Presentations - Wednesday 18th April

Plenary I: Can health care ever be safe? (ppt, 1.4MB)
Donald M Berwick, President and Chief Executive Officer, Institute for Healthcare Improvement, USA

A1: Innovation! Not simply doing what we have always done before (ppt, 1.65MB)
Paul Plsek, Consultant on Innovation and Complex Systems, Paul E Plsek & Associates, USA

A2: Local improvement clinic
Moderators: Donald M Berwick, President and Chief Executive Officer, Institute for Healthcare Improvement, USA; Ross McL Wilson, Director, Centre for Healthcare Improvement, Northern Sydney Coastal Health, Australia
Set 1 (ppt, 4.4MB)
Set 2 (ppt, 0.4MB)

A3: Using reliability science to reduce surgical complications (ppt, 5.3MB)
Evan M Benjamin, Chief Quality Officer, Associate Professor of Medicine and Jan Fitzgerald, Director of Quality Management, Baystate Medical Center, Tufts University School of Medicine, USA

A4: Applying quality improvement methods to spread successful interventions in the developing world (ppt, 13.7MB)
Pierre Barker, Director of South Africa Projects, Institute for Healthcare Improvement/University of North Carolina, USA and Karen Zeribi, Quality Improvement Coordinator, Institute for Healthcare Improvement, USA

A5: What is important for patients and how to use survey results to establish managerial objectives
Rosa Maria Saura, Project Director, Avedis Donabedian Foundation, Spain and Andrew Thompson, Senior Lecturer in Advanced Quantitative Methods, School of Social and Political Studies, University of Edinburgh, UK
Set 1 (ppt, 0.1MB)
Set 2 (ppt, 1.6MB)

A6: Three buckets in action! Foresight training for health care staff (ppt, 0.5MB)
Joanna Parker, UK

A7: Implementing and spreading improvement in The Netherlands: experiences of accelerated improvement and breakthrough
L Pijnenborg, Programme Leader, Y Koense, Senior Adviser, J Wien, Adviser, Dutch Institute for Healthcare Improvement (CBO) and P Wognum, Policy Adviser, Curative Care, Ministry of Health, Welfare and Sport, The Netherlands
Set 1 (ppt, 0.2MB)
Set 2 (ppt, 0.4MB)
Set 3 (ppt, 1.58MB)

A8: How to get published (ppt, 0.1MB)
Fiona Moss, former Editor, Quality and Safety in Health Care and Postgraduate Dean, London Deanery, UK and Duncan Neuhauser, former Editor, Medical Care and Professor of Epidemiology and Biostatistics, Case Western Reserve University, USA

A9: Accreditation: a powerful tool for improving health care quality and safety
Bruce Barraclough, Board Chair, New South Wales Clinical Excellence Commission and President Elect, International Society for Quality in Healthcare (ISQua), Australia and John F Helfrick, Senior Consultant, Harvard Medical International, USA and President, ISQua
Set 1 (ppt, 0.2MB)
Set 2 (ppt, 2.7MB)

A10: Reporting of incidents in patient care: a national system or a decentralised system?
Kate Beaumont, Patient Safety Manager, National Patient Safety Agency (NPSA), UK, Leo de Haan, Programme Manager, Patient Safety, VU University Medical Centre, The Netherlands, Sarah Scobie, Head of Patient Safety Observatory, NPSA, UK and Baukelien van Triest, Chair of the Hospital Committee for Incidents, VU University Medical Centre, The Netherlands
Set 1 (ppt, 4.3MB)
Set 2 (ppt, 1.2MB)

B1: Designing care based on patients' and carers' experiences
Elaine Hide, Lynne Maher, Head of Innovation Practice, NHS Institute for Innovation and Improvement, Hugh McGrath, Sheila McGrath and John Pickles, UK
Set 1 (ppt, 17.6MB)
Set 2 (ppt, 17.6MB)

B2: Saving money, saving lives
Maureen Bisognano, Executive Vice President and Chief Operating Officer, Institute for Healthcare Improvement, USA, Bernard Crump, Chief Executive, NHS Institute for Innovation and Improvement, UK and Sven-Olof Karlsson, Chief Executive Officer, County Council of Jönköping, Sweden
Set 1 (ppt, 4.6MB)
Set 2 (audio/video, 27MB)

B3: Primary care renewal as the springboard to a high-quality, sustainable public health system (ppt, 3.8MB)
Paddy O'Reilly, Director, IMPACT BC, Provincial CDM/QI Task Force, Canada and Chris Rauscher, Chronic Disease Management Physician Lead, Primary Care Network, BC Ministry of Health and Vancouver Coastal Health Authority, Canada

B4: Nurses and pharmacists collaborate to confront medication errors
Eva Bolet and Carmen Lacasa, Manager, Servicio de Farmacia, Hospital de Barcelona, Spain
Set 1 (ppt, 49MB)
Set 2 (ppt, 8MB)

B5: The human factor: effective teamwork and communication in delivering safer health care - presentation not available
Michael Leonard, Physician Leader for Patient Safety, Kaiser Permanente, USA

B6: WHO World Alliance for Patient Safety: addressing the global challenge (ppt, 38MB)
Martin Fletcher, Patient Safety Lead, World Health Organisation, Switzerland and Itziar Larizgoitia, Switzerland

C1: The campaign approach to spreading improvement (ppt, 0.5MB)
Joseph McCannon, Vice President, Institute for Healthcare Improvement, USA

C2: System wide approaches
Set 1: From the ground up: a Canadian experience (ppt, 1.6MB)
Theresa Fillatre, Safer Healthcare Now Leader, Atlantic Node Safer Healthcare Now, Canada
Set 2: Sparks of creativity and innovation in health care (ppt, 5.8MB)
Lee Martin, Director of Access, Innovation and Service Improvement, Monash Medical Centre, Australia
Set 3: All or none measures: experience from the Danish National Indicator Project (ppt, 1MB)
Paul Bartels, Medical Director, the Danish National Indicator Project, Denmark
Set 4: The German National Benchmarking Project: results from Hamburg (ppt, 2.3MB)
Christof Veit, Manager, EQS Hamburg Regional Project Office, Germany

C3: Reducing infections
Set 1: Dramatically reducing MRSA: national support for local improvement (ppt, 19MB)
Janice Stevens, Director, MRSA/Cleaner Hospitals Programme, Department of Health, UK
Set 2: Prevention of surgical site infection (ppt, 8.3MB)
Liau Kui Hin, Consultant, Tan Tock Seng Hospital, Singapore
Set 3: Safer care in orthopaedics (ppt, 7MB)
Tomas Isaksson, Orthopaedic Surgeon, Pitea Alvdal Hospital, Sweden
Set 4: Effects of mentors' hand hygiene practices on students' practices - presentation not available
Michelle Snow, University of Utah, USA

C4: Patient safety
Set 1: Patient safety management on a surgical PICU (ppt, 27MB)
Cynthia van der Starre, Paediatrician, Erasmus MC Sophia, The Netherlands
Set 2: Engaging clinicians in measurement and improvement of patient safety (ppt, 0.2MB)
Sisse Bjorn Olsen, Surgical Specialist Registrar, Imperial College London, UK
Set 3: Measuring patient safety (ppt, 2.3MB)
Mark Renshaw, Head of Patient Safety, Royal Sussex County Hospital, UK
Set 4: Improving patient care by a structures clinical handover system (ppt, 0.1MB)
Margaret Sanger, former Director of Medical Services, Concord Hospital, Australia

C5: What patients think
Set 1: Satisfaction of patients triaged from emergency departments to other health care resources (ppt, 3.7MB)
Oscar Miro, Emergency Department, Hospital Clinic Barcelona, Spain
Set 2: From dependence to independence: changing the culture in haemodialysis units (ppt, 27MB)
Ros Tibbles, Lead Nurse for Service Improvement, Modernisation Initiative, UK
Set 3: Patient participation in medical decision making (ppt, 0.8MB)
Torsten Hecke, Head of Healthcare Management and Projects, Techniker Krankenkasse, Germany
Set 4: Involving patients in improving quality (ppt, 31MB)
Marianne Frandsen, Hospital of Stoerstroem Council, Denmark

C6: Access to care
Set 1: Transforming access to mental health services (ppt, 16MB)
Alexandra Cockram, Executive Director, Mental Health Programme, Monash Medical Centre, Australia
Set 2: Reducing waiting times to orthopaedic consultation: collaboration beween primary and specialist care
Jyrki Halinen, Orthopaedic Surgeon, Jorvi Hospital, Finland
Set 2a (ppt, 13MB)
Set 2b (video, 7MB)
Set 2c (video, 8.5MB)

Set 3: Improving access to PICU for elective surgery (ppt, 0.5MB)
Tracy Parr, Improvement Facilitator, Great Ormond Street Hospital, UK
Set 4: Improving discharge for non-elective medical patients (ppt, 2.1MB)
Matthew Bazeley, Performance Manager, University College London Hospitals, UK

M1: How to run your improvement programme like a social movement: practical ways to mobilise people and inspire change - presentation not available
Helen Bevan, Director of Service Transformation, NHS Institute for Innovation and Improvement, UK

M2: Developing a new safety and improvement plan: success factors and pitfalls (ppt, 0.8MB)
Wim Schellekens, Executive Advisor, Dutch Inspectorate, The Netherlands and Ross McL Wilson, Director, Centre for Healthcare Improvement, Northern Sydney Central Coast Health, Australia

M3: Nine take home tools for being a better leader of health care improvement - presentation not available
Jim Easton, Chief Executive, York Hospitals NHS Trust, UK

M4: Accelerating health professions' education linked to patient care improvement - presentation not available
Paul B Batalden, Professor of Paediatrics, Director of Health Professions Education, Organisation Centre for Evaluative Clinical Sciences, Dartmouth Medical School, USA and David Stevens, Vice President for Healthcare Improvement, Association of American Medical Colleges, USA and Editor, Quality and Safety in Health Care

M5: Building dashboards to monitor healthcare
Robert Lloyd, Executive Director of Performance Improvement, Institute for Healthcare Improvement, USA, Ove Kjell Andersen, Quality Adviser, Norwegian Medical Association and Ulleval University Hospital, Norway, Göran Henriks, Chief Executive of Learning and Innovation and Project Leader, Pursuing Perfection, Jönköping County Council, Sweden, Patricia O'Connor, Head of Risk Management and Patient Safety, NHS Tayside, UK and Laurens Touwen, The Netherlands
Set 1 (ppt, 22MB)
Set 2 (ppt, 0.06MB)
Set 3 (ppt, 8.9MB)
Set 4 (Flash, 16MB)
Set 5 (audio/video, 0.5MB)