approach that emphasizes the application aspects of adult learning.

At the conclusion of this workshop, participants will acquire knowledge and skills on how to:

Overview of Patient Safety related to Monitoring of IPSGs                                                

• Understand importance of patient safety issues related to IPSGs
• Understand error definitions, classification, causation, and consequences
• Understand how to manage adverse events related to IPSGs

Adverse Event Definition, Reporting and Analysis of the IPSGs none compliance

• Understand how to manage adverse events related to IPSGs
• Understand how to report and analyzed adverse event data of IPSGs

Risk Management Overview

• Understand risk management purpose and goals related to IPSGs
• Understand key definitions
• Understand relationship between risk management and management of near miss events related to IPSG
• Understand key steps in risk assessment methods
• Understand method for prioritizing and ranking high risk processes
• Understand challenges of risk assessment

Tracer Technique Tool                    

• Understand the purpose of Tracers
• Learn methods and approach used by JCI for Tracers – both patient tracers and system tracers

To stimulate and guide group discussions, faculty will provide participant with a series of relevant questions and case scenarios. When appropriate to deeply understand concepts and methods, faculty will use instructional videos. In addition, to ensure competency in using quality management tools, faculty will provide participants with a series of exercises, which are to be completed and discussed in a group format.

Identifying Systems and Errors related to IPSGs

Describing and classifying IPSGs errors

5 WHY analysis

Developing error mitigation and detection solutions

Identifying risks related to clinical events related to IPSGs

Risk prioritization

Developing failure statements related to risks

• Participants must review the agenda
• Participants must fully participate in group sessions
• Participants must demonstrate competency in applying concepts and in using methods and tools