_{2nd Nordic Conference on Research in Patient Safety and Quality in Healthcare}

NSQH 2012 - To share knowledge and ideas

6–7 March 2012, Copenhagen, Denmark

Conference aim - to gather Nordic researchers working in the field of patient safety and quality improvement to share knowledge and ideas.

The conference was hosted by the Danish Research Network for Patient Safety and Quality in Healthcare.

Invited topics:

• Research methods in patient safety and quality improvement
• Identification and mitigation of risks, hazards and quality deficits
• Translating evidence into practice
• Evaluation of safety and quality interventions
• Involvement of patients and relatives in patient safety and quality improvement
• Measuring and improving safety culture
• Regulating for patient safety and quality
• Organizational characteristics affecting safety and quality

Presentations - keynotes and debates:

How to ensure quality and patient safety in a health care system under economic constraints.

René Amalberti, National Authority for Health, France. NSQH2012_Amalberti_keynote

Complex interventions in safety and quality. Challenges in Methodology and Interpretation

Peter Dahler-Larsen, University of Southern Denmark.

Is standardized care a solution to safety and quality issues?

Robert Wears, University of Florida / Imperial College London. NSQH2012_Wears_keynote

Organizational and social perspectives on patient safety and quality in health care: Contributions, critiques, and future directions

Naomi Judith Fulop, NIHR King's PSSQ Research Centre, United Kingdom.

For debate 1:  Research based on adverse event – Where does it bring us?

Kim Lyngby Mikkelsen, National Agency for Patients' Rights and Complaints, Denmark.

Erik Hollnagel, Center for quality, University of Southern Denmark.

For debate 2:  Do clinical databases lead to improved quality of care?

Erik Jakobsen, Danish Lung Cancer Registry, Denmark.

Knut Borch‐Johnsen, University of Southern Denmark.

Presentations - workshops:

Workshop A:  Research methods in medication errors - Identification, measurement and evaluation

Marianne Lisby, Aarhus University Hospital, Denmark. NSQH2012_Lisby_wA

Annemarie Hellebek, Unit for Patient Safety, Capital Region of Denmark.

Workshop B: Leadership, organization development & culture – Impact on safety and quality

Peter Kjær, Copenhagen Business School, Denmark. NSQH2012_Kjaer_wB

Morten Knudsen, Copenhagen Business School, Denmark.NSQH2012_Knudsen_wB

Kirstine Zinck Pedersen, Copenhagen Business School, Denmark. NSQH2012_Pedersen_wB

Workshop C:  Global Trigger Tool in patient safety – Where is the evidence?

Helge Svaar, Svaar Consult, Norway.

Persephone Doupi, National Institute for Health and Welfare, Finland. NSQH2012_Doupi_wC

Workshop D: Economic Evaluation of Patient Safety and Quality of Care

Mickael Bech, University of Southern Denmark. NSQH2012_Bech_wD

Kjeld Møller Pedersen, University of Southern Denmark.

Workshop E: Patient/User Involvement in Patient Safety and Quality of Care

Morten Freil, Danish Patients, Denmark. NSQH2012_Freil_wE

Marianne Storm, University of Stavanger, Norway.

Presentations - Sessions:

Session 1 - Oral presentations: Patients’ perspective and experience.

Danish Cancer Patients’ Perspectives on the health care services from first symptom to end of primary treatment. Cecilie Sperling, Mette Sandager & Janne Lehmann Knudsen.

The National Danish Survey of Patient Experiences – a tool to measure improvement. Marie Fuglsang & Mette Foged. NSQH2012_Fuglsang_s1

Session 2 - Oral presentations: Risks and hazards - Identification and intervention

Improved safety in the patient’s medication process during hospital stay. Experiences and outcomes from the LIMM-model (Lund Integrated Medicines Management). Tommy Eriksson, Peter Höglund, Lydia Holmdahl, Åsa Bondesson, Patrik Midlöv, Anna Bergkvist-Christensen & Lina Hellström. NSQH2012_Erikson_s2

Development and evaluation of a clinical pharmacy screening service of risk medications: a national collaboration study. Lene Juel Kjeldsen, Marianne Hald Larsen & Trine Rune Høgh Nielsen. NSQH2012_Kjeldsen_s2

Validation of a taxonomy of failures and causes of handover patient safety incidents. Henning Boje Andersen, Inger Margrete Siemsen, Lene Funck Petersen, Doris Østergaard & Jacob Nielsen.

Weekend-effect: Is higher short-term case-fatality among patients with stroke, admitted during weekends explained by a poorer quality of care?  Nina Sahlertz Kristiansen, Søren Paaske Johnsen & Jan Mainz.

Session 3 - Oral presentations: Safety at the sharp end

Prevention of Central Venous Catheter-Related Infections in a Swedish ICU department. Sophie Lindgren, Ingrid Eiving, Ann Eliasson, Elisabeth Ek, Anneli Fagerberg, Gisela Fridstedt, Elisabeth Lindström, Anna Ljung, Susanne Olsson, Maria Tiger & Helené Westrin. NSQH2012_Lindgren_s3

A qualitative study of surgical personnel’s experiences with the WHO Surgical Checklist two years after implementation. Arvid Steinar Haugen, Sindre Høyland, Øyvind Thomassen & Karina Aase.

Validating the Danish adaption of the WHO-ICPS classification of patient safety incidents. Kim Lyngby Mikkelsen, Jacob Thommesen & Henning Boje Andersen.

Session 4 - Oral presentations: Global Trigger Tool

Measuring national levels of adverse events using the Global Trigger Tool in the Norwegian patient safety campaign. Ellen Tveter Deilkås. NSQH2012_Deilkaas_s4

Implementation of Global Trigger Tool at a medium size hospital in Norway. Kjersti Mevik, Tonje Hansen, Hilde Normann, Birger Hveding & Barthold Vonen. NSQH2012_Mekiv_s4

Measuring adverse events in oncology inpatients using Global Trigger Tools: Sense or nonsense? Thea Otto Mattsson, Kim Brixen, Janne Lehmann Knudsen & Jørn Herrstedt.

Session 5 - Oral presentations: Simulation, training and learning

Simulation for Learning and Teaching Procedural Skills: The state of the science. Debra Nestel, Jeffrey Groom, Sissel Eikeland Husebø & John M. O'Donnell.

Using simulation-based training to ensure safe implementation processes of new technology in the home context - A literature review. Siri Wiig & Anne Marie Lunde Husebø.

Anaesthetists’ Non Technical Skills in a Danish perspective. Rikke Malene Jepsen, Lene Spanager, Helle Teglgaard Lyk-Jensen & Doris Østergaard.

MEET-MEASURE-iMprOVE – clinical teams learn to improve the safety of patients in a Danish regional hospital. Christian von Plessen & Inge Ulriksen.

Session 6 - Oral presentations: The relationship between working environment and patient safety

Interaction of organisational climates in health care: patient safety and occupational safety. Anders Pousette, Mats Eklöf, Pernilla Larsman & Marianne Törner.

Work environment and patient safety. A multi methodolodical study at an acute department at a regional hospital.  Kurt Rasmussen, Anna Helene Meldgaard Pedersen, Kent Nielsen, Louise Pape, Marlene Dyrløv & Kim Mikkelsen.

Work related stressors and occurrence of errors and adverse events in an emergency department. Kent Jacob Nielsen, Anna Helene Pedersen, Kurt Rasmussen, Louise Pape Larse & Kim Mikkelsen. NSQH2012_Nielsen_s6

Organisational change, work environment and patient safety. Anna Helene Meldgaard Pedersen. NSQH2012_Pedersen_s6

Session 7 - Oral presentations: Organization of care from a systems perspective

Evidence informed patient safety policy: is it possible? Anne Karin Lindahl, Marianne Tinnå, Unni Krogstad & Øystein Flesland. NSQH2012_Lindahl_s7

Patient safety in cancer care from a systems perspective. Mirjam Ekstedt & Synnöve Ödegård. NSQH2012_Ekstedt_s7

Identifying the underlying management strategies of developing patient safety - are they competing or complementary? Elina Pietikäinen, Teemu Reiman & Heikkilä Jouko. NSQH2012_Pietikainen_s7

A joyous occasion? How centralisation as part of quality improvement shapes power battles within organising of maternity care. Siri Wiig, Karina Aase & QUASER Team.