December 2010 Conference Workshops

As part of the simulation conference - 'Checklists, Guidelines and Protocols - embedding patient safety' - at the Royal College of Physicians on 20 December 2010, delegates will break out of plenary sessions and into workshops.

Delegates will need to choose one workshop from the morning session and one from the afternoon session.

Please email your choices to the STeLI Project Officer - david.marston@londondeanery.ac.uk

Room allocations for the workshops will be made based on their expected attendance figures.  If you do not make your choice before the conference, your preffered option may be fully booked.

Morning Workshops:

1. Confronting the real barriers to safety; making teams work through simulation training at UCLH.  Yogen Amin, Consultant Neuroanaesthetist and Neurointensivist, The National Hospital for Neurology and Neurosurgery and Judy Walker, Education Transformation Team, University College London Hospitals NHS Foundation Trust.  Using the After Action review (AAR) concept, which prioritises learning after adverse events rather than blaming, and the introduction of the World Health Organisation (WHO) Safe Surgery Checklist, the team in the Education Centre has taken over 1300 NHS staff through simulation training which challenges them to examine essential team behaviours.  The results in terms of reduced incidents and improved communication are impressive.
2. Safety skills in healthcare: Problems, pitfalls and prevention of error.  Sonal Arora, Clinical Lecturer and Speciality Registrar in Surgery and Nick Sevdalis, Senior Lecturer Patient Safety, from Imperial College discuss the clinical applications of patient safety, concentrating upon human factors and non-technical skills.  This interactive session provides participants with the skills to understand why things go wrong, how to analyse an adverse event and how to enhance safety with simple interventions.
3. Implementing the WHO checklist: Lessons learned from an implementation journey.  Ajit Abraham, Consultant Hepato-pancreato-biliary Surgeon, Barts and the London NHS Trust, a long standing champion of quality improvement and patient safety issues, discusses the practical implications of implanting the WHO checklist across a busy London Trust.
4. Virtual world opportunities for medical education.  Simon Brownleader and Fee Berry, Mediverse.  An interactive workshop that tours virtual worlds including OpenSim and Secondlife and how they are used with Medical Education.  This is supported by a demonstration of a virtual medical educational scenario.
5. Embedding high fidelity team training in your Trust – a Patient Safety Initiative.  Meredith Allen and Margarita Burmester, Consultant Paediatric Intensivists, and directors of the SPRinT (Simulated Paediatric Resuscitation Team Training) team from Royal Brompton Hospital will lead an innovative workshop on getting an ‘in-situ simulation programme up and running.’  The session will include: pitfalls, challenges and the secrets of setting up; how to get Trust buy-in in a system resistant to change; tips to get multidisciplinary involvement; and clever tactics for dealing with obstacles.

Afternoon workshops:

1. Hogan Development Survey workshop.  Carol Barnes, Chartered Psychologist, Accordo asks how would people recognise when you are stressed?  What clues might those around us pick up that say you are under pressure?  The way we behave under pressure and stress may the mirror the behavioural attributes that made us successful.  These strengths may become our flaws when we are under prolonged pressure.  Think of the times when you have been under pressure, to meet a deadline, to meet several deadlines or competing deadlines, snapped, when others have thought we have been out of character, not behaving to type…  Sound familiar?  This workshop looks at how it is possible to measure these deep rooted and potentially self-destructive tendencies that can derail a leader.
2. ‘A stitch in time…’ – role play simulation in the management of underperforming doctors.  Karen Barry, Manager, Interactive Studies Unit, and Connie Wiskin, Senior Lecturer in Clinical Communication, University of Birmingham.  The Interactive Studies Unit has offered intensive one-to-one training to over 220 doctors who have been referred for under-performance in relation to a perceived area of clinical communication.  Interventions, usually involve simulation of doctor/colleague or doctor/patient interaction and a written evaluation.  Data is collected for analysis on an ongoing basis to identify why individuals are referred, the demographics of “poorly performing doctors”, the means of identifying (and assessing/evaluating) the nature and extent of the problem, and the success of the intervention.  This workshop will recount the history of our programme, share findings about referral triggers, consider the viability of simulation for poor-performance assessment and invite discussion about managing this sensitive area of work.
3. Leading for Patient Safety: Whose role is it anyway?Veronica Wilkie, Senior Clinical Teaching Fellow, Institute of Clinical Leadership, University of Warwick.  This workshop will look at the style of leadership and the competences needed by those working in healthcare in today’s NHS.  It will be interactive and take a look at the perception of how each individual can take a lead to promote patient safety, and will introduce the medical leadership curriculum, now recognised as the first shared curriculum for all medical specialties, and the medical leadership competency framework.
4. The journey from lab to ward – making simulation relevant for a multi-professional team.  Emma Evans, Consultant Anaesthetist, St George’s Healthcare NHS Trust, outlines the stepping stones teams need to take to move simulation-based training out of the education centre and onto the ward.  It tackles questions such as how to get multi-professional teams involved and buy-in from around the Trust.
5. The Challenges of Implementation (Will, Ideas, Execution):  Elizabeth Haxby, Lead Clinician in Clinical Risk, Royal Brompton & Harefield NHS Trust, draws on the processes that led to the successful reduction of surgical infection rates, this workshop examines the challenges to implementing change and improving patient safety.  In an inversion of a regular presentation, Dr Haxby will first take questions to tackle delegate’s specific issues before outlining the protocols established at the Royal Brompton.