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Important Condition and Common Safety Issues (Safe Practices 26 – 34)

 Session Overview

This session will provide an overview of the NQF Condition- and Site-Specific Safe Practices and also provide practical insights that Patient Safety or Quality Officers will be able to utilize in their home institutions on how to prioritize and implement these Safe Practices.

Safe Practice 26: Wrong-Site, Wrong-Procedure, Wrong-Person Surgery Prevention Safe Practice 31: Organ Donation
Safe Practice 27: Pressure Ulcer Prevention Safe Practice 32: Glycemic Control
Safe Practice 28: Venous Thromboembolism Prevention Safe Practice 33: Falls Prevention
Safe Practice 29: Anticoagulation Therapy Safe Practice 34: Pediatric Imaging
Safe Practice 30: Contrast Media-Induced Renal Failure Prevention
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  Session Audio File and downloads

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Related Resources:
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009 Jan 29;360(5):491-9. Epub 2009 Jan 14.  
WHO surgical safety checklist and implementation manual. The checklist identifies three phases of an operation, each corresponding to a specific period in the normal flow of work: Before the induction of anaesthesia ("sign in"), before the incision of the skin ("time out") and before the patient leaves the operating room ("sign out"). In each phase, a checklist coordinator must confirm that the surgery team has completed the listed tasks before it proceeds with the operation.  
National Voluntary Consensus Standards for Developing a Framework for Measuring Quality for Prevention and Management of Pressure Ulcers. In this project, NQF will perform an environmental scan of performance measures and of evaluation tools pertaining to pressure ulcers in all healthcare settings. NQF will also propose a framework that aligns the existing quality measures.  
National Voluntary Consensus Standards for Prevention and Care of Venous Thromboembolism: Policy, Preferred Practices, and Initial Performance Measures.  NQF Report 
Preventing VTE and Improving the Safety of Anticoagulant Therapy Webinar - Safe Practices 28 and 29.   March, 2008 Webinar hosted by TMIT. 


  Learning Objectives:
  1. Discuss recent changes and updates to the Condition- and Site-Specific Safe Practices.
  2. Understand the role of Patient Safety or Quality Officers for prioritizing these Safe Practices.
  3. Recognize how implementing one Safe Practice program can create positive effects for other programs.

CE Participation Documentation
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 Register:
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 When:  September 17, 2009, 1:00 p.m. - 2:30 p.m. ET
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 Speakers
Peter B. Angood, MD, FRCS(C), FACS, FCCM
Welcome and Introductions
Topic: Updates and Developments on the 9 Practices

Peter B. Angood, MD, FRCS(C), FACS, FCCM, is NQF’s first Senior Advisor on Patient Safety. In this role, Dr. Angood will guide projects to improve patient safety and quality. He will also provide technical expertise on projects related to the National Priorities Partnership’s goal of improving the safety and reliability of America’s healthcare system.
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Charles R. Denham, MD
Topic: Safe Practice Implementation from 30,000 Feet

Charles R. Denham, MD, is a Founder and the Chairman of Texas Medical Institute of Technology (TMIT), a non-profit medical research organization dedicated to driving adoption of clinical solutions in patient safety and healthcare performance improvement.
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Donald Kennerly, MD, PhD
Topic: Prioritizing the Focus of Institutional Effort

Donald Kennerly, MD, PhD, is Vice President of Patient Safety and Chief Patient Safety Officer for Baylor Health Care System in Dallas. He is responsible for developing and implementing programs that target both the processes of care and the organizational culture that contribute to the delivery of safe care in all BHCS facilities.
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Donald Moorman, MD, FACS
Topic: Correct Site Surgery – It Becomes More Than Just the OR

Donald W. Moorman, MD, FACS, is a graduate of the University of Iowa College of Medicine and joined the faculty at NEOUCOM following his training. He has held academic appointments at the University of Iowa, Iowa State University, and now Harvard Medical School, where he is currently an Associate Professor of Surgery. He is also the Associate Surgeon-in-Chief at Beth Israel Deaconess Medical Center in Boston.
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Dan Ford, MBA
Topic: Patient Perspective on Prioritizing Safety

Dan Ford, MBA, is a Vice President of Furst Group (health care executive search); and a Patient Advocate, member of NQF Patient Safety Committee and former member of patient safety, quality, patient- and family-centered care committees of AzHHA, CHN and APIPS in Arizona, and CHP, IHI, and The Joint Commission nationally.
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