2012 Summer Meeting
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Paths to Safety: Developing Multiple Methods for Event Detection
Track:
Education Sessions (CE)
Program Code: 121-L05
Date: Tuesday, June 12, 2012
Time: 2:00 PM to 4:00 PM EST
Location:
Ballroom III, Level 400
PRESENTER(S):
Dr. David Classen, MD, MS, Chief Medical Information Officer, Pascal Metrics
Michael Cohen,
RPh, MS, President,
Institute for Safe Medication Practices
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Michael R. Cohen, RPh, MS, ScD (hon.), DPS (hon.), is president of The Institute for Safe Medication Practices, a non-profit healthcare organization that specializes in understanding the causes of medication errors and providing error-reduction strategies to the healthcare community, policy makers, and the public. He is editor of the textbook, Medication Errors (2007 American Pharmaceutical Association) and serves as co-editor of the ISMP Medication Safety Alert! publications that reach over 2 million health professionals and consumers in the US, as well as regulatory authorities and others in over 30 foreign countries. He is editor for the ISMP consumer website, www.consumermedsafety.org and writes a weekly blog for the Philadelphia Inquirer website, Philly.com (www.philly.com/philly/health_and_science/97905324.html), which also appears regularly in the newspaper. Dr. Cohen currently serves as Vice Chair of the Patient Safety Advisory Group for the Joint Commission (which creates the National Patient Safety Goals). He also served recently as a member of the National Quality Forums Voluntary Consensus Standards Maintenance Committee (CSMC) on Safe Practices and serves as a consultant to the US Food and Drug Administrations Drug Safety and Risk Management Committee. In 2005 he was recognized as a MacArthur Fellow by the John D. and Catherine T. MacArthur Foundation.
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James Hoffman,
PharmD, MS, Medication Outcomes and Safety Officer,
St. Jude Children's Research Hospital
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James M. Hoffman, Pharm.D., M.S., BCPS, is Medication Outcomes and Safety Officer and Associate Member in Pharmaceutical Sciences at St. Jude Childrens Research Hospital in Memphis, Tennessee. At St. Jude, he leads medication use safety efforts across the hospital and conducts research focused on patient safety event detection, patient safety culture, and clinical decision support. Hoffman has been involved in a variety of patient safety and quality improvement efforts at St. Jude including development and implementation of the hospitals electronic event reporting system (EERS), patient safety culture assessment and improvement, and refinement of clinical decision support systems.
Dr. Hoffman received both his Bachelor of Science and Doctor of Pharmacy degrees from the Philadelphia College of Pharmacy. In addition, he received a Masters of Science degree in pharmacy administration from the University of Wisconsin-Madison. He also completed a residency in pharmacy administration and a fellowship in outcomes research at the University of Wisconsin Hospital and Clinics. Dr. Hoffman is a Board Certified Pharmacotherapy Specialist. He is also an Associate Professor at the University of Tennessee Health Science Center College of Pharmacy.
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David Stockwell,
MD, MBA, Executive Director, Improvement Science,
Children's National
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Dr. Stockwell is the Executive Director of Improvement Science as well as the Medical Director of Patient Safety and the Pediatric Intensive Care Unit at Childrens National in Washington, DC. He joined Childrens National Medical Centers team in July 1999 and was educated in medicine at the University Of Oklahoma College Of Medicine and trained in medicine at Childrens National Medical Center since graduating medical school. He is board certified in pediatrics and pediatric critical care medicine as well as an MBA from George Washington University.
Dr. Stockwell has directed his research efforts toward examination of the physician as a leader and manger of the clinical team as well as investigating strategies towards improving patient safety. He is the leader in a multi-hospital collaborative of childrens hospitals across the United States investigating automated adverse event detection. This collaborative has led efforts to identify novel ways of identifying adverse events via the use of the Electronic Medical Record. Building on an administrative background and interest in quality of care, he has written several textbook chapters and peer review articles on patient safety. Since appointment as Medical Director of Patient Safety he as steered the safety efforts for physicians and led countless efforts to improve care delivery.
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PROGRAM CHAIR:
Click the plus sign to see more detailed information about each speaker.
James Hoffman,
PharmD, MS, Medication Outcomes and Safety Officer,
St. Jude Children's Research Hospital
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James M. Hoffman, Pharm.D., M.S., BCPS, is Medication Outcomes and Safety Officer and Associate Member in Pharmaceutical Sciences at St. Jude Childrens Research Hospital in Memphis, Tennessee. At St. Jude, he leads medication use safety efforts across the hospital and conducts research focused on patient safety event detection, patient safety culture, and clinical decision support. Hoffman has been involved in a variety of patient safety and quality improvement efforts at St. Jude including development and implementation of the hospitals electronic event reporting system (EERS), patient safety culture assessment and improvement, and refinement of clinical decision support systems.
Dr. Hoffman received both his Bachelor of Science and Doctor of Pharmacy degrees from the Philadelphia College of Pharmacy. In addition, he received a Masters of Science degree in pharmacy administration from the University of Wisconsin-Madison. He also completed a residency in pharmacy administration and a fellowship in outcomes research at the University of Wisconsin Hospital and Clinics. Dr. Hoffman is a Board Certified Pharmacotherapy Specialist. He is also an Associate Professor at the University of Tennessee Health Science Center College of Pharmacy.
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Description
The idea of moving beyond simple self-reporting of errors to a more sophisticated program is not new, but obtaining and using multiple types of data can be challenging. Bring back to your hospital strategies to develop an entire suite of event detection methods: trigger tools, direct observation, analysis of informatics, and more.
- Compare and contrast the tools used in event detection.
- Develop a plan for your health-system to use multiple event detection methods to identify events and opportunities for improvement.
- Identify methods and data sources to detect medication errors and adverse drug events.
