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Wednesday, April 19, 2006
Industry Efforts to Advance Patient Safety
- Federal legislation on patient safety reporting through AHRQ – reporting language, common taxonomy for reporting, etc.
- UK’s National Patient Safety Agency – Lessons that can be applied in the US
- Update on the legislation to report medical errors and how this information will be used
- Initiatives to reduce medical errors worldwide – JACHO’s alliance with the World Health Organization
Health System Transformation to Achieve Measurable Patient Safety Improvements
VHA’s Rapid Response Teams – positive outcomes for patient rescue from rapid response teams
Applying Aviation Safety Systems (Simulation and Error Reporting) to Patient Safety
- Medical simulation research report on patient care by clinician teams in academic medical centers and regional health care systems
- Lessons learned from the airline industry with reporting errors – “Near miss” reporting systems, cultural change and legal and punitive implications
- Excellence in organizational culture, key process design elements for reporting systems and feedback for continuous improvement
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Gary Yates, MD
Chief Medical Officer
Sentara
 View Biography
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Lillee Gelinas, RN, BSN, MSN, FAAN
Vice President, Clinical Performance
VHA, Inc.
View Biography
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William Hamman, MD, PhD
Captain
United Airlines
Co-Director
College of Aviation, Center of Excellence for Simulation Research, Western Michigan University
View Biography
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