International Education Seminar of Risk and Emergency Management for Healthcares 2012 in London

gFrom Heartland of Patient Safetyh


Date : 2th (Wed) - 4th (Fri) May, 2012

Venue : Brunei Gallery Lecture Theatre, SOAS
The University of London, London, UK

by Union of Risk Management for Preventive Medicine (URMPM)




Seminar homepage





Seminar Outline 


This education program provides several lessons from the past episodes of patient safety in UK healthcare, current thinking and main directions by famous leaders in UK patient safety world, most of who have new publications in various aspects of patient safety issues.  Those lessons during 3 days give basic and standard textbooks for your education at your hospitals.

The seminar publishes the official certification of your participation in this program.


This program is an education course during 3 days.  Registration with 1 or 2 day credit is not accepted.

This program is not available with any electronic delivery.








2nd (Wed) May, 2012, am 10:00 – pm: 4:30@

(Safety culture and risk governance in healthcare)


AM 9:00   Registration desk is open.



AM 10:00 – AM 12:00   (Lesson 1)     gPatient Safety: Evolution and Progressh@@   am 10:50-11:00 break

Charles Vincent @@Prof. Clinical Safety Research, Imperial College London, UK


(Outline) This lecture gives an overview of how patient safety all began, the way it developed, progress and to highlight some key issues. 


(Lecturer profile)  Charles is one of top professors of patient safety around the world, and published many noble textbooks which are introduced in this lecture, too.




AM 12:00 – PM 1:30  Lunch




PM 1:30- AM 3:00   (Lesson 2)      gClinical Governance and Patient Safetyh      

Aidan Halligan   Professor & Director of Education, Education Centre, University College London Hospital.

Chief of Safety, Brighton and Sussex University Hospitals, UK


(Outline) Clinical governance underpins patient safety through enabling accountability and reducing variation.  It is a framework through which continuous improvement is enabled by assuring a well led culture of excellence.


(Lecturer profile)  Aidan was the first Director of Clinical Governance for the UK National Health Service and formed the Leicester-based NHS Clinical Governance Support Team to translate the vision of clinical governance into a nationwide reality. He also served in the UK Department of Health as Deputy Chief Medical Officer for England, with responsibility for issues of clinical governance, patient safety and quality of care across the NHS in England.





PM 3:00 – PM 3:30 Break




PM 3:30- PM 4:30   (Keynote Address)      gRisk Management in Hospitalh 

Sir Brian Jarman    Emeritus Prof. Imperial Collage London, UK.  Former President of British Medical Association 


(Outline)  Using adjusted hospital death rates as an indicator of the risk in ten countries, together with mortality alerts in England.


(Lecturer profile)  During 1999-2001 Brian served Governmental Committee for 6 accidental deaths in Bristol Royal Hospital for Children UK, and also proposed gHospital Standardized Mortality Ratioh, one of key concepts in patient safety.




PM 4:30   The first day lessons are over.


PM 5:30 - Banquet







3rd (Thu) May, 2012, am 9:00 – pm: 4:30@

(Technology and art for patient safety)



AM 8:30   Registration desk is open.



AM 9:00 – AM 9:50   (Lesson 3)   gHow do clinical teams create and maintain Team Situation Awareness?

    Why does this matter?h 

                                   Della Freeth        Professor of Centre for Medical Education, Barts and The London School of Medicine and Dentistry,

Queen Mary University of London


(Outline) This lecture explains the importance of Team Situation Awareness (TSA) in patient safety.  Then, drawing from a study of clinical teams in maternity care settings, I will show and evaluate different patterns of creating TSA.


(Lecturer profile)  Della works alongside a wide range of health professionals to research and promote the conditions necessary to support high quality learning in workplaces, simulated environments and classrooms. She has particular interests in education that supports patient safety; learning through simulated professional practice and interprofessional collaboration.



AM 9:50 – AM 10:00 Break





AM 10:00 – AM 12:00    (Memorial Lecture)   gHuman Error: Models and Managementh   am 10:50-11:00 break

James Reason @     Emeritus Professor, University of Manchester, Manchester, UK


(Outline) The seminar reviews four approaches to human error: the plague model, the person model, the legal model and the system model. Error cannot be eliminated, but it can be managed.


(Bio note)  James Reason was Professor of Psychology at the University of Manchester from 1977-2001.  He has written books on absent-mindedness, human error, and managing the risks of organizational accidents. He has consulted on safety issues for a wide variety of hazardous industries, though much of his recent work has been in the healthcare field.  He is a Fellow of the British Psychological Society and the British Academy.  In 2003, he was appointed a Commander of the British Empire for services to reducing the risk in healthcare.





AM 12:00 – PM 1:30  Lunch




PM 1:30 – PM 2:20  (Lesson 4)  gMedication Safety, Technology and Standardisationh  

                            Bryony Dean Franklin   Professor, Imperial College NHS Trust and The School of Pharmacy, University of London


(Outline)  This presentation will be in three parts. First, some key concepts in medication safety will be introduced, including the errors which occur at the different stages of medication use, and the Accident Causation Model as a useful theory of human error.   Second, examples will be given of the various technologies being introduced with the aim of increasing medication safety, together with a discussion of the evidence for their benefits and challenges in their introduction.  Finally, the need for, advantages, and disadvantage of standardisation will be discussed.  The presentation will conclude with a suggestion of some key building blocks in medication safety.



(Lecturer profile)  Bryonyfs main education carriers were School of Pharmacology, University of London.  Her research focuses on two key areas of risk for patients admitted to hospital: medication errors and infection.  Since June 2000, she has been Director of the Centre for Medication Safety and Service Quality (CMSSQ), Imperial College Healthcare NHS Trust (ICHT) / The School of Pharmacy, University of London.  She was made Visiting Professor in Pharmacy Practice at The School of Pharmacy in 2004, and awarded a Chair in Medication Safety in 2007.






PM 2:20 – PM 2:30 Break




PM 2:30 – PM 3:20   (Lesson 5)     gMedication Safety and Health Information Technologyh @

Eric Poon          Assistant Prof. & Director, Brigham and Womenfs Hospital, Harvard University, USA


(Outline) This lecture will review the epidemiology of medication errors across the spectrum of care and identify major opportunities for health information technology to prevent these errors. Key technologies covered will include computerized prescriber order entry, medication decision support, barcode medication verification technology, smart IV pumps, and medication reconciliation. Lessons learned from the development and implementing these technologies will also be discussed.


(Lecturer profile) Eric graduated Harvard University Medical School 1998, works at Department of Medicine, and serves a director of IT technology and drag safety at the hospital.  In 2007, he was a winner of Prize of URMPM (Union of Risk Management of Preventive Medicine), an organizer of this Seminar,   



PM 3:20 – PM 3:30  Break




PM 3:30 – PM 4:30  (Lesson 6)      gBlood, Toil, Tears and Sweat: the problems of implementing safety interventions in health careh   

Peter McCulloch     Nuffield Department of Surgical Sciences, John Radcliffe Hospital, University of Oxford, UK


(Outline) @Talking about the difficulties of implementing safety interventions in health care, this lesson introduces a lot of experience of this through their research of safety surgical framework.


(Lecturer profile) Peterfs clinical team has developed a theoretical framework for the analysis of risk and error in surgery, based on the three dimensions of Culture, System and Technology.




PM 4:30   The second day lessons are over.








4th (Fri) May, 2012, am 9:00 – pm: 4:30@

(Risk communication and clinical communication)  



AM 8:30   Registration desk is open.



AM 9:00 – AM 10: 20  (Lesson 7) 1) How to develop effective education for patient safety@(30min talk + 10 discussion)

2) How to ensure that training improves patient care@(30min talk + 10 discussion)

John Sandars    @Senior lecturer,  Institute of Medical Education, University of Leed, UK


(Outline) Improved patient safety requires an educational approach, from undergraduate to continuing professional development. The two sessions will discuss how to ensure that effective educational approaches are developed and delivered.

(Lecturer profile) John has a long experience of patient safety education, including the delivery of online courses. He has presented internationally on this topic and was editor of the gABC of Patient Safety."




AM 10:20-10:30   Breaks





AM 10:30 – AM 12: 00    (Lesson 8)   gRisk Communication in the 21st Centuryh   

Ragnar Lofstedt    Prof. King's Centre for Risk Management, King's College London, UK


(Lecturer profile)  Ragnar is top professor of risk management of the world, and has long experiences of risk communication and risk management.





AM 12:00 – PM 1:30  Lunch




PM 1:30 – PM 2:10    (Lesson 9)     gRisk Management Cycle and Emergency Management Cycleh  

                            Ryoji Sakai            President, Union of Risk Management for Preventive Medicine (URMPM) 


(Outline)  Introduction a couple of new key concepts in patient safety and risk management, such as an emergency management cycle, risk behavior analysis, etc.  


(Lecturer profile) Ryoji dedicates a chair of URMPM, of which the executive members in the world generated huge congresses and conferences, involving@patient safety world.





PM 2:10- PM 2:30  Break




PM 2:30 – PM 4:30   (Lesson 10)  gClinical Communication Error and Patient Safetyh         

               Tomoko Araki    Professor Clinical Communication,@Department of Health Administration and Management,

Graduate School of Medicine, Kyushu University, Fukuoka, Japan


(Outline) Clinical communication is important for patient safety. Because communication errors between a clinical staff and a patient/patient family, and among clinical staffs are fraught with danger to be connected directly with a malpractice and a medical error in the clinical scenes, and deteriorate the relationship between patients and clinical staffs, it is crucial to reduce these communication errors.


(Lecturer profile)  Clinical psychologist, graduated Nagoya University in Japan, and worked at Department of Psychosomatic Medicine, Kyushu University Hospital.  Main themes of research are clinical communication and patient safety, and psychotherapy including art therapy for psychosomatic patients.  Clinical communication error is a top cause of patient safety based on recent survey reports in US and Japan.




PM 4:30   Closing remark.





C) URMPM, 2011.   This homepage is free for your linking.