Date: 25-26 November 2008.

Place: Ramón y Cajal Auditorium, Medicine Department, Complutense University of Madrid.

Presentation

Patient Safety has become one of the key priority strategies of the Spanish National Health System (NHS) and is contemplated as such in the Spanish NHS Quality Plan which sets forth the aims pursued and the actions to be taken to promote Patient Safety in collaboration with the Regional Authorities, Scientific Societies, the Patients themselves and Academic and Research institutions. These aims are designed to promote new synergies in the implementation of Patient Safety policies, enabling the Spanish NHS to provide safer and enhanced quality healthcare.

This Conference aims to present international and national experiences in the implementation of best clinical practices in clinical settings, as well as to consider other key components of Patient Safety policies: research, culture, training and the role of patients and professionals.

Executive summary of the IV International Conference on Patient Safety .

Program

Opening Session

Bernat Soria Escoms. Spanish Minister of Health and Consumer Affairs.

Quality policies in the Spanish National Health System (SNHS). José Martínez Olmos. General Secretary of Health. Spanish Ministry of Health and Consumer Affairs .

Inaugural lecture: Strategic priorities in Patient Safety . Philip Hassen. Chief Executive Officer. Canadian Patient Safety Institute (Canada).
Chair: Pablo Rivero Corte. General Director of the Quality Agency of the NHS. Spanish Ministry of Health and Consumer Affairs.

Strategic actions for the implementation of safe practices in the SNHS. Results . Yolanda Agra Varela. Senior Adviser. Quality Agency of the NHS. Spanish Ministry of Health and Consumer Affairs.

Session I. Safe surgery saves lives

Introductory lecture: Experience with the implementation of the WHO checklist and briefing in the operating theatre . Krishna Moorthy. Clinical Senior Lecturer. Consultant Upper Gastrointestinal Surgeon. Department of Biosurgery and Surgical Technology. Imperial College Healthcare. Londres (United Kingdom).

Chair:

Enrique Terol García.Counselor of Health and Consumer Affairs of the Spanish Representation to the European Union. Brussels (Belgium)

• Design of surgery indicators related to Patient Safety . Pedro Ruiz López. Quality Management Coordinator. Spanish Association of Surgeons.
• Spanish safety standards in the clinical practice of Perfusion . Marisol García Asenjo. President. Spanish Association of Perfusionists.
• Patient Safety and nursing care in the surgery units .Sandra Monsalve Gomariz. Surgical supervisor nurse. Infanta Leonor Hospital (Madrid). Spanish Scientific Association of Nurses. Spanish Association of Surgical Nursing.
• Critical incident management at hospital unit level. notification, reaction, analysis, evaluation. Ivaylo Grigorov Tzenkov. Surgery medical coordinator. Anaesthesiology Unit. Son Llatzer Hospital (Palma de Mallorca).

Lectures

The High 5s Initiative . Edward Kelley. Coordinator and Head, Strategic Programmes. WHO World Alliance for Patient Safety. Geneva (Switzerland).

Factoring the human into Patient Safety . Rhona Flin. Professor of Applied Psychology, University of Aberdeen (United Kingdom).

Debate. Professionals, Patients and Organizations

Chair:

Jesús Casal Gómez. Jefe de Servicio. Agencia de Calidad del SNS. Ministerio de Sanidad y Consumo.

• Coral Larrosa. Journalist. Tele 5 News Program.
• Adelaida Fisas Armengol. President. Spanish Federation of Parents of Children with Cancer.
• Antonia Gimón Revuelta. President. Spanish Federation of Breast Cancer.
• Miquel Vilardell Tarrés. Head of the Internal Medicine Department. Vall d’Hebrón Hospital. (Barcelona). Professor and Vice-rector of Health Institutions Relationship. First Vice-President of the Medical Association of Barcelona.
• Justo Medrano Heredia. Professor of Surgery. Miguel Hernández University (Alicante).

Session II. Research in the Patient Safety Strategy.

Lecture: Research in Patient Safety . David W. Bates. External Research Lead of WHO World Alliance for Patient Safety. MD, MSc, Chief, General Medicine Division, Brigham and Women's Hospital; Medical Director, Clinical and Quality Analysis, Partners HealthCare System, Inc.; Professor of Medicine, Harvard Medical School. Boston (USA).

Chair:

Concepción Colomer Revuelta. Deputy Director of the Quality Agency of the NHS. Spanish Ministry of Health and Consumer Affairs.

• Iberoamerican study of adverse events. IBEAS project . Carlos Aibar Remón. Departamento de Microbiología, Medicina Preventiva y de Salud Pública. Universidad de Zaragoza.
• Critical barriers for the implementation of safe practices in primary care . Carlos Aibar Remón. Departamento de Microbiología, Medicina Preventiva y de Salud Pública. Universidad de Zaragoza.
• Impact of IBEAS study on Patient Safety management . Francisco Raúl Restrepo P. Consultor Dirección General de Calidad de Servicios. Ministerio de la Protección Social (Colombia)
• National study of adverse events in intensive care units. . Paz Merino de Cos. Jefa de Servicio de Medicina Intensiva. Hospital Can Misses (Ibiza).
• SENECA project of quality care standards: preliminary results . Emilio Ignacio García. Profesor Titular. Universidad de Cádiz. Director del Proyecto SENECA. Doctor en Salud Pública.

Mesa III. Cultura y formación

Conferencias introductorias:

¿Cómo reducir el número de sucesos graves en Seguridad del Paciente? . Brian Capstick. Director, Project "Linnaeus" for the classification of patient safety events, European Society for Quality in Healthcare. Londres (Reino Unido).

La experiencia alemana en formación sobre seguridad del paciente . Matthias Schrappe. General Manager. University Hospital. Johann Wolfgang Goethe University. Frankfurt (Alemania).

Chair:

Manuel Gómez Fleitas. Surgery Unit. Valdecilla Hospital. Santander. (Cantabria).

• Strategic actions for Patient Safety training in the SNHS. On-line resources for teaching and access to clinical evidence . David Novillo Ortiz. Technical Officer. Quality Agency of the NHS. Spanish Ministry of Health and Consumer Affairs.
• Implementation results of an e-learning risk management tool kit . Miguel Recio Segoviano. Professor. Carlos III University of Madrid.
• Tools for change management. Experience from Galicia Health Region. Ana Clavería Fontán.Head of Quality and Healthcare Programs. Galicia Health Service.
• Consult us: safe medication use at hospital discharge . Pilar Ripoll Feliu. General Director of Quality and Patient Service. Valencia Health Region.

Session IV. Practical experiences in the implementation of safe practices (I)

Chair:

Itziar Larizgoitia Jáuregui. Research and Knowledge Management Coordinator. WHO World Alliance for Patient Safety. Geneva (Switzerland).

• Management and outcome of acute venous thromboembolism. RIETE Project . Manuel Monreal Bosch. Head of the Internal Medicine Unit. German Trias i Pujol University Hospital (Badalona)./li>
• Fall prevention in hospitals. . Fernando Martín Santiago. Nurse. Centro San Juan de Dios. Ciempozuelos (Madrid). Spanish Scientific Association of Nurses.
• Safe practices in primary care. What we’ve done and what we’ve got to do. .Fernando Palacio Lapuente. Family physician. Ondarreta Primary Care Center. District Ekialde (Guipuzcoa). Basque Health Service.
• Experience reporting clinical incidents in Monte Naranco Hospital . Fernando Vázquez Valdés. Quality and Risk Management Coordinator. Monte Naranco Hospital (Oviedo). Asturias Health Region.

Session V. Practical experiences in the implementation of safe practices (II)

Lecture: The Five Million Lives Campaign. Carol Haraden. Vice President. Institute for Healthcare Improvement. Cambridge (USA).

Chair: Alberto Infante Campos. General Manager of Professional Arrangement, Cohesion of the National System of Health and Inspection. Spanish Ministry of Health and Consumer Affairs.

• Preventing medication errors in children .Eduard Hidalgo Albert. Pharmacy Unit. Vall d’Hebrón Hospital. (Barcelona).
• Patient Safety in chemotherapy process . Gerardo Cajaraville Ordoñana. Head of the Pharmacy Unit. Oncologic Institute. (San Sebastián).
• Monitoring high-risk medication in Psychiatry . Bernardino Barceló Martín. Clinical Analysis and Clinical Toxicology Unit. Son Dureta University Hospital (Palma de Mallorca). Balearic Islands Health Region.
• Reducing medication errors in primary care through electronic prescription . Ángel Mª Martín Fernández-Gallardo. Head of the Pharmacy Unit. Castile-La Mancha Health Region.
• Medicines under special medical supervision: current situation and proposals for future . Miguel Ángel Macía Martínez. Head of the Risk Assessment Unit. Division of Pharmacoepidemiology and Pharmacovigilance. Spanish Agency for Medication and Health Products

Closing lecture

Concepción Colomer Revuelta. Deputy Director of the Quality Agency of the NHS. Spanish Ministry of Health and Consumer Affairs.