2006 January 23 -
Registration, Keynote Lecture, Oral Presentation, Poster Presentation, Banquet
2006 January 24
– Keynote Lecture, Oral Presentation, Closing Remark
Tetsumon Memorial
Hall, The
English.
Simultaneous
interpreter between English and Japanese.
-
Facts and Preventive Strategies in Clinical Accidents.
-
Clinical and Community Networking for Better patient Safety
KL: Keynote Lecture, SL: Special Lecture, GP: General Presentation
*Speaker
Room A (Testumon hall, 14th
floor), Room B (The 3rd seminar room,
13th floor)
Room C (The 1st seminar room, 2nd floor; staff room
and lunch space for invited guest speakers)
(The first
day)
Registration desk hour: am
Presentation
should be performed in Room A, and Room B.
am
Tomomitsu Hotta
Ryoji Sakai Chair,
Ken-ichi Youshida Prof. The University of Tokyo, Graduate School of Medicine, Japan
am
Fumimaro1Takaku President
of the
President of
‘Investigation system and legal issues on potentially therapeutic death (1)’
Organizers: Research
Group on Independent Investigation for Therapeutic Death,
Chairpersons: Prof. Ken-Ichi Yoshida (
Kazuhito Inaba
(
Recommended for attendance; Nurses, doctors, citizens, lawyers, researchers, and students, who are interested in risk management, investigation, and law for medical practice-associated deaths, are welcome to the symposium.
Outline of the symposium
(1) and (2):
The famous litigation on the mistaken injection of
disinfectant raised controversies on report of medical practice associated
deaths to the police according to the Medical Act article 21. After the
controversy, the pilot study on investigation and analysis of deaths associated
with medical practices has commenced since September 2005, with a financial
support from the Ministry of Health, Welfare, and Labor. In this study, a forensic
pathologist, a pathologist, and a clinical specialist co-operatively perform
autopsy, and qualified specialist review the medical practice on the basis of
autopsy, audit, and medical record. Then, the Regional Committee reviews the
report of the qualified specialist. The final report is disclosed to the
concerned parties. To establish this
model project enterprise, the procedures for autopsy, investigation, and review
must be established. Specialists
(doctors, nurses) to coordinate the investigative process must also be
educated. Additionally, management and
resolution for error/liability of doctors, accident prevention, emotional care,
and compensation are required. During
these processes, patients, families, doctors, nurses, pathologists, lawyers,
and administrators should understand mutually.
Information disclosure and privacy has to be negotiated. As the transparency ensures fairness of
investigation and human right, medical experts must be responsible for
accountability. To overcome these issues,
we must be aware of various aspects and viewpoints associated with issues
associated with medical practices, and discuss on the required revolution in
the system in near future. These are the
themes addressed in this special symposium.
In Anglo-Saxon
countries, law defines the report of deaths associated with medical practices
to an administrative organization, where legally qualified administrators
disclose the cause of death by autopsy, and investigation. The information is disclosed to the concerned
parties. Additionally, more systematic approaches have been undertaken to
prevent accidents. To this end, we must
discuss whether we should encourage report by crime immunity, and also how we
should deal with doctor’s errors.
Moreover, as indemnity is not almighty, we must also consider on
emotional care, and administrative disposition for technical and ethical issues
of practitioners. As results of
intensive social discussions, the laws and systems have undergone revolution in
these countries.
Dr. K
Yoshida will overview these issues by comparison of
the systems of the foreign countries and
Medical
practices require informed consent, and the information is also requested after
unexpected deaths and accidents. Dr R Lefler has pointed out the uniqueness of the perception of
informed consent in
The
lecturers will get together to discuss the required near future system for
medical practice associated deaths in
am
KL: How can
we learn near future image of a system of report and investigation of medical
practice-associated deaths from the foreign systems
Ken-ichi Youshida Prof. The
University of Tokyo, Forensic Medicine,
am
SL: Death
investigation and law for medical practice-associated death in
Thomas Noguchi Emeritus
Prof. University of South California,
am
SL: Clinical
Liaison Service: A successful system for review of all cases reported from
hospitals to coroner
Joseph E Ibrahim Prof. Clinical
review specialist of Victorian Institute for
Professor Director Aged Care Medicine,
am
GP: On the model enterprise for investigation
of medical practice-associated deaths
Yoko Takeda
Lecturer, Yamanashi
Prefecture
am
‘Investigation system and legal issues on potentially therapeutic death (2)’
Organizers: Prof. Ken-Ichi Yoshida & Dr. Kazuhito Inaba (
pm
Private information issues
related to medical practices in Japan
Shoko Tateichi International
pm
System failure
and legal liability in medical practice
Eiji Katayama*
Adjunct
Prof. University of Tokyo,
Nodoka Nakamura Abe, Ikubo
& Katayama,
pm
Informed
consent affects report of medical practice-associated death in
Kakuji Kawai
pm
Toshihiro
Suzuki Prof.
Meiji University, Graduate
pm
Legal issues on
investigation and dispute for medical practice-associated death in
Robert Leflar Prof. University of
Arkansas,
pm
A proposed
way from report to alternative dispute resolution of medical practice
associated deaths in Japan
Kazuhito
Ibana
pm
Administrative involvement in
the revolution of medical practice-associated deaths”
Katsushi
Tahara Manager,
Department of Medical Safety, Ministry of Health, Welfare, and
pm 15:50 - pm 17:00 Discussion
Attendants “Required
near future image of investigative and legal systems for medical practice
associated death: From the pilot study to legal revolution
Chairpersons: Prof. Ken-Ichi
Yoshida (
Kazuhito Inaba (
‘Educational program’
am
(Title) Medical error
statistics, and the roles and duties of risk manager in the
Martin A. Makary Assist
Prof. Department of Surgery,
Co-Director Johns
am
(Title) Introductory Remarks on the Needs of Model-based Statistical
Decision.
Hiroe Tsubaki Prof. Tsukuba University,
Director
of
pm 12:00 - pm 13:00 Lunch
pm
(Title) Thunderbird Project - Risk management networking of welfare
facilities in Japanese private sectors.
Yasunari Koyama, CEO Koyama Welfare Group,
pm
(Title) Patient safety
education, risk communication, safe culture in the
Marthin A. Makary Assist
Prof. Department of Surgery,
Co-Director Johns
(Note) Each presentation should be
performed in English with 8 minutes, and 2 minutes discussion.
(Chairpersons)
Irina
Ermakova, Leading Scientist, Russian
Yasuyuki Rakue, Prof. Preventive Medicine, International
pm
GP development of SAFETY Climate scale
for medical facilities: nurses’attributes related
to their Perceptions of and Attitudes toward
safety
Shinichi Matsubara*1),
Junko Ayuzawa2), Akihito Hagihara1)
1) Department of Health Services Management
and Policy, Kyushu University Graduate
2) Department of Health Care Administration
& Management,
pm
GP:
Huei Ching Hung, Mingi Chan-Liao, Feng Huang Yang
Department of Risk Management and Patient Safety, Jen
Ai Hospital,
pm
GP: Investigation of safety of patient-controlled analgesia (PCA) ---- 10 years experience.
Yip W.H.*, Ooi S.J., Chen S.C., Chiang Y.Y.,
Chan-Liao M., Chung S.J.1, Kuo
C.W.1
Department of
Anesthesiology, Department of Pharmacy1,
pm
GP: Safety Evaluation For Short-Term Treatment Of Morbid Obese Patients Using Very Low Calories Formula
Yi-Cheng Liu, Seh-Huang Chao, Mingi Chan Liao
Department of Nutrition Therapy, Surgery, Risk
Management and Patient Safety,
pm 16:45 - pm 17:00
GP : The effect of
Irina
Ermakova
Leading scientist,
(The second
day)
Registration desk hour: am
Presentation
should be performed in Room A, only.
‘Safe medical and welfare
networking, and the economics.’
Chairpersons:
Kazuyuki Serada Prof.
Yoon-Shin Kim Prof.
College of Medicine,
am
SL: Japanese Governmental policy of technological development to prevent
medical errors
Takashi Gotoh Japan Ministry of Health, Labour and Welfare
am
KL: Continuing the global patient safety
challenge: Clean care is safer care.
Jostacio M. Lapitan World Health Organization Health
(WHO)
am
KL: OECD
Index for patient safety
Yasuhisa Kawamura Organisation for Economic Co-operation and
Development (OECD)
am
KL: Introduction of
clinical governance in the
Edward Wright British Embassy of
am
KL:
A management model for health care quality
and patient safety by means of an incident report system and
an
electronic patient record system
Prof. Hiroshi Takeda1)2), Assoc. Prof. Yasushi Matsumura1) and Prof. Kazue Nakajima3)
1) Department of
Medical Information Science and Center for Medical Quality Management,
2) President, Medical Safety Association of
National University Hospitals of
3) Department of Medical Quality Management,
am 10:35 - am 10:45 Coffee break
am 10:45 - am 11:00
GP:
A proposal of environmental intervention factors for
old people’s life
A proposal of environmental intervention factors for
old people’s life
Young-Ae
Yang1), Jin-Gang Hur2), Yoon-Shin Kim3), Young-Man Roh3), Seoung-Cheol Hong4),
1Dept. of Occupational
Therapy,
2Dept. of Physical Therapy, Kang Dong Sacred
3Dept. of
Occupational and Environmental Medicine,
4Dept. of Occupational
Health & Safety Engineering,
am
GP: Cost of risk management focused on patient safety- the first year assessment
Mingi Chan-Liao , Huei Ching
Hung, Ing Ling Cheng
Department of Risk
Management and Patient Safety, Jen Ai
am
(Panel discussion)
Special
Comment: Risk management in a link between hospital and welfare facility
Hideki Miyaguchi, Prof. Hiroshima University, Graduate School
of Health Sciences, Hiroshima University, Hiroshima, Japan
pm 12:00 - pm 13:00 Lunch
Specially sponsored by JANSSEN
PHARMACEUTICAL K.K. and CHUGAI PHARMACEUTICAL CO.,LTD.
‘Safe
Drug Management for Cancer Patient’
(Panel Organizer, Chairperson) Tomomitsu
Hotta Dean of
pm
KL Medication Errors: Causes, Prevention and Risk Management
Allen
Vaida Executive Director, Institute for Safe Medication Practices (ISMP)
pm
SL Safety Management for New Anticancer Drug Development
Alexander Zukiwski
Vice President, Associate Therapeutic
Area Head, Oncology Johnson & Johnson Pharmaceutical Research &
Development
pm
SL Safety Management of
Anticancer Drugs
Tatsuya
Horiuchi
pm
SL Heterogeneity
in Adverse Drug Reactions (ADR) and Individualized Dosing in Cancer
Chemotherapy
Yuuici Ando
pm
(Panel discussion)
pm 14:55 - pm 15:00 Coffee break
‘Toward a
Friendly, Safe and
(Part 1) A friendly and
hard hospital
Chairpersons:
Taro Shirakawa Prof. The
Huei Ching Hung Department of Risk Management and Patient
Safety, Jen Ai Hospital,
pm
SL: Development of A New
Generation Disaster Manual -Efficient use of
information for integrated urban disaster management-
Kimiro Meguro, Prof.
The University of
pm
SL: The present state of
medical malpractice and dispute resolution in
An outline of ten years activities of the Japanese
Society for Investigation of Medical Malpractice
Isao Mori* and Sachiyo
Fujimoto
*President,
Japanese Society for Investigation of Medical Accidents,
pm
(Part 2) Safe and steady clinical practice
Chairpersons:
Alexander Zukiwski Vice
President, Associate Therapeutic Area Head, Oncology Johnson & Johnson
Pharmaceutical Research & Development
Isao Mori President,
Japanese Society for Investigation of Medical
Accidents,
Kazuyuki Serada Prof. Showa University,
pm
KL: Karolinska
Institute’s risk management for medical errors
Emiko Tamura Embassy of
pm
SL: The Science of Patient
Safety: Measuring a Culture of Safety and Changing Hospital Systems
Martin A. Makary Department of Surgery,
pm
GP: Implementation of anesthesia consent form-Taiwan’s National Action Plan for Patient Safety
Mingi Chan-Liao ,Wang Hin Yip, Seng Jin Ooi
Department of Risk Management
and Patient Safety, Jen Ai
pm
‘What’s
the next for safe and health development in our world medicine’
pm
Chaired
by Mitsutomo
Hotta Dean,
Ryoji Sakai URMPM
Chair
Allen Vaida Executive Director, Institute for Safe Medication Practices
(ISMP)
Main panelists
Ken-ichi Youshida Prof. The
University of Tokyo, Forensic Medicine,
Thomas Noguchi Emeritus
Prof. University of South California, Forensic Medicine,
Shigeki Hayashi Vice-Director,
Martin A. Makary Assit Prof. Department of Surgery,
Yip W.H. Director,
Department of Anesthesiology, Department of Pharmacy,
And so on.
Commentator Isao Mori, President, Japanese
Society for Investigation of Medical Accidents,
Toward global networking of patient safety
pm
Taro Shirakawa Prof. The
Kazuyuki Serada Prof. Showa University,
Power Point Material is
recommendable.
(Participation of 2 days)
200 USD for a
paid-up member of the URMPM or WHRMC.
300 USD for a
non- paid-up member of the URMPM or WHRMC
(Participation of 1day) The banquet is additionally charged with 100
USD.
100 USD for a
paid-up member of the URMPM or WHRMC.
150 USD for a
non- paid-up member of the URMPM or WHRMC
(Banquet)
100 USD
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(C)2005 URMPM