Wednesday 13 August 2025 | 09:30-13:30

Format: Workshop

This workshop teaches participants to bring the elucidation of human factors to the fore when investigating clinical incidents, with the aim that impactful and sustainable improvements can be made to systems and human performance.

Participants will learn experientially by conducting interviews with interactive role players, portraying the first, second and third victims of incidents crafted from actual occurrences in our campus.

Those who conduct incident investigations or are in positions of accountability to make decisions on post-incident recommendations should attend this workshop.

Through the workshop, participants will better appreciate how the scientific rigour of investigation is applied in tandem with the art of understanding human behaviour and frailties of healthcare providers. They will explore the various types of human errors to enhance their ability to conduct nuanced investigations.

With this enhanced appreciation, we envisage that participants will be better able to identify latent error, implement interventions that address root cause of human and system error, and create safer and more reliable environments for patients and healthcare providers.

After this session, participants will be able to:

• Apply human factors concepts on how to conduct system-based incident investigations that transcend beyond individual blame, incorporating models of human information processing and taxonomies of unsafe acts.


• Practice crucial skills such as conducting RCA interviews and speaking with staff in a fair, learning-focused way after adverse events, utilising human factors principles to enhance communication and understanding.


• Develop effective recommendations using a hierarchy of interventions model to create sustainable changes that address root causes, considering various types of errors including perceptual, decision, and execution errors.

A full programme for this workshop can be found here. 

Tan Hai Yang Ng Teng Fong General Hospital (NTFGH); Singapore

Chen Yongsheng Ng Teng Fong General Hospital (NTFGH); Singapore

Rexford Del Rosario Ng Teng Fong General Hospital (NTFGH); Singapore

Gerald Chua Ng Teng Fong General Hospital (NTFGH); Singapore

Syahid Hassan Changi General Hospital (CGH); Singapore

Tan Yuen Ming Ng Teng Fong General Hospital (NTFGH); Singapore

Wednesday 13 August 2025 | 13:30-16:30

Format: Workshop

When asked if they support quality, most healthcare leaders will quickly say, “Yes, we are totally
committed to quality improvement (QI).” Yet as you explore the inner workings of the
organization you discover that the Q word is more of a hobby and buzz word than an integrated
organizational strategy. In this session, you will learn about the key quality strategies and
methods that need to be embedded into the very fabric of the organization to make quality the
organization’s operating strategy. Specific topics addressed include building capacity and
capability for QI; developing strategic dashboards; establishing goals, targets, specification limits
and determining process capability; applying principles of reliable design; and using advanced
statistical tools to untangle the messiness of life.

Bob Lloyd Institute for Healthcare Improvement (IHI); USA

Vice President, Institute for Healthcare Improvement; USA

Dr. Robert Lloyd is Executive Director of Performance Improvement for the Institute for Healthcare Improvement (IHI). Dr. Lloyd provides leadership in the areas of performance improvement strategies, statistical process control methods, development of strategic dashboards and quality improvement training. He also serves as lead faculty for various IHI initiatives and demonstration projects in the US, the UK, Sweden, Denmark, New Zealand, Qatar, Dubai and Africa. Before joining the IHI, Dr. Lloyd served as the Corporate Director of Quality Resource Services for Advocate Health Care (Oak Brook, IL). He also served as Senior Director of Quality Measurement for Lutheran General Health System (Park Ridge, IL), directed the American Hospital Association’s Quality Measurement and Management Project (QMMP) and served in various leadership roles at the Hospital Association of Pennsylvania. The Pennsylvania State University awarded all three of Dr. Lloyd’s degrees. His undergraduate degree is in sociology, his master’s degree is in regional planning and his doctorate is in rural sociology.

Dr. Lloyd has addressed over 1,200 national and international meetings of professional groups and associations. Over 150,000 participants from this country and abroad have attended his classes and presentations on quality improvement. He has served as faculty for the Harvard School of Public Health, the American College of Healthcare Executives, the American Society for Quality (ASQ), the University of Wisconsin’s graduate program in Administrative Medicine, the University of Chicago’s graduate Program in Health Administration, the Healthcare Forum, the International Quality and Productivity Center, the American Health Information Management Association, the JCAHO, the Group Practice Improvement Network, the Ontario Hospital Association, the Vancouver BC Quality Forum, the Medical Group Management Association, the BMJ European Quality Forum (London, Barcelona, Berlin, Amsterdam and Paris), and numerous QIOs around the US. Dr. Lloyd has also presented his seminars on statistical thinking to physicians and administrators from the Federation of County Councils in Stockholm and Jonkoping, Sweden, to leaders of the National Health Service throughout the United Kingdom and New Zealand, and to patient safety leaders throughout Denmark, South Africa and Ghana.

He has published numerous articles, chapters and reports on a wide range of topics including CQI theory and implementation, measurement and statistical methods, clinical outcomes, customer satisfaction, information systems and parish nursing.

Dr. Lloyd is co-author of the internationally acclaimed book, Measuring Quality Improvement in Healthcare: A Guide to Statistical Process Control Applications (American Society for Quality Press, 2001, 5th printing). His most recent book, Quality Health Care: A Guide to Developing and Using Indicators was published in March of 2004 by Jones and Bartlett (Sudbury, MA)

Wednesday 13 August 2025 | 13:30-16:30

Format: Workshop

Step into the Mayhem Room, an immersive and interactive simulation designed to transform patient safety education. Participants will navigate a realistic patient care environment deliberately staged with hidden safety hazards and errors. The session is structured for small groups, with a maximum of 10 participants per group and up to three groups per session, ensuring personalized engagement and active participation.

Delegates will spend a total of 1 hour including observing and identifying safety risks, followed by facilitated debriefing session to reflect, share insights, and discuss actionable strategies for improvement. This hands-on experience sharpens situational awareness, a critical yet challenging skill to develop and fosters a deeper understanding of patient safety principles.

For this session, we aim to include different levels of healthcare professionals as well as patients and families as equal partners in care. This inclusiveness promotes a learning environment that bridges gap, strengthens collaboration, and advances patient safety practices.

After this session, participants will be able to:

• Enhanced Situational Awareness: Help participants sharpen their ability to recognize and understand safety risks through hands-on simulation in realistic, controlled patient care scenarios.


• Enhance Collaborative Safety Practices: Enable healthcare professionals, patients, and families to actively participate in safety discussions during debriefing sessions, fostering mutual understanding and shared strategies for improvement.


• Promote Equal Partnership in Care: Empower patients and families to understand common safety risks, engage with healthcare systems, and contribute their perspectives as equal partners in fostering a strong safety culture.

Teo Kai Yunn Singapore General Hospital; Singapore
Katrina Heng Singapore General Hospital; Singapore
Fatimah Lateef Singapore General Hospital; Singapore
Sim Guek Gwee Changi General Hospital; Singapore
Bernice Seow Tan Tock Seng Hospital; Singapore

 

Wednesday 13 August 2025 | 13:30-16:30

Format: Workshop

C-Suites face many competing pressures each day, often requiring you to do more with less. With these challenges, it is easy to lose focus on your most important priority – providing the safest, highest quality of care to your patients. Leaders must unite with your systems, structures, and leadership skills and behaviours, to mindfully pursue the goal of zero harm.

You must change first, so that those you lead will know the way and follow. This leadership workshop uses interactive activities to guide leadership to define and refine their zero-harm goal, understand the impact of their culture, and to identify the specific systems and structures, and leadership qualities and practices they will pursue to advance their organization’s unique high reliability journey. Leaders walk away with practical tools to apply on their HRO journey. 

Dawn R Allbee Joint Commission International/Joint Commission Resources; USA

Wednesday 13 August 2025 | 09:30-12:30

Format: Workshop

Two phenomena often surround the discussion of person-centred care (PCC)—most of us agree of its importance in transforming healthcare, but there has yet been a definitive definition of the concept.

This interactive workshop will showcase and discuss methods to operational and implement person-centred care innovations and practices. It will feature a live demonstration of an ESTHER Café and interact with our invited experience expert (patient/caregiver). Join us to gain a deeper understanding of PCC, learn how to harness the power of patient’s stories to drive improvement initiatives and integrate simple person-centred practices in your daily work.

After this session, participants will be able to:

• Utilise SingHealth Domains of Person-Centred Care (PCC) and Implementation Matrix


• Describe the use of an ESTHER Café to engage patients/caregivers in discussing “What Matters to Them?”


• Discuss ways to include person-centric practices in clinical settings

Andy Sim ESTHER Network; Singapore

Khee Giat Yeng ESTHER Network; Singapore

 

 

 

 

Wednesday 13 August 2025 | 09:30-12:30

Format: Workshop

“When leaders can cultivate both inner and outer skills, it increases their chances of success in large complex change by 52 percent”. – Deborah Rowland

How we as leaders see the world (and the “inner skills” we can develop by seeing our context through different lenses) makes a significant difference in our ability to deliver change in a system. In this workshop, we will look at different mindsets and worldviews of change and how these impact on our ability to operate as leaders of change and improvement. We will explore how leaders who have a more developed worldview have a greater capacity to deal with complexity, are more welcoming of diverse ideas and perspectives, and can see more patterns and interconnections, which lead to more effective solutions. We will consider actions to build our own inner skills for change, based on new ways of seeing the world.

As a result of this workshop, participants will be able to:

• Understand the impact of mindsets and worldviews on the ability to make change happen


• Enhance their capacity to manage in complex change situations through a more developed worldview of change


• Plan specific actions to build their inner skills for change, based on new perspectives and ways of seeing the world, to become more effective leaders of change.

Helen Bevan Warwick Business School; England

Sunlove Home; Singapore

Dr Guna D is an accomplished nursing leader with over 38 years of professional experience in the healthcare sector. Currently serving as the Chief of Nursing at Sunlove Home, she plays a pivotal role in overseeing multiple domains, including the Nursing Department, Infection Control, Training, Community Services, and Senior Care Centres. Her leadership has significantly contributed to the advancement of clinical operations, quality improvement, and eldercare services in Singapore.

In academia, Dr Guna has served as an Adjunct Associate Lecturer at Griffith University’s School of Nursing (2008–2022) and continues to lecture at Kaplan Higher Education since 2015. She has also held the role of Discipline Coordinator (DC) at Kaplan since 2021. She is currently pursuing a Master of Public Health (MPH) to further her contributions to public health and aged care.

Dr Guna’s dedication to excellence has been recognised through numerous awards, including the National Health IT Excellence Award (2018), Innovation of the Year – Product Award from Ageing Asia Alliance (2019), and multiple accolades from the Singapore Quality Service Awards and Community Care Excellence Awards.

Her research focuses on enhancing the quality of life of nursing home residents. Her thesis, titled “Development and Implementation of Biography Life Storybook (BLSB) to Enhance Nursing Home Residents’ Quality of Life in Singapore”, has been showcased through 7 poster presentations, 3 oral presentations, and 3 peer-reviewed publications.

Wednesday 13 August 2025 | 09:30-12:30

Format: Workshop

Continuous Quality Improvement (CQI) is a deeply rooted capability for continuously defining, analyzing, innovating and improving processes both inside the organization and potentially beyond.

CQI is a structured organizational process for involving personnel in planning and executing a continuous flow of improvements to provide quality healthcare.

Errors are often caused by system or process failures and hence, it is important to adopt various process improvement techniques to identify inefficiencies, ineffective care, and preventable errors to then influence changes associated with systems.

The Quality Improvement Toolkit (QI) session will equip participants with the basic principles and tools needed to support changes in clinical practice and process improvements. It will help participants to advance their personal development, so that they can work more confidently, efficiently and effectively in the evolving healthcare environment.

After this session, participants will be able to:

• Understand and apply quality improvement principles.


• Understand the Model for Improvement (MFI) and the steps involved in the improvement cycle.


• Learn the basics of quality improvement tools: Ideal Team Composition, Flow charts, Ishikawa (fish bone) diagrams, Plan Do Study Act (PDSA) cycles and Run charts.


• Develop appropriate solutions/ Interventions and prioritise them.

Tung Yew Cheong NHG Group; Singapore
Sandhya Mujumdar NHG Group; Singapore
Wong Moh Sim NHG Group; Singapore

 

 

Thursday 14 August 2025 | 13:15-14:00 

Format: Keynote

More information about this Keynote will be announced shortly. 

Professor Ivy Ng Senior Advisor, SingHealth Board; Singapore