Quality & Safety Workshop Sessions

Session Objective and Discription

Clinical Care Pathways: Improving Safety and Quality in Pediatric Hospital Medicine Michelle Marks and Rita Pappas

In this workshop, the participant will learn:

  • Key strategies in leading a multidisciplinary group and evidence based care path development
  • Successful implementations of care paths
  • Key steps to study the outcomes of care paths

Clinical care paths use active decision analysis to guide management with best evidence. Our Pediatric Hospitalists standardized care through pathways for asthma, bronchiolitis, nutritional insuffi ciency (NI), and diabetic ketoacidosis (DKA). These pathways view clinical practice as a process, incorporate evidence-based practice, and foster collaborative learning.

During the workshop, the participants will review the key strategies in leading a multidisciplinary group and developing evidence based carepaths. We will use our pathways as case studies to address opportunities and challenges encountered. The participants will learn stepwise approach to successful implementation of carepaths. We will use the data that we have collected to illustrate how to successfully obtain quality outcome measures.

Hand-off Communication
Chris Maloney

Participants attending this session will develop a skill set to:

  • Discuss the Joint Committee requirement regarding hand-off communication

Understand diff erent methods of hand-off communication

Apply tools for eff ective hand-off communication

  • Physician - Physician
  • Physician - Nurse
  • Nurse - Physician
  • Nurse - Nurse

Teach others at your institution how to use eff ective hand-off communication to improve patient safety

The session will be an open discussion initially with a history of the problem with hand-off communication, solutions from pediatric hospitalists from around North America and current research. Participants will then break into small groups and describe strategies that have been both eff ective and ineff ective at their respective institutions. Finally each small group will present the outcomes to develop a further understanding of the next steps for hand-off communication to identify areas necessary to infl uence patient safety.

How to Design, Implement, and Evaluate a Robust Program of Family-Centered Rounding Ted Sigrest and Glen Tamura

Target Audience:

  • Anyone who would like to start family-centered rounding at their institution and do it in a way that generates enthusiasm for the change
  • Anyone who has begun to round in a family-centered style, but has not been able to gain acceptance of their program because of a lack of proven benefit
  • Anyone who began FCR with great enthusiasm at the outset, but then found that the movement has clearly "run out of steam."

Learning Objectives:

  • By sharing their experiences in starting FCR, attendees will be able to recognize and discuss best methods for starting (or re-starting) a program of family-centered care and rounding.
  • After a short discussion of the challenges and controversies involved in setting realistic goals and measuring desired outcomes in FCR, attendees will divide into workgroups to develop the basic outline of a program of FCR that includes their own specifi c goals and objectives.
  • Attendees will be able to diff erentiate and choose between setting up a FCR program involving formal research versus a program that is set up to allow practical evaluation and gradual improvement over time.
  • Sample tools will be handed out and discussed.
  • Attendees will be given the opportunity to participate in collaborative eff orts after the PHM 2009 meeting, with the goal being to develop standardized methods of conducting and evaluating family-centered rounding.

This workshop was developed as a result of surveys that were sent to AAP SOHM members in 2007 and 2008. Although 3/4 of the institutions had started some form of family-centered rounding, only a small fraction of those programs had done any kind of formal evaluation of their rounds. With no statement of goals and objectives, and no standardized way of measuring the success of their eff orts to provide family-centered care, many hospitalists have been unable to defend the need for providing or expanding FCR. This workshop was designed to be a fun and interactive way to compare and build on each other's experiences, and to begin the process of developing a model FCR program.

Implementation of an Inpatient EMR: Lessons Learned
Mark Del Beccaro and Timothy Hartzog

  • In this session we will review the issues regarding implementation of an Electronic Medical Record (EMR) in the inpatient setting. Participants will be able to:
    • Describe the basic features necessary for an EMR especially with regard to pediatric requirements
    • Describe the cultural issues that need to be addressed for a successful implementation and use of an EMR by physicians
    • Understand the challenges and potential unintended consequences of CPOE implementation
    • Describe strategies for successful implementation and ongoing use of an EMR in the inpatient setting

Planning and Improving Pediatric Safety at a Community Hospital
John A Pope

Learning Objectives:

  • Understand how to create a culture of pediatric safety in community hospital
  • Learn how to identify safety stakeholders and assemble a safety team
  • Outline possible methods and forums for safety planning
  • List at least three potential pediatric safety projects to implement in your hospital

The workshop session will consist of a power point presentation on planning and improving patient safety at a community hospital and will provide a workbook for safety planning. The power point will provide an overview of hospital safety, challenges specifi c to the community hospital setting, creating a culture of patient safety, identifying safety stakeholders, approaches to bringing people together to discuss safety, methods for setting safety goals, and measuring success of projects. The work book will serve as a source book and provide a framework for attendees to plan safety programs and interventions for their hospital QI 101: Quality Improvement Initiatives in the Hospital Setting:

What do I need to know, and how do I do it?
Patrick Conway, Christopher Maloney, Mary Ottolini, Stephen Muething, Jeff rey Simmons, and Erin Stucky

Learning Objectives:

  • Learners will identify 2 key factors infl uencing the Quality Movement and explain their importance
  • Learners will defi ne PDSA and FMEA and describe their use based on interactive tabletop work
  • Learners will acquire skills necessary to layout a quality project

Using and interpreting quality improvement (QI) methods and data is rapidly becoming an expectation of all physicians. Pediatricians working in hospital settings have great potential to lead initiatives to improve health care by studying inpatient disease management and care processes. Implementation of QI eff orts, however, requires understanding of and experience in using QI tools. This session will off er didactics in: 1) Overview – Importance of QI in pediatrics; 2) QI Basics - tools, project layout, and use of IT; and 3) QI Metrics and Interventions – PDSA and FMEA. Participants will work in breakout groups using the tools learned, under faculty guidance. Groups will share their results, and together discuss opportunities and challenges to performing QI. The ability to improve the health of hospitalized children while promoting scholarship will be emphasized. Based on input from last year’s session, more time will be spent on tabletop work.Participants are encouraged to bring a process or idea relevant to his/her own setting for this interactive session.

QI 201: Quality Improvement in the Hospital Setting: Advanced tools, infrastructure, and leadership
Patrick Conway, Christopher Maloney, Mary Ottolini, Stephen Muething, Jeff rey Simmons and Erin Stucky

Learning Objectives:

  • Learners will defi ne reliability and articulate how it can be used in assessing and creating safe healthcare systems
  • Learners will apply advanced identify QI tools and data interpretation through tabletop work
  • Learners will identify and discuss the system components and leadership skills necessary for successful QI implementation.

This session is geared toward those who have taken the 101 course or are familiar with basic QI tools and metrics. Participants will gain experience in use of advanced QI tools, reliability, data analysis and presentation of data. Participants are encouraged to bring examples from his/her own setting to which to apply these principles. Didactics will include the culture of safety, creation of infrastructure in diff erent settings, and leadership skills needed to advance QI. Participants will work in breakout groups to apply these principles, with faculty guidance. Groups will share their results, and together discuss opportunities and challenges to advancing QI within a division and system. Based on input from last year’s quality workshop, this session was created for those who have engaged in more than 1 quality activity, have or are interested in leading quality projects, and/or hold or aspire to QI leadership positions.




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