Surgical Patient Safety Course

Day 1: Friday, June 24, 2016
Concepts Underpinning Surgical Safety 

8:00 am
Welcome and Introduction
Steven Yule and Thoralf M. Sundt, III

Session I: "Fundamentals in Understanding Safety in Surgery"
Co-Chairs: Kenneth Shann and Thoralf M. Sundt, III
8:15 am
Human as Hazard or Human as Hero?
Douglas A. Wiegmann
8:40 am
How Human Factors Professionals Understand Error: Frameworks for Understanding, Models and Classification Systems
Sarah Henrickson Parker
9:05 am Resilience in Teams and in Organizations: What it takes to be High Reliability in Medicine
Steven Yule
9:30 am
Panel Discussion
10:00 am
Coffee Break

Session II: “Tools for Understanding Safety and Error"
Co-Chairs: Sarah Henrickson Parker and M. Blair Marshall
10:30 am
Performing Root Cause Analysis Productively
Constance Haan
10:55 am
Applying the NASA Threat and Error to Surgery
Edward Hickey
11:20 am
Measuring Technical Performance
Emile A. Bacha
11:45 am
Panel Discussion
12:15 pm
Working Lunch Session: Why Do So Many Safety Solutions Fail? – Models for Understanding Implementation
Douglas A. Wiegmann

Session III: "Optimizing Individual Human Performance: The Impact of the Physical and Cognitive Environment" 

Co-Chairs: Robert Jaquiss and Steven Yule
1:00 pm
Medical Devices: Ergonomic Device Design and Evaluation
Sarah Henrickson Parker
1:25 pm
Medical Architecture – Making our ORs, ICUs and SDUs Safer by Design
Jake Abernathy
1:50 pm
Understanding limitations of Human Cognitive Performance
Steven Yule
2:15 pm
Leveraging Data to Improve Individual Performance
David Westfall Bates
2:15 pm
3:00 pm
Coffee Break

Breakout Session I: Focus on Interdisciplinary Care (delegates choose one)
A. Using Stimulation to Introduce New Technologies and Maintain Performance- CPB and ECMO 
  David C. Fitzgerald
Kenneth Shann, CCP, LP
B. Instituting a Multidisciplinary Blood Management Program 
  Daniel J. FitzGerald
Prem S. Shekar,
Stanton K. Shernan
Martin Zammert
C. Standardizing Care with Protocols and Guidelines
  Marco A. Zenati
Shannon Pengel
5:00 pm     
Simulation Fair and Networking Reception


Day 2: Saturday, June 25, 2016
Tools to Enhance Performance 

7:00 am
Breakfast: "Open Microphone Case Presentations: What Went Wrong?"
Facilitators: Michael Fitzsimons, Sarah Henrickson Parker and Thoralf M. Sundt, III

Session IV: "Tools to Optimize Team Performance in the OR, ICU and Step-Down"

Co-Chairs: M. Blair Marshall and David J. Bunnell 
8:00 am
Principles of High Functioning Teams and Effective Leadership Behaviors
Sarah Henrickson Parker 
8:25 am

Putting it Together: The Value of Experiential Learning/Simulation
Douglas S. Smink
8:50 am Simple Tools for Structured Communication in Handoffs and Transitions of Care: SBAR and IPASS
Patricia A. Hickey
9:15 am
Amanda Rhee
9:40 am
Panel Discussion 
10:20 am
Coffee Break

Breakout Session II: Focus on Interdisciplinary Care (delegates choose one)
D.Challenges and Successes in Implementing Checklists/Briefings/Debriefings 
  Thoralf M. Sundt, III
Kenneth Shann
E. Shared Decision-Making and Conflict Resolution in the ICU
  Patricia A. Hickey
F. Coordinating and Cooperating in the Introduction of New Technology: TAVR and the Hybrid OR

Douglas C. Shook
G. How to Assess and Improve Non-Technical Skills in the Operating Room (NOTSS) 
  Steven Yule
Douglas S. Smink
12:20 pm

Session V: "Safety at the Institutional Level" 
1:30 pm
Implementing a Safety Reporting System Productively
Cassandra M. Kelleher
1:55 pm
Maintaining the Gains: Strategies to Combat "drift"
Robert Jaquiss
2:20 pm
Accountability in the Context of “Systems Thinking”: Who is Responsible?
Thoralf M. Sundt, III
2:45 pm
When Bad Things Happen: Disclosure and Supporting Caregivers in the Aftermath
Jo Shapiro
3:10 pm
3:40 pm
Closing Remarks
3:45 pm Adjourn