Monday, December 14, 2009

Update from Jason on the 2009 IHI Annual Forum


Over 5,500 people attended the IHI’s Annual Forum in Orlando last week, representing over 40 countries from around the world. At least 15,000 connected to the forum virtually by watching online videos of the forum sessions.

Don Berwick, the President and CEO of the IHI (pictured here), gave another stirring keynote presentation. He stressed that health in and of itself is valueless; rather, it is what we can do with our health that makes it worthwhile. And sometimes, less is more. He cited his own knee as an example. He suffers from a degenerative knee disease, and knows that at some point, he will need a complete knee replacement. This operation was about to take place for him, but the day before his surgery, another doctor suggested steroid injections. With that done, his condition improved immensely and he is still able to participate in his favourite sport: skate-skiing. If he’d had the knee replacement, he’d have to give up his sport. And it would have cost more.

There were many other sessions on an extensive range of topics such as hospital performance, pandemic planning, patient safety, and roles that various health providers can/should play. There was also an exhibit hall with 200-300 exhibitors; this was a great place to connect with potential employers, find out what future qualifications may be required for dream jobs, and find out what is happening at hospitals around the world.

I also had the pleasure to represent our U of T chapter at the IHI’s Chapter Congress – a meeting of chapter leaders from around the world (currently IHI chapters are operating in 178 campuses worldwide). We discussed issues around chapter growth, education, and activities, and I’m pleased to report that I returned to Toronto feeling energized and full of ideas for the upcoming semester. Stay tuned for upcoming events in the winter semester!

To access presentation materials from the IHI Annual Forum click here : http://www.softconference.com/ihi/slist.asp?C=2557

Tuesday, December 1, 2009

From the Archives... Center for eHealth Innovation Simulation Lab Tour in April 2009

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Sean Clarke's Patient Safety Speaker Series Talk: Opening the Black Box

Dr. Sean Clarke, who is a trained nurse and health services researcher gave a wide-ranging talk on his research yesterday at the Department of Health Policy, Management & Evaluation as part of the Bridging the Quality Chasm Health Services Research seminar series, which is focused on patient safety.

Dr. Clarke's research is focused on understanding organizational influenceson clinical judgement in hospital nursing care.

Dr. Clarke openned the talk with a discussion on outcomes research, and how outcomes research can illuminate how endpoints of clinical care relate to context. The goal of outcomes research is to provide data for improving the quality of health care to a broad audience, including : clinicians, management and stakeholders (including patients). A number of theoretical models are used to explore the black box which include variables such as : leadership, practice environment, nurse staff, nurse job outcomes, processes of care and patient outcomes.

Dr. Clarke has applied this framework to the analysis of key processes related to patient safety:
- Needlestick injuries
- Failure to rescue
- Relationship between volumes and outcomes
- Processes of care measures

For upcoming Health Services Research Seminars on Bridging the Quality Chasm, please visit: http://www.hpme.utoronto.ca/about/events/hsrseminar0910.htm

To learn more about Dr. Clarkes' research, visit his website ( http://bloomberg.nursing.utoronto.ca/staff/AcademicStaff/Sean_Clarke.htm )or contact him directly at sean.clarke@utoronto.ca