Date: October 22-24, 2009
Location: Montreal, QC - Le Centre Sheraton Montréal
Title: The Canadian Healthcare Safety Symposium 9
Theme: Human Performance and Healthcare Safety
Sub-themes:
- Square Pegs / Round Holes
- See 1, Do 1, Teach 1...
- Did you see the latest?
- "What Did You Say? What Do You Mean?"
- But Surely I'm Competent...
- Tell Me a Story
Download the Final Program
Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.
Learning Objectives
- Summarize how individual variability and personality can impact human performance and its relation to healthcare safety.
- Review training and education strategies and their effect on
job performance, by reflecting on traditional definitions of expertise
and Cognitive Work Analysis, and considering future uses for medical
simulation as an education tool.
- Discuss how new technologies - from other industries - can both aid and impede communication in the healthcare workplace.
- Distinguish communication measures in team environments resulting
from individual styles, the dimensions of silence, and cultural
factors.
- Evaluate competence and its influence at an individual, team, administrative and system level.
- Identify storytelling as a tool to better communicate with patients
and with the public.
Speakers
Moderator: Steven Lewis
President, Access Consulting, Saskatoon, Saskatchewan
Moderator: Micheline Ste-Marie MD
Associate Director of Professional Services, Montréal Children’s
Hospital, McGill University Health Centre, Montréal, Quebec
Annmarie Adams PhD, MRAIC (handout)
William C. Macdonald Professor and Associate Director, School of
Architecture, McGill University, Montréal, Quebec
René Amalberti MD PhD (handout)
HAS (Haute Autorité de Santé), Saint-Denis La Plaine
Cedex, France
St. Clair Armitage (handout)
PPP Project Director, McGill University Health Centre, Montréal,
Quebec
Jeff Caird PhD
Professor, Department of Psychology, University of Calgary, Calgary,
Alberta
Nathalie De Marcellis-Warin DEA PhD (handout)
Associate Professor, Department of Mathematical and Industrial Engineering,
École Polytechnique Montréal, Montréal, Quebec
Lorie Donelle RN PhD (handout)
Assistant Professor, Faculty of Health Sciences, University of Western
Ontario, Waterloo, Ontario
Stephen Duckett PhD DSc FCHSE FASSA (handout)
President and Chief Executive Officer, Alberta Health Services,
Edmonton, Alberta
Luc Dubé PhD (handout)
Physicien médical, DSH, Centre Hospitalier de L’Université
de Montréal, Montréal, Quebec
Bruce Dunphy MBChB MD MEd FRCOG PhD CREI FRANZCOG (handout)
Monash IVF Medical Director, Sunnybank, Queensland, Australia
Tye Farrow (handout)
Senior Partner, Farrow Partnership Architects Inc., Toronto, Ontario
Rhona Flin BSc PhD FBPsS FRSE (handout
1, handout 2)
Professor, School of Psychology, University of Aberdeen, Old Aberdeen,
Scotland
Graeme Gidney BEng(Hons) MSt (Cantab) CEng MCIBSE (handout)
Associate Director, Buro Happold Ltd., Edinburgh, United Kingdom
Philip Hébert (handout)
Associate Professor of Family Medicine, Bioethics Consultant, and
Chair of the Research Ethics Board, Sunnybrook Health Sciences Centre;
Faculty of Medicine, University of Toronto, Toronto, Ontario
Robert Hogan PhD (handout)
President, Hogan Assessment Systems, Tulsa, Oklahoma
Clifford Hughes (handout)
Chief Executive Officer, Clinical Excellence Commission, Sydney,
Australia
Kevin Lachapelle MD FRCSC FACS (handout)
Associate Professor of Surgery, Faculty of Medicine, McGill University,
Montréal, Quebec
Vincent Lam MD
Emergency Physician, Toronto East General Hospital; Author; Toronto,
Ontario
Annmarie Adams PhD, MRAIC (handout)
William C. Macdonald Professor and Associate Director, School of
Architecture, McGill University, Montréal, Quebec
Lorelei Lingard PhD (handout)
Associate Professor, Departments of Paediatrics and Health Policy,
Management and Evaluation, University of Toronto; Senior Scientist,
Child Health Evaluative Sciences, Research Institute; Lead Education
Researcher, Learning Institute; Scientist, Wilson Centre for Research
in Education, University Health Network; Adjunct Professor, Department
of English, University of Waterloo; Toronto, Ontario
Catherine Oliver N MSc(A) (handout)
Nursing Practice Consultant and co-chair the McGill University Health
Centre Patient Education Network Committee
Deb Prowse MSW LLB (handout)
Patients for Patient Safety, Calgary, Alberta
Andrea Robertson BN MSA (handout)
Vice President, Alberta Children’s Hospital and Foothills
Medical Centre, Alberta Health Services, Calgary, Alberta
Bert Ruitenberg (handout)
Human Factor Specialist, International Federation of Air Traffic
Controllers’ Associations, Amsterdam, The Netherlands
Blair Sadler JD (handout)
President and Chief Executive Officer, Children’s Hospital
and Health Center, San Diego, California
Eduardo Salas PhD MS BA (handout)
Trustee Chair and Professor of Psychology, University of Central
Florida; Program Director for Human Systems Integration Research
Department at the Institute for Simulation & Training; Orlando,
Florida
John W. Senders PhD (handout)
Consulting Scientist; Professor Emeritus, University of Toronto,
Toronto, Ontario
Linda Shohet PhD (handout)
Executive Director, Centre for Literacy of Quebec, Montréal,
Québec
Pascal Singy Pr PhD (handout
1, handout 2)
Linguistics Professor and Research Center Director, Lausanne University
and University Hospital Lausanne, Lausanne, Switzerland
Kathleen Sutcliffe PhD (handout)
Associate Dean, Faculty of Development and Research, University
of Michigan Ross School of Business, Ann Arbor, Michigan
Eva Thomas BSc MD PhD (Sweden) FRCPC (handout)
Clinical Professor, Department of Pathology & Laboratory Medicine,
University of British Columbia, Vancouver, British Columbia
Laurie Thompson RN MN (handout)
Executive Director, Manitoba Institute for Patient Safety, Winnipeg,
Manitoba
Régis Vaillancourt PharmD (handout)
Director of Pharmacy, Children’s Hospital of Eastern Ontario,
Ottawa, Ontario
Rudi van den Broek BSc MPA (handout)
Chief Project Officer and General Manager of Special Projects, Vancouver
Island Health Authority, Victoria, British Columbia
Jacqueline Vischer PhD (handout)
Professeure titulaire, École de design industriel, Faculté
de l’aménagement, Université de Montréal,
Montréal, Québec
John Wilson BTech MSc PhD DSc (handout)
Director of the Institute of Occupational Ergonomics and Professor
of Human Factors, School of Mechanical, Materials and Manufacturing
Engineering, University of Nottingham, Nottingham, United Kingdom
Michael Wolf PhD (handout)
Assistant Professor, Division of General Internal Medicine, Northwestern
University, Chicago, Illinois
David D. Woods PhD (handout)
Professor, Institute for Ergonomics, Ohio State University, Columbus,
Ohio
Organizing Committee
Co-chair: Jan Davies MSc MD FRCPC
Professor, Department of Anesthesia, Faculty of Medicine;
Adjunct Professor of Psychology, Faculty of Social Sciences,
University of Calgary
Co-chair: Micheline Ste-Marie MD
Associate Director of Professional Services, Montréal Children’s
Hospital, McGill University Health Centre
Ross Baker PhD
Professor, Health Policy, Management and Evaluation, Faculty of
Medicine, University of Toronto
Doug Cochrane MD FRCSC FAAP
Chair, British Columbia Patient Safety Task Force, Provincial
Health Services Authority
Pat Croskerry MD PhD
Professor, Department of Emergency Medicine, Dalhousie
University
Mark Daly RRT MA(Ed)
Patient Safety Coordinator, McGill University Health Centre
Philip Hassen MPH FCCHSE
Chief Executive Officer, Canadian Patient Safety Institute
Rob Robson MDCM FRCPC
Chief Patient Safety Officer, Winnipeg Regional Health Authority
Laurel Taylor PhD
Director of Operations, Canadian Patient Safety Institute
Laurie Thompson RN MN
Executive Director, Manitoba Institute for Patient Safety
Jewel Buksa MBA
President, BUKSA Strategic Conference Services
Date: October 23 to 25, 2008
Location: Winnipeg, MB - The Winnipeg Convention Centre
Title: The Canadian Healthcare Safety Symposium 8
Theme: Healthcare and the Law
Sub-themes:
- Inquests & Inquiries
- Litigation and Compensation
- Can we Regulate Safety?
- Apologies and Adverse Outcomes
- Responsibility & Accountability: Discussion & Debate
- Crime and Punishment
Download the Final Program
Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.
Learning Objectives
- Summarize the facets of apology and describe the impact of apology legislation on patient safety
- Outline the emotional, financial and workload impact of litigation on patient safety
- Describe the challenges in healthcare accountability relationships, the potentially conflicting points of view, and the impact of differing views on efforts to improve patient safety
- Explain how different legal frameworks and legal instruments aim to find the balance between demands for accountability, learning, and restoration for the patient and the health provider
- Identify lessons learned for healthcare and the law from international examples of inquiries and inquests, and identify their potential impact on improving patient safety and preventing future system breakdowns
- Describe the major points in the debate between the relative effectiveness of legal, institutional, regulatory, and individual patient-driven mechanisms to ensure responsibility and accountability in healthcare
- Compare and contrast examples of criminal negligence cases and identify the potential impact on improving patient safety and outcomes for systems, providers, and patients and their families
- Summarize current evidence related to whether or not legal mechanisms that affect patient safety are actually effective in improving patient safety
Speakers
Moderator: Steven Lewis
President, Access Consulting, Saskatoon, Saskatchewan
Jonathan Aleck BA MA JD PhD (handout)
Head of the Legal Services Group, Civil Aviation Safety Authority, Canberra, Australia
Pat Croskerry MD PhD (handout)
Associate Professor, Department of Emergency Medicine, Dalhousie University, Halifax, Nova Scotia
Maura Davies BSc BEd MHSA FCCHSE
President and Chief Executive Officer, Saskatoon Health Region, Saskatoon, Saskatchewan
Donna Davis LPN
Patients for Patient Safety Canada, Carievale, Saskatchewan
George Derwin BA LLB (handout)
Brock Derwin Barristers & Solicitors, Winnipeg, Manitoba
Valli Elmgren RO RCLP (handout)
Managing Optician, Edmonton, Alberta
Joan Gilmour BA LLB JSM JSD (handout)
Associate Professor, Osgoode Hall Law School, York University, Toronto, Ontario
William Godolphin PhD (handout)
Professor Emeritus, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia
Honourable Stephen Goudge BA MSc LLB QC
Commissioner, Inquiry into Pediatric Forensic Pathology in Ontario, Toronto, Ontario
Moderator: Martin Hatlie JD
President, Partnership for Patient Safety, Chicago, Illinois
Jim Hornell BA MEd
Chief Executive Officer, Cypress Health Region, Swift Current, Saskatchewan
Gale Hume MEd BA
Teaching Assistant, Faculty of Nursing, University of Manitoba,
Winnipeg, Manitoba
Alan Katz MBChB MSc CCFP
Associate Professor, Departments of Community Health Sciences and
Family Medicine, University of Manitoba
Dennis Kendel MD FCFP
College of Physicians and Surgeons of Saskatchewan, Saskatoon
Sir Ian Kennedy KBE FBA LLD DSc(Hon) DM(Hon) FRCP(Hon) (handout)
Chairman, Healthcare Commission, London, United Kingdom
Justice Horace Krever BA LLB LLD
Retired Justice of the Ontario Court of Appeal, Toronto, Ontario
Aaron Lazare MD (handout)
Professor, Chancellor & Dean Emeritus, Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts
John Lewis RN BScN (handout)
Hamilton Health Sciences, Hamilton, Ontario
John Martland (handout)
Partner, Bennett Jones LLP, Calgary, Alberta
Alan Merry MRCS LRCP MBChB DipObst FFARACS FANZCA (handout)
University of Auckland, Auckland
Kathryn Montgomery PhD (handout)
Professor and Director, Medical Humanities and Bioethics, Northwestern University, Chicago, Illinois
André Picard
Public Health Reporter, Globe and Mail, Montréal, Quebec
Deborah E. Prowse MSW LLB
Gerald Robertson QC LLB LLM (handout)
Professor, Faculty of Law, University of Alberta, Edmonton, Alberta
Rob Robson MDCM FRCPC (handout)
Chief Patient Safety Officer, Winnipeg Regional Health Authority, Winnipeg, Manitoba
Bill Runciman MBBS PhD FRCP (handout)
Professor, University of Adelaide, Adelaide, Australia
Honourable Justice Murray Sinclair LLB LLD QC
Court of Queens Bench, Winnipeg, Manitoba
Thoralf M. Sundt MD (handout)
Adult Cardiac Surgeon, Mayo Clinic, Rochester, Minnesota
Trevor Theman MD FRCSC (handout)
Registrar, College of Physicians & Surgeons of Alberta, Edmonton, Alberta
Paul Thomas PhD (handout)
Duff Roblin Professor of Government, St. John’s College, University of Manitoba, Winnipeg, Manitoba
Carl Thompson BA RN (handout)
Senior Research Fellow, Head of Programme, MSc Evidence Based Practice, Department of Health Sciences, University of York, York, United Kingdom
Luane Wagner (handout)
Saskatoon, Saskatchewan
Gordon Wallace FRCPC
Director of Education, Risk Management Services, Canadian Medical Protective Association, Ottawa, Ontario
Reginald A. Watson QC
Lawyer, Balfour Moss LLP, Regina, Saskatchewan
Brent Windwick QC LLM (Cantab.) (handout)
Partner, Field Law LLP, Edmonton, Alberta
Gordon Wong QC (handout)
Chief Crown, Calgary Crown Prosecutor’s Office, Calgary, Alberta
Committee
Co-chair: Jan Davies MSc MD FRCPC
Professor, Department of Anesthesia, Faculty of Medicine, University of Calgary
Co-chair: Laurie Thompson BN MN
Executive Director, Manitoba Institute for Patient Safety
Ross Baker PhD
Professor, Health Policy, Management and Evaluation, Faculty of
Medicine, University of Toronto
Paula Beard ACP
Director of Operations, Canadian Patient
Safety Institute
Sharon Caughey MD FRCSC FACOG
Assistant Professor, Department of Obstetrics and Gynaecology, University
of Ottawa
Doug Cochrane MD FRCSC FAAP
Chair, British Columbia Patient Safety Task Force, Provincial Health
Services Authority
Pat Croskerry MD PhD
Professor, Department of Emergency Medicine, Dalhousie University
Philip Hassen MPH FCCHSE
Chief Executive Officer, Canadian Patient Safety Institute
Carolyn Hoffman RN MN
Director, Critical Care and Emergency, Capital Health
Rob Robson MDCM FRCPC
Chief Patient Safety Officer, Winnipeg Regional Health Authority
Paul Thomas PhD
Duff Roblin Professor of Government, Faculty of Law, St. John's
College, University of Manitoba
Jewel Buksa MBA
President, BUKSA Strategic Conference Services
Date: October 11 to 13,
2007
Location: Ottawa, ON - The Westin Ottawa Hotel
Title: Halifax 7: The Canadian Healthcare Safety Symposium
Theme: Controversies in Healthcare
Sub-themes:
- Controversies in staffing
- Organizational controversies
- Ignoring Evidence
- 'Selling' safety concepts
- When a healthcare worker is the patient
Download the Final Program
Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.
Learning Objectives
- Describe global and national initiatives in patient safety, and apply
concepts from these initiatives locally.
- Articulate organizational and staffing controversies surrounding healthcare
staffing, so as to make more informed decisions in planning and operations.
- Explain what factors may induce culture or behaviour change, as well
as the limitations of such factors in building a culture of safety.
- Articulate how patient and provider safety can be integrated into
the design, planning and building for safety in healthcare workplaces.
- Recognize why healthcare professionals and administrators often do
not implement evidence into practice, and identify methods to overcome
this.
- Translate learning from the advertising industry on how to promote,
or sell, safety concepts to healthcare professionals and the public.
- Empathize and learn from the personal experiences of patients, including
those who are also healthcare workers.
- Synthesize the learning from each day of the Symposium, and articulate
key themes and changes that can be integrated into day to day operations
by participants.
Speakers
Moderator: Adrian Harewood BA
CBC Radio Ottawa
John Banja PhD (handout)
Associate Professor of Clinical Ethics, Assistant Director for
Health Sciences and Clinical Ethics, Center for Ethics, Emory University,
Atlanta, Georgia
Donald Berwick MD MPP (handout)
President and Chief Executive Officer, Institute for
Healthcare Improvement, Cambridge, Massachusetts
Marc Bonten MD (handout)
Professor of Molecular Epidemiology of Infectious Diseases,
Eijkman Winkler Institute for Microbiology, Inflammation & Infectious Diseases,
Julius Center for Health Sciences & Primary Care, Department of Internal
Medicine & Dermatology, Netherlands
Susan Brien MD MEd FRCSC (handout)
Director of Operations, Quebec, Eastern Canada &
Nunavut, Canadian Patient Safety Institute, Ottawa, Ontario
Drew Dawson PhD (handout)
Director, Centre for Sleep Research, University of South
Australia, Adelaide, South Australia
David DeJoy PhD (handout)
Professor, Department of Health Promotion and Behavior
Director, Workplace Health Group, College of Public Health, University of
Georgia, Athens, Georgia
Ed Etchells MSc MD FRCPC (handout)
Associate Professor of Medicine, Faculty of
Medicine, University of Toronto; Director, Patient Safety Service, Sunnybrook
Health Sciences Centre, Toronto, Ontario
Martin Fletcher (handout)
NHS Tayside, Tayside, Scotland
Alan Forster MD FRCPC MSc (handout1,
handout 2, handout
3, handout
4, handout 5)
Scientist, Associate Professor of Medicine, OHRI,
Clinical Epidemiology Unit, University of Ottawa, Ottawa, Ontario
Jason Frank MD MA(Ed) FRCPC (handout)
Associate Director, Office of Education, Royal
College of Physicians & Surgeons of Canada, Ottawa, Ontario
Kirk Hamilton FAIA FACHA (handout)
Associate Professor of Architecture, Texas A&M
University, College Station, Texas
Philip Hébert MD PhD FCFPC (handout)
Associate Professor in Family Medicine,
University of Toronto; Bioethicist, Joint Centre for Bioethics, Toronto, Ontario
Paul Hodgkin FRCGP (handout)
Chief Executive, Patient Opinion, Sheffield, United
Kingdom
Charles Husak MA (handout)
Principal / Creative Director, August, Lang, & Husak, Inc.,
Bethesda, Maryland
Tony Kern EdD
President and Chief Executive Officer, Convergent Knowledge
Solutions, LLC; Memphis, Tennessee
Robert Klitzman MD (handout)
Associate Professor of Clinical Psychiatry, College of
Physicians and Surgeons and John Mailman School of Public Health; Director,
Ethics, Policy and Human Rights Core, HIV Center, Columbia University, New
York, New York
Gerry Marr (handout)
Chief Operating Officer, NHS Tayside, Tayside, Scotland
Hugh McKenna PhD BSc(Hons) RMN RGN RNT DipN(Lond) AdvDipEd
FFN FRCSI FEANS FRCN (handout)
Dean, Faculty of Life & Health Sciences, University of
Ulster, Londonderry, Northern Ireland
Jack Needleman PhD (handout)
Associate Professor, Department of Health Services,
University of California, Los Angeles School of Public Health, Los Angeles,
California
Naren Patel FRSE FMedSci (handout)
Chairman, National Patient Safety Agency,
NHS Tayside, Dunkeld, United Kingdom
James Reason (handout)
Professor Emeritus, University of Manchester, Manchester,
United Kingdom
Dean Sandham MD FRCPC FRCP FACP CP&S (handout)
Dean of Medicine University of
Manitoba; Head of Canadian ICU Collaborative, Winnipeg, Manitoba
Ellie Scrivens PhD (handout)
Director, Health Care Standards Unit, Innovation Centre 1,
and Professor, Health Policy, Keele University, United Kingdom
Kaveh Shojania MD (handout
1, handout 2,
handout 3)
Canada Research Chair in Patient Safety and Quality
Improvement, Associate Professor of Medicine, University of Ottawa, Ottawa,
Ontario
Linda Shohet PhD (handout)
Executive Director of the Centre for Literacy of Quebec,
Montreal, Quebec
Susan Swiggum FRCPC
Physician Risk Manager, Risk Management Services, Canadian Medical
Protective Association, Ottawa, Ontario
Robyn Tamblyn RN PhD (handout)
Professor, Departments of Medicine and of
Epidemiology and Biostatistics, McGill University, Montreal, Quebec
Gordon Wallace MD CCFP(EM) FRCPC
Director, Education, Canadian Medical
Protective Association, Ottawa, Ontario
Bob Wears MD MS (handout
1, handout 2)
Professor, Health Sciences Center, University of Florida,
Jacksonville, Florida
Committee
Co-Chair: Sharon Caughey MD FRCSC FACOG
Assistant Professor, Department of Obstetrics and Gynaecology, University of Ottawa
Co-Chair: Jan Davies MSc MD FRCPC
Professor, Department of Anesthesia, Faculty of Medicine, University of Calgary
Homer Yang MD FRCPC
University of Ottawa
Ross Baker PhD
Professor, Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto
Susan Brien MD MEd FRCSC
Director of Operations, Quebec, Eastern Canada & Nunavut, Canadian Patient Safety Institute
Doug Cochrane MD FRCSC FAAP
Chair, British Columbia Patient Safety Task Force, Provincial Health Services Authority
Pat Croskerry MD PhD
Professor, Department of Emergency Medicine, Dalhousie University
Philip Hassen MPH FCCHSE
Chief Executive Officer, Canadian Patient Safety Institute
Carolyn Hoffman RN MN
Director of Operations, Ontario to British Columbia, Canadian Patient Safety Institute
Trevor Theman MD FRCSC
Registrar, College of Physicians and Surgeons of Alberta
Homer Yang MD CCFP FRCPC
Professor and Chair, Department of Anesthesiology, University of Ottawa
Jewel Buksa MBA
President, BUKSA Strategic Conference Services
Date: October 19 to 21, 2006
Location: Vancouver, BC - The Sheraton Vancouver Wall Centre Hotel
Title: Halifax 6: The Canadian Healthcare Safety Symposium
Theme: Safety Management Systems: changing the way we do things
Sub-themes:
- Designing for Safety
- Aspects of Change
- Not Now, I'm Busy: Measurement for Safety
- How Patients and Families can Effect Change
Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.
Download the Final Program
Learning Objectives
- Be familiar with and better understand different barriers to cultural improvement.
- Be knowledgeable about the methods to establish an effective safety management plan.
- Understand the significant differences that small changes in techniques can have on patient safety.
Speakers
Ross Baker (handout)
Professor, Department of Health Policy, Management and Evaluation, University of Toronto
John Banja (handout
1, handout 2)
Associate Professor of Clinical Ethics, Assistant Director for Health
Sciences and Clinical Ethics, Center for Ethics, Emory University
Ted Braun (handout)
Executive Medical Director, South Health Campus, Calgary Health
Region
Russell J. Brown
Jim Conway (handout)
Senior Fellow, Institute for Healthcare Improvement;
Senior Consultant, Dana-Farber Cancer Institute
John Cowell
Chief Executive Officer, Health Quality Council of Alberta
Lynda Cranston
President and Chief Executive Officer,
Provincial Health Services Authority
Pat Croskerry (handout)
Associate Professor, Queen Elizabeth II Health Sciences Centre,
Dalhousie University
Sandra Devlin-Cop
Sir Liam Donaldson (handout)
Chair, World Alliance for Patient Safety; Chief Medical Officer,
Department of Health, United Kingdom
Jay Doucet
William Ehman
Ward Flemons (handout
1, handout 2)
Vice President, Quality, Safety and Health Information, Calgary
Health Region
Sven Erik Gisvold (handout)
Professor, Department of Anaesthesia and Intensive Care,
St. Olav University Hospital
Philip Hassen
Chief Executive Officer, Canadian Patient Safety Institute
Dorothy Jones (handout
1, handout 2)
Principal Medical Officer and Director, Office of Safety and Quality
in Healthcare, Department of Health, Western Australia
Beth Kiley (handout)
Christina Krause
Rob Lee (handout)
International Consultant in Human Factors and Systems Safety
Alan Maynard (handout
1, handout 2)
Professor, Department of Health Services, University of York
Margaret Murphy (handout)
Patient Advocate and Member, Steering Committee, Patients for
Patient Safety Strand, WHO World Alliance for Patient Safety
Dave Musson
Dianne Parker (handout)
Professor, Department of Psychology, University of Manchester
Greg Powell
Stephen Pratt
Karim Qayumi
Andrea Robertson
Gerald Robertson
Professor, Faculty of Law, University of Alberta
Blair Sadler (handout)
President Emeritus, Rady Children’s Hospital; Senior Fellow, Institute for
Heathcare Improvement
John Shepherd
Vice President, Clinical Quality and Safety,
Vancouver Coastal Health
Sue Sheridan (handout)
Ryan Sidorchuk (handout)
Regional Patient Safety Champion, Patients for
Patient Safety Strand, WHO World Alliance for Patient Safety; Patient Safety Officer,
Winnipeg Regional Health Authority
Anthony Taylor (handout)
Vice President, Quality and Patient Safety,
Fraser Health Authority
Trevor Theman
Registrar, College of Physicians and Surgeons of Alberta
Charles Vincent
Smith and Nephew Professor of Clinical Safety Research,
Department of Surgery, Oncology, Reproductive Biology and Anaesthetics,
Imperial College London
Bob Wears (handout)
Professor, Department of Emergency Medicine, College of Medicine,
University of Florida
Western Node (handout)
Ontario Node (handout)
Québec Node (handout)
Atlantic Node (handout)
Committee
Co-Chair: Jan Davies MSc MD FRCPC
Professor, Faculty of Medicine, University of Calgary
Co-Chair: Trevor Theman MD FRCPC
Registrar, College of Physicians and Surgeons of Alberta
Norma J. Brown MSc
Director of Operations, Health Quality Council of Alberta
John Cowell MD FRCPC
Chief Executive Officer, Health Quality Council of Alberta
Ward Flemons MD FRCPC
Vice President, Quality, Safety and Health Information, Calgary Health Region
Carolyn Hoffman RN MN
Director of Operations (BC to Ontario), Canadian Patient Safety Institute
Donna Towers MHSA CHE
Vice President and Chief Liaison Officer, Capital Health
Doug Cochrane MD FRCSC FAAP
Chair, British Columbia Patient Safety Task Force
John Shepherd MD FRCPC
Vice President, Clinical Quality and Safety, Vancouver Coastal Health
Georgene Miller
Corporate Director, Medical Affairs, Quality, Safety and Risk Management, Provincial Health Services Authority
Jewel Buksa MBA
President, BUKSA Strategic Conference Services
Date: October 20 to 22, 2005
Location: Calgary, AB - The Westin Calgary
Title: Halifax 5: The Canadian Healthcare Safety Symposium
Theme: Advancing the Culture of Safety
Sub-themes:
- Change management and leadership
- Asking the right questions: reporting and databases
- Leadership, reporting and the law
Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.
Download the Final Program
Learning Objectives
- Describe global and national initiatives in patient safety, and apply concepts from these initiatives locally.
- Explain what is meant by safety management systems.
- Translate experiences from aviation and other industries on safety management systems to healthcare.
- Articulate how patient and provider safety and well being can be integrated
into the planning and building of hospitals and healthcare institutions.
- Cite specific examples of principles to employ and potential pitfalls in designing for safety.
- Recognize the psychological, professional, legal and societal forces that hinder change and improvement.
- Identify opportunities for and the benefits of healthcare organizations/ professionals partnering with patients and families to effect change.
- Describe the key measures of system safety/change.
- Evaluate whether or not changes have been made and care is safer.
Speakers
Jim Conway (handout)
Senior Fellow, Institute for Healthcare Improvement;
Senior Consultant, Dana-Farber Cancer Institute
Jack Davis
President and Chief Executive Officer,
Calgary Health Region
Ward Flemons (handout)
Vice President, Quality,
Safety and Health Information, Calgary Health Region
Rhona Flin (handout)
Professor, School of Psychology,
University of Aberdeen
Sven Erik Gisvold (handout)
Department of Anaesthesia and Intensive Care,
St. Olav University Hospital, Norway
Bob Helmreich (handout)
Professor and Director,
Department of Psychology, University of Texas
The Honourable Horace Krever
Retired Justice of the Ontario Court of Appeal
Rob Lee (handout)
International Consultant in Human Factors and Systems Safety
Julie Morath (handout)
Chief Operating Officer,
Children’s Hospitals and Clinics of Minnesota
The Honourable Virgil Moshansky (handout)
Retired Justice of the Court of Queen’s Bench of Alberta
André Picard
Public Health Reporter, The Globe and Mail
Stavros Prineas (handout)
Specialist Anesthetist, Department of Anaesthesia and Pain Management,
Nepean Hospital, Australia
James Reason (handout)
Professor Emeritus,
Department of Psychology, University of Manchester
Rob Robson (handout)
Director of Patient Safety,
Winnipeg Regional Health Authority
The Honourable Justice Murray Sinclair (handout)
Court of Queens Bench, Province of Manitoba
David Sless (handout)
Director,
Communication Research Institute of Australia
Bob Wears (handout)
Department of Emergency Medicine,
College of Medicine, University of Florida
Sheila Weatherill
President and Chief Executive Officer,
Capital Health (Edmonton)
Heather Wellington (handout)
Consultant, Phillips Fox
Ron Westrum (handout)
Professor,
Departments of Sociology and Technology Studies, Eastern Michigan University
Committee
Co-Chair: Jan Davies MSc MD FRCPC
University of Calgary
Co-Chair: Trevor Theman MD FRCPC
Capital Health
Norma Brown MSc
Health Quality Council of Alberta
Robert (Bob) Burns BSc MD
College of Physicians and Surgeons of Alberta
John Cowell MSc MD FRCPC
Health Quality Council of Alberta
Ward Flemons MD FRCPC
Calgary Health Region
Carolyn Hoffman RN MN
Canadian Patient Safety Institute
Bob Johnston MD CM
Calgary Health Region
Donna Towers MHSA CHE
Capital Health
Jewel Buksa MBA
BUKSA Strategic Conference Services
Date: October 14 to 16, 2004
Location: Edmonton, AB - The Westin Edmonton
Title: Halifax 4: The Canadian Healthcare Safety Symposium
Theme: Building a Culture of Safety
Sub-themes:
- Electronic health records
- Exploring the edge of the safety envelope
- Learning from medical accidents and close calls
Download the Final Program
Learning Objectives
- For delegates to gain a better understanding of health system errors.
- For healthcare professionals to better understand, influence and implement
policies and practices that contribute to improved patient safety.
Speakers
Trevor Theman, College of Physicians and Surgeons of Alberta and Pat Crosskerry, Dalhousie University
Opening Remarks
James Bagian, Director, US Veterans Affairs National Centre for Patient Safety
Building a Culture of Safety
Peter Norton, Department of Family Medicine, University of Calgary and Ross Baker, Department of Health Policy, Management and Evaluation, University of Toronto
Canada's Patient Safety Record: The Results of the Canadian Adverse
Events Study
John Wade, Chair, Founding Board, Canadian Patient Safety Institute
The Latest From the Canadian Patient Safety Institute (CPSI)
Denis Protti, Professor, School of Health Information Science, University of Victoria
International Perspectives on Electronic Health Records
Tom Rosenal, Medical Leader, Clinical Informatics, Calgary Health Region
The Value of Patient Care Information
Donna Strating, Chief Information Officer, Capital Health
The Regional Approach
Drew Dawson, Director, Centre for Sleep Research, Australia
Fatigue Management (Breakout)
Stavros Prineas, Specialist Anaesthetist, Nepean Hospital, Australia
Safety-Critical Communication Skills (Breakout)
Pat Croskerry, Clinical Consultant in Patient Safety-CDHA, Dalhousie University
Decision-Making in Healthcare (Breakout)
René Amalberti, Medicine Chef des Services, Ministère de la Défense, France
Understanding Violations and Boundaries
Patricia Marck, Faculty of Nursing, University of Alberta
Introduction to the Health System as an Ecosystem
Bob Helmreich, Department of Psychology, University of Texas at Austin
The Team
David Musson, Member of the University of Texas Human Factors Project, John Cowell, CEO of the Health Quality Council of Alberta and Bruce
MacLeod, Deputy Regional Clinical Department Head of Emergency Medicine, Calgary Health Region (Moderators)
Public Forum
Brian Postl, Chief Executive Officer, Winnipeg Regional Health Authority
Learning from Medical Accidents and Close Calls - Winnipeg
Julie Morath, Chief Operating Officer & Chief Nurse Executive, Children’s Hospitals and Clinics
Minneapolis/St. Paul, Minnesota
Learning from Medical Accidents and Close Calls - Minnesota
Michele Lahey, Chief Operating Officer, University of Alberta Hospital and Stollery Children’s Hospital, Capital Health
Learning from Medical Accidents and Close Calls - Edmonton
Bob Wears, Department of Emergency Medicine, University of Florida and Ward Flemons, Faculty of Medicine, University of Calgary (Rapporteurs)
International and Local Perspectives
Committee
Trevor Theman MD FRCSC (Committee Chair)
College of Physicians and Surgeons of Alberta
Norma Brown MSc
Health Quality Council of Alberta
Robert (Bob) Burns BSc MD
College of Physicians and Surgeons of Alberta
John Cowell MSc MD FRCPC
Health Quality Council of Alberta
Jan Davies MSc MD FRCPC
University of Calgary
Ward Flemons MD FRCPC
Calgary Health Region
Ken Gardener MD CCFP FCFP
Capital Health
Bob Johnston MD CM
Calgary Health Region
Donna Towers MHSA CHE
Capital Health
Jewel Buksa MBA
BUKSA Strategic Conference Services
Halifax 3
Date: October 17 to 19, 2003
Location: Halifax, NS - Pier 21
Title: The Third Halifax Symposium on Healthcare Safety
Theme: From Theory to Reality
Sub-themes:
- Working together
- Medication errors
- A public meeting on healthcare safety
- Lessons from other domains: planes, trains, automobiles and oil rigs
- Patient safety across the continuum of care
- Taking the message to the masses
- Looking forward
Speakers
Lucien Leape
How the restructuring of healthcare will require everyone on board
Trevor Theman
Collecting information on personnel problems
John Vinen
Collecting information on system problems
James Reason
Person versus system approaches
David U
Medication safety and ISMP Canada
Patricia Lefebvre
A survey of hospital pharmacy safety practices
Norm Buckley
Trouble in the OR
Walter Rosser
Problems in primary care
Lucien Leape
Errors in healthcare: the facts and the fiction
Albert Wu
What to ask, what to do
Robert Buckman
Why it's OK to ask
Robert Helmreich
Planes
Jeff Caird
Cars and trains
Mark Fleming
Oil rigs
Mark Graber
Diagnostic error
Rene Amalberti
Normal and abnormal violations
Alan Forster
After the hospital
Denis Roy
A hospital CEO's perspective
Pat Croskerry
Introducing safety concepts to undergraduates and residents
Ian Couper
Preaching to the converted
Robert Buckman
How to break bad news (Seminar)
Conrad Fernandez
Pediatric issues (Seminar)
Marc Shapiro
Critical incident analysis
Steve Small
The past, present and future
Ross Baker
The Canadian errors in healthcare safety
John Wade
A Canadian Patient Safety Institute
Tom Ward
Perspective from a provincial Deputy Minister of Health: 'Old Think, New Think'
Robert Buckman, Moderator
Roundtable with the experts
Bob Wears
Closing Remarks
Committee
Sam Campbell MB BCh
Dalhousie University
Pat Croskerry MD PhD
Dalhousie University
Jan Davies MSc MD FRCPC
University of Calgary
Beth Kiley BSc BN RN
Capital District Health Authority
Sherri Lamont
Capital District Health Authority
Pierrette Leonard
APR Public and Media Relations
Frances Moriarty MD
Dalhousie University
Bonnie Salsman BSc (Pharm) FCSHP
Pharmacy and Management Consultant
Halifax 2
Date: October 18 to 20, 2002
Location: Halifax, NS - Dalhousie University
Title: The Second Halifax Symposium on Healthcare Error
Theme: Personal Responsibility in Adverse Outcomes
Sub-themes:
- The psychological reactions to adverse outcomes
- The psychological basis of behaviours leading to adverse outcomes
- The response to unsafe acts
- Solutions to problems
Speakers
Richard Cook
State of the art
Andrew Lynk
Madeleine's death: the events
Georgina Hunter
Madeleine's death: her mother
Dave Musson
The impact of errors on practitioners' behaviour
Albert Wu
Reflection
Larry Hettinger
"How could they do this to me?"
Anthony Grasha
"I'm a professional - this won't affect me!"
Pat Croskerry
"What was I thinking?"
Mark D. Alicke
"Your 're to blame for this, you know!"
David Rosenbloom
The life-cycle of medication errors (Workshop)
Pat Croskerry
Avoiding diagnostic errors (Workshop)
John Vinen
Incident reporting (Workshop)
Jan Davies
Investigating adverse outcomes (Workshop)
James Reason
Overview: unsafe acts
Jan Davies
The department head / administrator
Merrill Pauls
The ethics of disclosure
Nancy Milford
The hospital's point of view
Sharon Casson
The medical licensing College
Leona Telfer
The nursing licensing College
Martine Gagnon
The CMPA
Roy Stephenson
The legal point of view
Robert Buckman
"I'm afraid I have some bad news."
Charles Vincent
"What can we do to help?"
David Rosenbloom and Margaret Doma
Setting up disclosure policies (Workshop)
Albert Wu
Training healthcare workers to speak with patients/families (Workshop)
Doug Sinclair
Handling complaints
Robert Buckman
Dinner Speaker
Charles Cunningham
Patient-centred care processes that enhance patient safety
Gail Powell-Cope
Slips and falls
Sam Campbell
A Patient Safety Advisory Group
John Bohnen
An accountability framework for physicians
Alan Goldbloom
Changing hospital culture
John Wade
Canadian initiatives
Bob Wears
Closing remarks
Committee
Sam Campbell MB BCh
Dalhousie University
Pat Croskerry MD PhD
Dalhousie University
Jan Davies MSc MD FRCPC
University of Calgary
Beth Kiley BSc BN RN
Capital District Health Authority
Sherri Lamont
Capital District Health Authority
David Rosenbloom PharmD
Hamilton Health Sciences
Halifax 1
Date: August 11 to 12, 2001
Location: Halifax, NS - Dalhousie University
Title: Medical Error Symposium
Theme: Frontline Approaches in Clinical Practice
Sub-theme: Risk and Safety in Medicine
Speakers
Charles Vincent
Risk and Safety in Medicine
George Kovacs
Procedural Error
Pat Croskerry
Cognitive Error
Allan Abbass
Affective Error
John Vinen
Monitoring and Measuring Error
Jan Davies
Error/Safety Movement in Anaesthesia
Steve Workman
Medicine (Breakout)
Joe Burley
Psychiatry (Breakout)
Sam Campbell
General Practice (Breakout)
Robert Wears
Emergency Medicine (Breakout)
Conrad Fernandez
Paediatrics (Breakout)
Barbara Parish
Surgery (Breakout)
Philip Hebert
Ethical Aspects of Error
William Beilby
Professional Liability for Physicians in Canada
Albert Wu
Error and the Provider
John Gosbee
Human Factors Engineering
Shawna Perry
Anatomy of an Error
Jan Davies
The Winnipeg Inquiry
Robert Wears
Beyond Error
Committee
Director: Pat Croskerry MD
Dalhousie University
Chairman: Sam Campbell MB BCh
Dalhousie University
Coordinator: Sherri Lamont
Dartmouth General Hospital
Cheryl Barker RN
Hants Community Hospital
Lillian Coshell RN
Cobequid Multi-Service Centre
Valerie Eden RN
Dartmouth General Hospital
Beth Kiley RN
Capital District Health Authority
Patty Wren MD
IWK Health Centre