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

1. Summarize how individual variability and personality can impact human performance and its relation to healthcare safety.
2. Review training and education strategies and their effect on job performance, by reflecting on traditional definitions of expertise and Cognitive Work Analysis, and considering furture uses for medical simulation as an education tool.
3. Discuss how new technologies - from other industries - can both aid and impede communication in the healthcare workplace.
4. Distinguish communication measures in team environments resulting from individual styles, the dimenions of silence, and cultural factors.
5. Evaluate competence and its influence at an individual, team, administrative and system level.
6. Identify stofy-telling as a tool to better communicate with patients and with the public.

Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.

Download the Final Program

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
William C. Macdonald Professor and Associate Director, School of Architecture, McGill University, Montréal, Quebec

René Amalberti MD PhD
HAS (Haute Autorité de Santé), Saint-Denis La Plaine Cedex, France

St. Clair Armitage
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
Associate Professor, Department of Mathematical and Industrial Engineering, École Polytechnique Montréal, Montréal, Quebec

Lorie Donelle RN PhD
Assistant Professor, Faculty of Health Sciences, University of Western Ontario, Waterloo, Ontario

Stephen Duckett PhD DSc FCHSE FASSA
President and Chief Executive Officer, Alberta Health Services, Edmonton, Alberta

Luc Dubé PhD
Physicien médical, DSH, Centre Hospitalier de L’Université de Montréal, Montréal, Quebec

Bruce Dunphy MBChB MD MEd FRCOG PhD CREI FRANZCOG
Monash IVF Medical Director, Sunnybank, Queensland, Australia

Tye Farrow
Senior Partner, Farrow Partnership Architects Inc., Toronto, Ontario

Rhona Flin BSc PhD FBPsS FRSE
Professor, School of Psychology, University of Aberdeen, Old Aberdeen, Scotland

Graeme Gidney BEng(Hons) MSt (Cantab) CEng MCIBSE
Associate Director, Buro Happold Ltd., Edinburgh, United Kingdom

Philip Hébert
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
President, Hogan Assessment Systems, Tulsa, Oklahoma

Clifford Hughes
Chief Executive Officer, Clinical Excellence Commission, Sydney, Australia

Kevin Lachapelle MD FRCSC FACS
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
William C. Macdonald Professor and Associate Director, School of Architecture, McGill University, Montréal, Quebec

Lorelei Lingard PhD
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)
Nursing Practice Consultant and co-chair the McGill University Health Centre Patient Education Network Committee

Deb Prowse MSW LLB
Patients for Patient Safety, Calgary, Alberta

Andrea Robertson BN MSA
Vice President, Alberta Children’s Hospital and Foothills Medical Centre, Alberta Health Services, Calgary, Alberta

Bert Ruitenberg
Human Factor Specialist, International Federation of Air Traffic Controllers’ Associations, Amsterdam, The Netherlands

Blair Sadler JD
President and Chief Executive Officer, Children’s Hospital and Health Center, San Diego, California

Eduardo Salas PhD MS BA
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
Consulting Scientist; Professor Emeritus, University of Toronto, Toronto, Ontario

Linda Shohet PhD
Executive Director, Centre for Literacy of Quebec, Montréal, Québec

Pascal Singy Pr PhD
Linguistics Professor and Research Center Director, Lausanne University and University Hospital Lausanne, Lausanne, Switzerland

Kathleen Sutcliffe PhD
Associate Dean, Faculty of Development and Research, University of Michigan Ross School of Business, Ann Arbor, Michigan

Eva Thomas BSc MD PhD (Sweden) FRCPC
Clinical Professor, Department of Pathology & Laboratory Medicine,
University of British Columbia, Vancouver, British Columbia

Laurie Thompson RN MN
Executive Director, Manitoba Institute for Patient Safety, Winnipeg, Manitoba

Régis Vaillancourt PharmD
Director of Pharmacy, Children’s Hospital of Eastern Ontario, Ottawa, Ontario

Rudi van den Broek BSc MPA
Chief Project Officer and General Manager of Special Projects, Vancouver Island Health Authority, Victoria, British Columbia

Jacqueline Vischer PhD
Professeure titulaire, École de design industriel, Faculté de l’aménagement, Université de Montréal, Montréal,Québec

John Wilson BTech MSc PhD DSc
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
Assistant Professor, Division of General Internal Medicine, Northwestern
University, Chicago, Illinois

David D. Woods PhD
Professor, Institute for Ergonomics, Ohio State University, Columbus, Ohio

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

1. Summarize the facets of apology and describe the impact of apology legislation on patient safety
2. Outline the emotional, financial and workload impact of litigation on patient safety
3. 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
4. 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
5. 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
6. 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
7. 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
8. Summarize current evidence related to whether or not legal mechanisms that affect patient safety are actually effective in improving patient safety

Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.

Download the Final Program

Speakers

Moderator: Steven Lewis
President, Access Consulting, Saskatoon, Saskatchewan

Jonathan Aleck BA MA JD PhD
Head of the Legal Services Group, Civil Aviation Safety Authority, Canberra, Australia

Pat Croskerry MD PhD
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
Brock Derwin Barristers & Solicitors, Winnipeg, Manitoba

Valli Elmgren RO RCLP
Managing Optician, Edmonton, Alberta

Joan Gilmour BA LLB JSM JSD
Associate Professor, Osgoode Hall Law School, York University, Toronto, Ontario

William Godolphin PhD
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)
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
Professor, Chancellor & Dean Emeritus, Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts

John Lewis RN BScN
Hamilton Health Sciences, Hamilton, Ontario

John Martland
Partner, Bennett Jones LLP, Calgary, Alberta

Alan Merry MRCS LRCP MBChB DipObst FFARACS FANZCA
University of Auckland, Auckland

Kathryn Montgomery PhD
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
Professor, Faculty of Law, University of Alberta, Edmonton, Alberta

Rob Robson MDCM FRCPC
Chief Patient Safety Officer, Winnipeg Regional Health Authority, Winnipeg, Manitoba

Bill Runciman MBBS PhD FRCP
Professor, University of Adelaide, Adelaide, Australia

Honourable Justice Murray Sinclair LLB LLD QC
Court of Queens Bench, Winnipeg, Manitoba

Thoralf M. Sundt MD
Adult Cardiac Surgeon, Mayo Clinic, Rochester, Minnesota

Trevor Theman MD FRCSC
Registrar, College of Physicians & Surgeons of Alberta, Edmonton, Alberta

Paul Thomas PhD
Duff Roblin Professor of Government, St. John’s College, University of Manitoba, Winnipeg, Manitoba

Carl Thompson BA RN
Senior Research Fellow, Head of Programme, MSc Evidence Based Practice, Department of Health Sciences, University of York, York, United Kingdom

Luane Wagner
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.)
Partner, Field Law LLP, Edmonton, Alberta

Gordon Wong QC
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

1. Describe global and national initiatives in patient safety, and apply concepts from these initiatives locally.
2. Articulate organizational and staffing controversies surrounding healthcare staffing, so as to make more informed decisions in planning and operations.
3. Explain what factors may induce culture or behaviour change, as well as the limitations of such factors in building a culture of safety.
4. Articulate how patient and provider safety can be integrated into the design, planning and building for safety in healthcare workplaces.
5. Recognize why healthcare professionals and administrators often do not implement evidence into practice, and identify methods to overcome this.
6. Translate learning from the advertising industry on how to promote, or sell, safety concepts to healthcare professionals and the public.
7. Empathize and learn from the personal experiences of patients, including those who are also healthcare workers.
8. 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.

Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.

Download the Final Program

Speakers

Moderator: Adrian Harewood BA
CBC Radio Ottawa

John Banja PhD
Associate Professor of Clinical Ethics, Assistant Director for Health Sciences and Clinical Ethics, Center for Ethics, Emory University, Atlanta, Georgia

Donald Berwick MD MPP
President and Chief Executive Officer, Institute for Healthcare Improvement, Cambridge, Massachusetts

Marc Bonten MD
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
Director of Operations, Quebec, Eastern Canada & Nunavut, Canadian Patient Safety Institute, Ottawa, Ontario

Drew Dawson PhD
Director, Centre for Sleep Research, University of South Australia, Adelaide, South Australia

David DeJoy PhD
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
Associate Professor of Medicine, Faculty of Medicine, University of Toronto; Director, Patient Safety Service, Sunnybrook Health Sciences Centre, Toronto, Ontario

Martin Fletcher
NHS Tayside, Tayside, Scotland

Alan Forster MD FRCPC MSc
Scientist, Associate Professor of Medicine, OHRI, Clinical Epidemiology Unit, University of Ottawa, Ottawa, Ontario
2nd Presentation
3rd Presentation
4th Presentation
5th Presentation

Jason Frank MD MA(Ed) FRCPC
Associate Director, Office of Education, Royal College of Physicians & Surgeons of Canada, Ottawa, Ontario

Kirk Hamilton FAIA FACHA
Associate Professor of Architecture, Texas A&M University, College Station, Texas

Philip Hébert MD PhD FCFPC
Associate Professor in Family Medicine, University of Toronto; Bioethicist, Joint Centre for Bioethics, Toronto, Ontario

Paul Hodgkin FRCGP
Chief Executive, Patient Opinion, Sheffield, United Kingdom

Charles Husak MA
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
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
Chief Operating Officer, NHS Tayside, Tayside, Scotland

Hugh McKenna PhD BSc(Hons) RMN RGN RNT DipN(Lond) AdvDipEd FFN FRCSI FEANS FRCN
Dean, Faculty of Life & Health Sciences, University of Ulster, Londonderry, Northern Ireland

Jack Needleman PhD
Associate Professor, Department of Health Services, University of California, Los Angeles School of Public Health, Los Angeles, California

Naren Patel FRSE FMedSci
Chairman, National Patient Safety Agency, NHS Tayside, Dunkeld, United Kingdom

James Reason
Professor Emeritus, University of Manchester, Manchester, United Kingdom

Dean Sandham MD FRCPC FRCP FACP CP&S
Dean of Medicine University of Manitoba; Head of Canadian ICU Collaborative, Winnipeg, Manitoba

Ellie Scrivens PhD
Director, Health Care Standards Unit, Innovation Centre 1, and Professor, Health Policy, Keele University, United Kingdom

Kaveh Shojania MD
Canada Research Chair in Patient Safety and Quality Improvement, Associate Professor of Medicine, University of Ottawa, Ottawa, Ontario
2nd Presentation
3rd Presentation

Linda Shohet PhD
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
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
Professor, Health Sciences Center, University of Florida, Jacksonville, Florida
2nd Presentation

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

1. Be familiar with and better understand different barriers to cultural improvement.
2. Be knowledgeable about the methods to establish an effective safety management plan.
3. Understand the significant differences that small changes in techniques can have on patient safety.

Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.

Download the Final Program

Speakers

Ross Baker

John Banja PPSII Presentation

Ted Braun

Russell J. Brown

Jim Conway

John Cowell

Lynda Cranston

Pat Croskerry

Sandra Devlin-Cop

Sir Liam Donaldson

Jay Doucet

William Ehman

Ward Flemons Swiss Cheese

Sven Erik Gisvold

Philip Hassen

Dorothy Jones 2nd Presentation

Beth Kiley

Christina Krause

Rob Lee

Alan Maynard 2nd Presentation

Margaret Murphy

Dave Musson

Dianne Parker

Greg Powell

Stephen Pratt

Karim Qayumi

Andrea Robertson

Gerald Robertson

Blair Sadler

John Shepherd

Sue Sheridan

Ryan Sidorchuk

Anthony Taylor

Trevor Theman

Charles Vincent

Bob Wears

Western Node

Ontario Node

Québec Node

Atlantic Node

Committee

Jan Davies MSc MD FRCPC
Co-Chair
Professor, Faculty of Medicine, University of Calgary

Trevor Theman MD FRCPC
Co-Chair
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

1. Describe global and national initiatives in patient safety, and apply concepts from these initiatives locally.
2. Explain what is meant by safety management systems.
3. Translate experiences from aviation and other industries on safety management systems to healthcare.
4. Articulate how patient and provider safety and well being can be integrated into the planning and building of hospitals and healthcare institutions.
5. Cite specific examples of principles to employ and potential pitfalls in designing for safety.
6. Recognize the psychological, professional, legal and societal forces that hinder change and improvement.
7. Identify opportunities for and the benefits of healthcare organizations/ professionals partnering with patients and families to effect change.
8. Describe the key measures of system safety/change.
9. Evaluate whether or not changes have been made and care is safer.

Copies of the Webcast Archive are available on DVD. Please email halifax@buksa.com for more information.

Download the Final Program

Speakers

Jim Conway

Jack Davis

Ward Flemons

Rhona Flin

Sven Erik Gisvold

Bob Helmreich

The Honourable Horace Krever

Rob Lee

Julie Morath

The Honourable Virgil Moshansky

André Picard

Stavros Prineas

James Reason

Rob Robson

The Honourable Justice Murray Sinclair

David Sless

Bob Wears

Sheila Weatherill

Heather Wellington

Ron Westrum

Committee

Jan Davies, MSc MD FRCPC
Symposium Co-Chair
University of Calgary

Trevor Theman, MD FRCPC
Symposium Co-Chair
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

1. For delegates to gain a better understanding of health system errors.
2. For healthcare professionals to better understand, influence and implement policies and practices that contribute to improved patient safety.

Download the Final Program

Speakers

Trevor Theman and Pat Crosskerry
Opening Remarks

James Bagian
Building a Culture of Safety

Peter Norton and Ross Baker
Canada's Patient Safety Record: The Results of the Canadian Adverse Events Study

John Wade
The Latest From the Canadian Patient Safety Institute (CPSI)

Denis Protti
International Perspectives on Electronic Health Records

Tom Rosenal
The Value of Patient Care Information

Drew Dawson
Fatigue Management (Breakout)

Stavros Prineas
Safety-Critical Communication Skills (Breakout)

Pat Croskerry
Decision-Making in Healthcare (Breakout)

René Amalberti
Understanding Violations and Boundaries

Patricia Marck
Introduction to the Health System as an Ecosystem

Bob Helmreich
The Team

David Musson, John Cowell and Bruce MacLeod (Moderators)

Public Forum

Brian Postl
Learning from Medical Accidents and Close Calls - Winnipeg

Julie Morath
Learning from Medical Accidents and Close Calls - Minnesota

Michele Lahey
Learning from Medical Accidents and Close Calls - Edmonton

Bob Wears and Ward Flemons (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