Proceedings of International Patient Safety Conference (IPSC), 1st to 3rd October, 2010, AIIMS, New Delhi, India
Under the effective leadership of Dr. L. R. Murmu and Dr. Nishat Ahmed, All India Institute of Medical Sciences, New Delhi witnessed the first International Patient Safety Conference. There were research presentations from the health care professionals of USA, UK, Germany, India etc. It was a holistic approach including doctors, nurses, pharmacists, health care workers and traditional medicine practitioners.
The basic objectives were:
1.To enhance participants’ understanding of important concepts in patient safety and contribute to set off national agendas for patient safety.
2.To exchange information about patient safety initiatives and explore emerging areas of collaboration for better understanding of the extent of problem and develop solutions.
3.To facilitate union of disciplines and organizations across the continuum of care, championing a collaborative, inclusive, multi-stakeholder approach.
M. Weiss of Dept of Ob/Gyn, Carilion Clinic, Roanoke, VA, USA summarized that; full course of medical errors and unanticipated outcomes or events has received much attention since the release of the Institute of Medicine’s report - “To Err Is Human: Building a safer health system” on November 29, 1999. Patients and their families want and expect to be informed truthfully, sincerely, and in a timely fashion about these occurrences. Physicians, the health care team, and the health care institution can foster better patient relationships and trust through disclosure and, when appropriate, an apology.
L. Leape et al, of Harvard School of Public Health, Massachusetts, USA concluded that; the transformations comprise a major culture change for healthcare. Achieving them will require enlightened leadership, commitment and support from all stakeholders. However, without them, we believe progress in making healthcare safe will continue to sputter.
Carmen Y Kelly of Agency for Healthcare Research and Quality, Rockville, USA concluded that; pharmacists, physicians, nurses, hospitals, and others who are working to improve quality and patient safety realize that these goals cannot be achieved by any one stakeholder. Instead, our success depends on the participation of others in varied clinical, administrative, and financial capacities. Pharmacists working with other stakeholders in the health care system will help to realize the benefits of these and other safety enhancing programs.
Christopher P. Landrigan of Children’s Hospital, Boston, USA has noted that; altogether, a convincing literature has emerged to demonstrate that serious medical errors and preventable adverse events are common in health care. Computerized order entry, clinical pharmacists, improved infection control, and amelioration of sleep deprivation and adverse working conditions have proved effective in decreasing serious errors.
Pameela H. Mitchell of Biobehavioral Nursing and Health Systems, University of Washington, USA concluded that; patient safety is the cornerstone of high-quality health care. Much of the work defining patient safety and practices that prevent harm have focused on negative outcomes of care, such as mortality and morbidity. Nurses are critical to the surveillance and coordination that reduce such adverse outcomes. Much work remains to be done in evaluating the impact of nursing care on positive quality indicators, such as appropriate self-care and other measures of improved health status.
Geeta Mehta of WHO SEARO, New Delhi, spoke about Patient Safety; WHO Resources and Perspective.
Manish Shah of National Patient Safety Foundation, USA, delivered two lectures on;
The Three W’s and How of Accountability: What, Why, Who, and How.
Healthcare IT: A Means to an End the Unintended Consequences.
Arati Verma of Quality Council of India, New Delhi spoke about Non Punitive Reporting of Adverse Events.
Krishnan S. of Tawam Hospital, Abu Dhabi, UAE spoke about Integrating Patient Safety in to the Culture of the Organization – How to do it.
John Sandars of University of Leeds, UK delivered three lectures on;
How to Effectively Implement Patient Safety in Practice
How to Develop a Patient Safety Curriculum
How to Improve Underperformance in Health Care Professionals through Performance Mentoring
Bonnie Arquila of SUNY Downstate Medical Center, New York delivered two lectures on;
2011 National Patient Safety Goals
Importance of Cognitive Errors in Diagnosis
Chandra M Gulhati, Editor of MIMS, India delivered two lectures on;
Drug Safety Situation in India
Patient Safety in Clinical Trials
Tarun Wadhwa of KLE College of Pharmacy, Karnataka, spoke on Safety Issues in Pediatrics-Changing Trends from Bedside Care to Vigilant Monitoring.
V R Gupta of Fortis Escorts Heart Institute, New Delhi spoke on Prioritizing Safety Practice in Healthcare. Another interesting talk was by Subodh K of Administrative Staff College of India (ASCI) Hyderabad, on Andhra Pradesh Patient Safety Strategy.
Staff and students of various institutions in the country had presented their posters relevant to the patient safety. Most of the presentations were from pharmacy institutions. Dr. Sunil K. Jain, Chief Pharmacist of AIIMS, New Delhi had a major role in participation of pharmacy professionals from India. Some of the key research presentations were from Raghavendra Institute of Pharmaceutical Education and Research (RIPER), A.P., Karpagam University, T.N., Guru Gobind Singh Indraprastha University, New Delhi, KLE University, Karnataka, Manipal University, Karnataka, International Institute of Health Management Research, New Delhi, AIIMS, New Delhi, Stanely Medical College, Chennai, Govt. Medical College, Chandigarh, B.S. Anangpuria Institute of Pharmacy, Faridabad, DIPSAR, New Delhi, Moulana Azad Medical College, New Delhi, and Annamalai University, T.N.