Agenda: Meeting 2. Identifying and Preventing Medication Errors
Day 1, April 13 OPEN SESSION
7:50am-8:00am
Welcome and Introductions, Lyle Bootman, Linda Cronenwett
Plan for the Day/Symposium
8:00am-8:45am
Opening Presentation
Overview of care continuum and interaction of patient, provider, technology,
systems across health care settings (end to end)
Gary Christopherson, IOM Senior Fellow; Senior Advisor to the Undersecretary for Health, Veterans Health Administration; Deputy Director of the Quality Improvement Group, Centers for Medicare and Medicaid
8:45am-10:30am
Systems Panel Discussion
Moderator: Jim Conway
•Institutional design
John Reiling, St. Joseph’s Hospital in Wisconsin
•Cognitive and human factors in health care
Emily Patterson, Ohio State University
•Organizational approaches to medication errors
Frank Federico, Institute for Healthcare Improvement
•Systems approaches in ambulatory care
Bruce Bagley, American Academy of Family Physicians
10:30am-10:45am
Break
10:45am-12:30pm
Technology Panel Discussion
Moderator: Scott Evans
•Individual technologies
-Barcoding
Gordon Hunt, SutterHealth
-Smart pump
Jeffrey Rothschild, Brigham and Women’s Hospital/Partners HealthCare
-e-Prescribing/CPOE (inpatient and outpatient)
David Classen, First Consulting Group
-Pharmacy database (inpatient and outpatient)
Betsy Chrischilles, University of Iowa
•Data standards for drug information systems
Ed Hammond, Duke University
12:30pm-1:15pm
Lunch
1:15pm-2:45pm
Quality and Medication Errors Panel Discussion
Moderator: Ed Westrick
•Standards/measures for safety and quality
Ken Kizer, National Quality Forum
•Quality improvement organizations
David Schulke, American Health Quality Association
•Medication safety and accreditation programs
Paul Schyve, Joint Commission on Accreditation of Healthcare Organizations
2:45pm-3:00pm
Break
3:00pm-4:45pm
Patient-Consumer Panel Discussion
Moderator: Charles Inlander
•Patient–centered care for safety and quality
Susan Frampton, Planetree
•Programs for patients and families
Pat Sodomka, Medical College of Georgia
•Community-based patient-consumer initiative
Ilene Corina, President of PULSE (Patients United Limiting Substandards and Errors in Healthcare)
•Patient education and special populations
N. Lee Rucker, American Association of Retired Persons
•Technology for patients
David Gustafson, University of Wisconsin
4:45pm-5:15pm
Committee, panelist, audience networking opportunities
5:15pm
Adjournment of Symposium Day 1
Day 2, April 14 OPEN SESSION
8:50am-9:00am
Plan for Day 2, Lyle Bootman, Linda Cronenwett
9:00am-10:45am
Reporting Systems Panel Discussion
Moderator: Wilson Pace
•Medication event reporting system
Diane Cousins, U.S. Pharmacopeial Convention
•Reporting initiatives of academic medical centers
Scott Stanley, University HealthSystem Consortium
•National Center for Patient Safety
Noel Eldridge, Veterans Health Administration
•Special considerations (medication events in emergency care, events involving medical devices, and state reporting)
John Clarke, ECRI (by teleconference)
•Federal Patient Safety Reporting Systems
Bill Munier, Agency for Healthcare Research and Quality
10:45am-11:00am
Break
11:00am-12:15pm
Legislative-Regulatory Panel Discussion
Moderator: Rebecca Chater
•State legislative representative
Massachusetts State Senator Richard Moore
•State regulatory representative
Loriann De Martini, California Department of Health Services
12:15pm Adjournment of Symposium Day 2
CLOSED MEETING—COMMITTEE ONLY
1:15pm-5:00pm
Committee discussions
Day 3, April 15 OPEN MEETING
8:30am-9:30am
Bringing It All Together: Creating an integrated, high quality health care delivery system that supports medication safety
Brent James, InterMountain Health Care
CLOSED MEETING—COMMITTEE ONLY
9:30am-2:00pm Committee discussions
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