Chicago 2004 Performance Improvement Seminar
Fixing Medical Errors and Business Systemic Failures
Seminar Topics
1. Anatomy
and Prevention of Medical Errors and Systemic Failures
This is a report on the anatomy of medical errors, the roles both
systemic failures and human factors play, and the effective process of solution
implementation. This seminar is designed to give an overview of the mechanism of errors to
health-care workers in all critical areas of patient care. It is designed to alert workers
to look out for potential sources of problems. Our studies show that when health-care
workers are made aware of situations leading to errors, they are more careful in those
areas of the process-line. The seminar is presented with some case studies, giving the
participants ways to identify potential sources of errors in their own institutions.
Throughout the presentations, tips will be given about ways to design solutions and fix
problems before they impact patient care. Both the human cost and the financial
consequences of medical errors are also discussed. This seminar is also designed to help
any business break its operation and work flow into processes, identify areas of
deficiencies, design and implement solutions and measure the outcome.
2. Managing the Challenges Facing Quality
Improvement Officers
Many
health-care professionals have been talking about different ways to fix medical errors,
including using the group approach, but most people are unaware of the challenges
involved. Quality improvement officers face a lot of challenges. This section discusses
some anticipated challenges a problem-solving team might expect as well as how to plan an
effective problem-solving committee. Although some of these ideas were discovered during
our solution-implementation study while working to fix medical errors, the same strategies
can be used for solving problems in other businesses as well. Over 30 tips provided.
3.
Fixing the Slow Progress of Medical Errors – Discovering the Missing Pieces
Different institutions across the
nation are at different stages of fixing medical errors and systemic failures. Some of
them are stuck at various stages due to many barriers, the greatest of which is resistance
from employees to new design. Others have experienced good progress for the first couple
of months or immediately after the solution implementation, followed by another spike in
the number of errors. For all institutions that have completed the ten stages of solution
implementation but are unable to sustain a continuous decrease in errors, this session
discusses the missing pieces.
4.
Physicians Talking to Other Physicians About Medical Errors
One of the
greatest challenges to hospital executives is how to talk to physicians about medical
errors. Communication with some physicians about their errors has been extremely
difficult. This session will discuss how physicians can talk to other physicians about
medical errors, strategies of setting quality improvement goals, establishment of
cost-containment measures and the reduction of clinical misadventures.
Seminar Registration
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5.
Presenting the New Book on Medical Errors: Managing Crises on the Job
The book
chronicles the challenges faced by quality improvement officers within institutions. It
discusses barriers encountered while designing and implementing solutions to fixing
medical errors or systemic failures. It stresses the unexpected, yet very crucial roles
human motivation and emotion play in deterring progress and how to overcome such
challenges.
6.
Time and Stress Management on the Job
All managers
and directors continue to face the challenge of inadequate time to accomplish certain
tasks. This session discusses how to manage time to achieve maximum work efficiency and
suggests ways to reduce stress on the job.
7.
Computer Assisted Programs for Health-care Workers
Discusses and outlines various computer programs as tutorials
already created by different authors to help educate health-care workers, especially those
in nursing.
Important Note: A directory of tools and software
reviews will be presented throughout the conference to update attendees and various
health-care executives across the nation about the latest resources available for fixing
medical errors.
For More Information, Contact: Lara
Publications, 12382 Trail Forest Lane, Florissant, MO 63033. Tel: 314-653-0467 Fax:
314-653-6543 or Editor@Outcrybookreview.com
Conference
Schedule
Seminar Registration
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