5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

IARMM 5th World Congress of Clinical Safety
21st – 23rd Sep 2016, Joseph B. Martin Conference Center, Harvard University Medical School, Boston, MA, US--- Smart Hospitals and Healthcare:
Health Care Management & Leadership, Risk, Quality, and Productivity ---Final Program
21 September 2016
[Oral Presentation]
SL; Special lecture

9:30-10:00 (SL: NA160) Current activities about American Society for Healthcare Risk Management and Patient Safety
Ann Gaffey (President, American Society for Healthcare Risk Management, Chicago, IL, USA.
Vice-Chair of the National Coordinating Council for Medication Error Reporting and Prevention, USA)

10:00-10:30 (SL: NA163 ) Computerized system for communication critical values in a hospital setting
Dr. Milenko Tanasijevic (Vice Chair for Clinical Pathology and Quality, Department of Pathology
Director of Clinical Laboratories, Brigham and Women's Hospital and Dana Farber Cancer Institute
Associate Professor of Pathology, Harvard Medical School, Boston, USA)

10:30- 11:00 (SL: NA157) Basic Framework of Science and Technology in Patient Safety
Ryoji Sakai (IARMM President. Dr. Med. Hon. Prof. SU, former Profs. TWU, EPFL, USM, etc., Tokyo, Japan)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

21 September 2016

(Panel Discussion) “Clinical safety”

11:00-11:15 (NA037) Challenges of leadership: P-O fit and commitment
Esther Bahat (University of Haifa, Israel)

11:15-11:30 (NA056) Optimal functioning of medical doctors in Dutch hospitals
Roelof van Blommestein, et al (Federatie medisch specialisten, Federation of Medical Specialities Netherlands)

11:30-11:45 (NA002) Antenatal education
Ambreen Noorani et al. (The Aga Khan Hospital for Women, Karachi, Pakistan)

11:45-12:00 (NA023) Lessons from Irish claims in Emergency Medicine (2014)
Deirdre Walsh, et al. (National Treasury Management Agency, State Claims Agency, Dublin, Ireland)

12:00-13:00 Lunch and poster session(SL: Panel Discussion) “Frontier of International and US Medication Safety”

Organizer: Allen J Vaida (Dr. Executive Vice President, the Institute for Safe Medication Practice, PA, USA)

13:00-13:20 (SL: NA151) - An Overview of Activities of the International Medication Safety Network - 20 minutes
Allen J. Vaida PharmD, (Executive Vice President, Institute for Safe Medication Practices, USA)

13:20-13:50 (NA152) - Results from the US Centers for Medicare and Medicare (CMS) Project on Preventing
Adverse Drug Events
Steve Meisel, PharmD, CPP (Director of Patient Safety, Fairview Health Services, Minneapolis, Minnesota, USA)

13:50-14:20 (NA153) - Safety with Oral Chemotherapy Agents
James M. Hoffman, PharmD, MS(Chief Patient Safety Officer, St. Jude Children's Research Hospital, Memphis, TN, USA)

14:20-14:30 Panel Q&A – 10 minutes

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

21 September 2016
(Panel Discussion) “Quality improvement in care”

14:30-14:50 (NA116) User-centered interventions and risk management in psychiatric services
Prof. Maritta Valimaki (University of Turku and Turku University Hospital, Finland, Hong Kong Polytechnic University,
China)

14:50-15:10 (NA010) Lean Daily Management: A Tool to Drive High Reliability
President & CEO, John B. Chessare MD, MPH (GBMC HealthCare System, Baltimore, USA)

15:10-15:20 (NA092) Using the Balanced Scorecard to improve safety management in healthcare facilities
Yasuhiko SUEMORI M.D, MBA, (graduate school of Economics, Kyushu University, Japan), et al.

15:20-15:35 (NA135) Quality and Safety in Obstetrics in Canada: A Collaborative Approach
Jonathan Mitchell ( Manager Policy & Research, Accreditation Canada, Healthcare Insurance Reciprocal of Canada(HIROC), Toronto, Canada)(Panel Discussion) “Nursing safety”(Session chairperson) Sandy Summers (Baltimore, ML, USA)

15:35-15:55 (SL: NA052) Nursing Safety
Sandy Summers, RN, MSN, MPH (Founder and Executive Director, The Truth About Nursing, Baltimore, ML, USA)

15:55-16:10 (NA123) Using Competency Documents in the Intensive Care Unit, for Novice Critical Care Nurses
Kevin Murphy (Barts Heart Centre, St Bartholomew's Hospital, London, UK)

16:10-16:25 (NA144） Clinical judgment errors reported by portuguese nurses and its implications for education
Dr. Cidalina Abreu (Professora Adjunct, Escola Superior de Enfermagem de Coimbra, Coimbra Portugal)

16:25-16:40 (NA063) NURSES' DECISION MAKING IN PROTOCOL BASED CARE: A CASE STUDY
Mónica Vázquez-Calatayud, et al. (School of Nursing, University of Navarra. Pamplona (Navarra). Spain)

16:40-16:50 (NA150) The study of a predictor of whistle-blowing in medical institutions
Makoto FUJIMURA (Fukuoka Jo Gakuin University, Faculty of Human Relation, Depertment of Psychology, Fukuoka,
Japan)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

21 September 2016

(Panel Discussion) “Health risk analysis”

16:5-17;05 (NA017) Risk of Dislipids Syndrome in Modern Society
Aurelian Udristioiu,et al. (Department of Biochemistry, Clinical Laboratory, Emergency County Hospital Targu Jiu & Titu
Maiorescu University, Bucharest, Romania)

17:05-17:15 (NA121) Deep vein thrombosis (DVT) in physically restrained psychiatric patients: A literature review
Masako Sugihara, M.D., M.A. (Department of Psychiatry, National Hospital Organization Kurihama Hospital andAddiction Center, Kanagawa, Japan), et al.

17:15-17:30 (NA054) Internal Review Committee: Conflicting Rights in Healthcare
Bilha Cahana (Internal Review Committee: Conflicting Rights in Healthcare, Jerusalem, Israel)5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

21 September 2016

[Poster Presentation]【Poster discussion;12:00-13:00】(Poster Session) “Safe healthcare management in emergency”(NA094) A verification test for feasibility and usability of an assessment system “Rapid Assessment System of Evacuation
Center Condition featuring Gonryo and Miyagi (RASECC-GM)” that operates on mobile devices
Prof. Tadashi Ishii, M.D., Ph.D. (Tohoku Univ. Hospital, Department of Education and Support for Regional Medicine,Japan)(NA089) A Backup System After the Great East Japan Earthquake
Prof.. MASAHARU NAKAYAMA (Disaster Medical Informatics, International Research Institute of Disaster Science,
Tohoku University, Japan)(NA146) Irish incidents and claims in Emergency Medicine, 2010-2014
Fiona Culkin, et al (National Treasury Management Agency - State Claims Agency, Dublin, Ireland)(Poster Session) “Quality improvement of healthcare”(NA148) Effective teaching method for learning adaptive versatility of rules
Kenji Tanaka* (Professor, University of Electro-Communications, Tokyo, Japan), et al.

(NA048) Efficacy and safety of an ACT Program for Schizophrenics
Prof. Jong-Hyun Jeong (Department of Psychiatry, St. Vincent's Hospital, College of Medicine, The Catholic University of
Korea)(NA032) Severe lithium intoxication improved by hemodialysis
Prof. Sangkeun Chung (Chonbuk National University Medical School, South Korea)(NA043) Efficacy and Tolerability of Mirtax for MDD
Prof. Young Sup Woo (Department of Psychiatry, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic
University of Korea)(NA096) Handover between anaesthetists and post anaesthetic care unit nursing staff using ISBAR principles: a quality
improvement study
P. Kitney, et al/ (Western Health, Footscray Hospital, Footscray VIC, Australia)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

21 September 2016

【Poster discussion;12:00-13:00】(NA013) Quetiapine-induced agranulocytosis: A case report
Byoung-Jo Kim et al. (Department of Neuropsychiatry, Presbyterian Medical Center-Jesus Hospital, Jeonju, Korea; South
Korea)(NA055) Community Diagnosis in Kilicao, Daraga, Albay: A Basis for Health Intervention
Prof. Fe L. Binalingbing (Bicol University College of Nursing, Legazpi City, Philippines)【Poster discussion; 15:00-16:00】(Poster Session) “Clinical safety”(NA028) RCT of chewing gum on gastrointestinal recovery
Han-Chang Ku and Yu-Rung Wang (An-Nan Hospital, China Medical University, Tainan, Taiwan. Tainan City, Taiwan)(NA065) An Effectiveness of Hospital Medical Device Safety

Hye Jung Jang, et al (Yonsei University Health System Severance Hospital, South Korea)(NA133) A Concept Analysis of “organization” in Nursing Activities of the Japan Self-Defense Forces
Kimiko Hayano, et al (Division of Nursing, National Defense Medical College, Japan)(Poster Session) “Health risk analysis”(NA029) Global Functioning for the Mentally Disordered in Community
Prof. Sang-Yeol Lee (Department of Psychiatry, Wonkwang University School of Medicine, Iksan, Republic of Korea)(NA086) Mood, cogition and BDNF in CKD patientsProf. Lee Jung Goo (Inje University Haeundae Paik Hospital and Paik Institute for Clinical Research. South Korea)(NA030) Serotonin Receptor Genes and Drug Intoxication in Korea
Prof. Young-Joon Kwon (Departments of Psychiatry, College of Medicine, Soonchunhyang University, Cheonan, Korea)(NA139) The consequences of medical errors on healthcare providers: the concept of second victim Sep 21
Victoria Kone, MD MPH1, etr al. (Clément Duret, MD MPH1, Gwenaëlle Vidal-Trécan, MD, PhD1, 2, 3
1
Public health ward: Risk Management and Quality of Care, Paris Centre University Hospital Group, AP-HP, France, Paris, France)(NA113) A Study on Factors Concerned in the Extension of Healthy Life Expectancy of Elderly People Living in Snowy
Areas－Analysis of Bone Density and Muscle Mass－
Tomoko Shimoda (Faculty of Health Sciences, Hokkaido University, Hpokkaidou, Japan)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

22 September 2016
[Oral Presentation]
SL; Special lecture(Panel Discussion) “Quality improvement in healthcare”
9:30-9:45 (NA058) Time Motion Study of Endoscopy unit in Tertiary Hospital
Dr Huma Naz et al. (Aga Khan University Hospital, Karachi, Pakistan)

9:45-10:05 (NA015) Effective Handover: The Duty of Every Doctor
Miss Kathryn O'Shea, et al. (Central Manchester Foundation Trust University Hospitals, Manchester, UK)

10:05-10:25 (NA118) Automating Critical Care KPIs through the use of Health IT at a Tertiary Healthcare Organization in
Saudi Arabia:
Toward an Efficient and Effective Measurement
Mohammed Alhajjy, et al. (King Faisal Specialist Hospital & Research Center (General Org.), Healthcare Information
Technology Affairs – HITA, Saudi Arabia)

10:25-11:40 (NA001) Process Re engineering
Ambreen Noorani; et al. (The Aga Khan Hospital for Women, Karachi, Pakistan)

10:40-11:00 ( (NA057) How to implement Healthcare Kaizen? Know-how in 60 minutes
Ahmed M. Elsheikh, MD, CPHQ, CMQ-OE, et al (Director of Quality and Patient Safety Security Forces Hospital
Program Makkah (SFHPM) – Saudi Arabia)(Panel Discussion) “Clinical safety”

11:00-11:15 (NA066) Improving MRI safety through failure mode & effect analysis.—
Muhammad Akbar Khan, et al. (The Aga Khan University Hospital, Karachi, Pakistan)

11:15-11:40 (NA060) Planting Seeds-open disclosure in Irish healthcare services
Ann Duffy, Angela Tysall, et al. (Health Service Executive and State Claims Agency, National Treasury Management Agency,
Ireland)

11:40-12:00 (NA125) Establishment of the management system for intra-hospital transport
Jinkyoung Shin, et al (QA team, Seoul National University Hospital, South Korea)

12:00-13:00 Lunch and poster session

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

22 September 2016
(SL: Panel Discussion)“Today’s Technology Tools for Preventing Medication Errors”

Organizer: Allen J Vaida (Dr. Executive Vice President, the Institute for Safe Medication Practice, PA, US)
13:00-13:25 (NA154) - Research Results on Indication Based CPOE Alerts to Prevent Look Alike and Sound Alike
Drug Name Mix-ups – 25 minutes
Gordon Schiff MD(Associate Director, Center for Patient Safety Research and Practice, Division of General Internal Medicine,
Brigham and Women's Hospital, Associate Professor of Medicine Harvard Medical School, Boston, MA, USA)

13:25-13:50 (NA155) - Results from an Opioid Dosing Simulation Tool
William Galanter, MD, MS, PhD,
(Associate Chief Health Information Officer and Medical Director, UIC Physicians Group, Medical Director, Center
for Education & Research on Therapeutics, University of Illinois Hospital and Health Sciences System, Chicago, IL,USA)

13:50-14:15 (NA156) - A Tool to Identify Wrong Medication Errors and Patient Identification Errors
Jason Adelman MD, MS, (Chief Patient Safety Officer & Associate Chief Quality Officer
NewYork-Presbyterian Hospital/Columbia University Medical Center, New York, New York, USA)
14:15-14:30 Panel Q&A – 15 minutes(Panel Discussion) “Medication safety”
14:30-15:00 (SL: NA093) The Future of Medication Safety in the Operating Room
Prof. Ronald S. Litman, D.O. (Medical Director, Institute for Safe Medication Practices, Professor of Anesthesiology and
Pediatrics, Perelman School of Medicine at the University of Pennsylvania. Department of Anesthesiology and CriticalCare, The Children's Hospital of Philadelphia, USA)

15:00- 15:15 (NA099) Patient misidentification in drug administration.
Takahashi M, et al (Department of crisis medicine, Toyama University, Toyama, Japan)(Panel Discussion) “Risk & hazard analysis in healthcare”

16:00-16:15 (NA045) The evaluation of the in-hospital patient death report
Prof. Masahiro Ito (Fujita Health University, Japan)

16:15-16:50 (NA106) A Five year review of retained foreign bodies in Ireland, 2011-2015
Dr. Dubhfeasa Slattery, et al. (State Claims Agency, National Treasury Management Agency, Dublin, Ireland)

16:50-17:00 (NA114) Tha risk factors of falls of interal medicine ward
Miho Ukawa, et al (Shonan Kamakura General Hospital, Kanagawa, Japan)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)[Poster Presentation]
22 September 2016

【Poster discussion;12:00-13:00】(Poster Session) “Quality improvement of healthcare”(NA040) Bupropion and aripiprazole therapy for female depression
Prof. Kwanghun Lee (Dongguk University Hospital, South Korea)(NA042) Effects of mirtazapine on diabetes: follow-up study
Prof. Won-Myong Bahk (Department of Psychiatry, Yeouido St Mary’s Hospital, College of Medicine, The Catholic
University of Korea )(NA119) Professional practices assessment for corneal removal in a morgue
Victoria Kone, MD, MPH1, et al. ( Public health unit: Risk Management and Quality of Care, Paris Centre University
Hospital Group, AP-HP, Paris, France)(NA141) Antimicrobial Stewardship Program (ASP) in a Community Hospital: Success,failures and limitations
Isabel C. Guerrero, MD, et al (Community Medical Center of Toms River, NJ, USA)

(NA091) Distracted Practice & Patient Safety
Lynn Knapp D'Esmond, PhD, RN (Assistant Professor, University of Massachusetts Dartmouth, College of Nursing,Community Nursing Department, North Dartmouth, MA, USA)

(NA104) Workplace Support and Turnover Intention: A Conceptual Framework to Inform Practice and Research
Sitah Alshutwi, MSN, RN (University of Wisconsin-Milwaukee, WI, USA)

(NA145) National incidents, claims, expenditure in Irish Surgery: 2010-2014
Fiona Culkin, et al. (National Treasury Management Agency - State Claims Agency, Dublin, Ireland)(Poster Session) “Health risk analysis”(NA016) Risk of Dislipids Syndrome in Modern Society
Aurelian Udristioiu,et al. (epartment of Biochemistry, Clinical Laboratory, Emergency County Hospital Targu Jiu & Titu
Maiorescu University, Bucharest, Romania)(NA117) Medical risk management in international support by multinational teams
Atsuko Aurues (Division of Nursing, School of Medicine National Defense Medical College, Japan)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

22 September 2016

【Poster discussion;12:00-13:00】(NA090) Depressive and anxiety symptoms in cancer patientsIn Hee Shim1, et al (Department of Psychiatry, Cancer center, Dongnam Institute of Radiological & Medical Sciences,
Busan, Korea)(NA100) Gender differences in psychological vulnerability in donors and recipients for kidney transplantation
Saeheon Jang (Psychiatric department, Bongseng Memorial Hospital, Busan, South Korea)(NA046) Development of a non-technical skills training for nurses
School of Nursing and Rehabilitation Sciences at
Odawara, International University of Health and Welfare, Japan)

Prof. Saeko Kinugawa (Department of Nursing【Poster discussion; 15:00-16:00】(Poster Session) “Nursing safety”(NA075) Nurses Experience Caring for Patients: AcuityAdaptable Units
Cynthia M Stacy MSN,RN, et al. (Holy Names University, Oakland, California, USA)

(NA076) The Relation Between with Visiting Nursing Incidents/Accidents and Job StressProf. Hisae Nakatani (Hiroshima University, Hiroshima, Japan)

I(NA078) Investigation of near-miss experiences of nursing students
Prof. Yukiko Kai (School of Nursing, Faculty of Medicine, University of Miyazaki, Japan)(NA073) Medical safety awareness survey of hospital nurses in Japan
Takahiro Miyoshi, et al (Kurume University, Fukuoka, Japan)(NA102) Management of Accurate Patient Identification for Transport Safety
Young Mee Kim, et al (Seoul National University Hospital, South Korea)(NA165) Difficulties in delivering nursing care to foreign patients among Japanese registered nurses
Akiko Nosaki, el al (Graduate School of Nursing, Chiba University, Chiba, Japan)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

22 September 2016

【Poster discussion; 15:00-16:00】(Poster Session) “Clinical safety”(NA006) Reducing Diagnostic Errors Using Decision Support on Rounds
Jonathan Hartmann (Georgetown University, DC, USA)

(NA132) Was the death expected appropriately? : a review of the death among the inpatients of our department of
Gynecology
Maya Takamoto et al. (Department of Obstetrics & Gynecology, Division of Medical Safety and Risk Management,
National Center for Global Health and Medicine, Tokyo, Japan)(NA072) Nurses Perceived Barriers of Using Code Narrator
Fatima Arastu, et al/ (Holy Names University, Oakland, California USA)

(NA022) How to process data in clinical trials more efficiently
Marianne. Paki, K et al. (Department of Quality and Risk Management, Salzburger Landeskliniken Betriebsges.m.b.H.
Salzburg, Austria)(NA143) Accuracy of fall risk predicting in hospital.
-Evaluate of fall risk behavior assessment tool by case control studyAkiko Hiyama, et al (Sapporo City University, Faculty of Nursing, Hokkaidou, Japan)(NA128) Control device for management of perfusion safety: Importance of stability of venous reservoir volume
Asako Tokumine, et al (Medical Simulation Laboratory, Department of Biomedical Engineering, Kindai University, Japan)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

23 September 2016

[Oral Presentation]
SL; Special lecture(Panel Discussion) “Safe surgical care”(Session chairperson) Nathalie DE MARCELLIS-WARIN (Montréal, Canada)

9:00-9:30 (SL: NA101) Surgical Safety Checklist in Quebec Operating Room : from Error Detection to Team
Communication
Prof. Nathalie DE MARCELLIS-WARIN (Harvard Center For Risk Analysis, USA, Polytechnique Montréal, RISQ+H
and President of CIRANO, Canada)

9:30-9:50 (NA034) The Safe Practice of Acupuncture
Prof. Steven K.H. Aung (University of Alberta, Canada)

9:50-10:05 (NA033) Avoiding perioperative steps in laparoscopic surgery.
Prof. Hitoshi Yanaihara (Saitama Medical University, Japan)

10:05-10:25 (NA014) Myringotomy Surgery: A Quantitative Retrospective Study
Dr. Carol Rocker (University of Victoria. BC, Canada)

10:25-10:45 (NA020) How to combat anxiety before a surgery with a video media
Saénz Jalón, María; at al. (Hospital Universitario Marqués de Valdecilla, Cantabria University, Cantabria, Spain)

10:45-11:00 (NA129) Effect of a rapid response team providing proactive rounding on hospital-wide code rates of thesurgical wards.
GOEUN CHOI, et al (Seoul National University Hospital, South Korea)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

23 September 2016

(Panel Discussion) “Risk & hazard analysis in healthcare”

11:00-11:15 (NA107) A 5 year review of national incidents, claims & expenditure in Ireland
Dr. Dubhfeasa Slattery, et al. (State Claims Agency, National Treasury Management Agency, Dublin, Ireland)

11:15-11:30 (NA019) How to investigate the risk of pharma corporate lobbying
Prof. Filippo Bartoccioni (San Camillo Hospital, Operative Unit Clinical Governance and Education, Rome, Italy)

11:30-12:00 (NA127) The Art of medical risk management by mHAZOP
Prof. Katsumi Fujitani (Bunkyo Gakuin University, Faculty of Health Science Technology, Japan)

12:00-13:00 Lunch and poster session(Panel Discussion) “Clinical safety”

13:00-13:20 (SL: NA162) Ensuring accurate specimen identification and collection by integrating collection applications
within the EHR
Athena Petrides (Assistant Medical Director of Chemistry, Director of Toxicology, Director of Lab Control,
Department of Pathology, Division of Clinical Chemistry, Brigham and Women's Hospital, Instructor of Pathology,
Harvard Medical School, Boston, USA)

13:20-13:35 (NA115) The use of Ultrasound for clinical safety in the administering of regional anesthesia
Takako Maki M.D, Ph.D. (Department of Anesthesia, Fukuoka Rehabilitation Hospital, Graduate school of Economics,
Kyushu University, Department of Anesthesia, Fukuoka Rehabilitation Hospital, Fukuoka, Japan)

13:35-13:50 (NA136) Learning From Failures: Findings from the knowledge transfer of medico-legal data into a selfassessment program
Dr. Charmaine Roye (Director Safe Medical Care, Canadian Medical Protective Association, Healthcare Insurance
Reciprocal of Canada (HIROC), Toronto, Canada)

13:50-14:05 (NA134) Lessons from the Field: A Collaborative Approach to a National IRM/ERM Program
Polly Stevens, et al (Healthcare Insurance Reciprocal of Canada (HIROC), Toronto, Canada)

14:05-14:20 (NA142) Impact of an instructional video on washing hands: innovative ideas in clinical safety.
María Sáenz Jalón, et al (Hospital Universitario Marqués de Valdecilla, Spain)

14:20-15:35 (NA007) UNKNOWN MICROORGANISM-LIKE PARTICLES IN NORMAL BLOOD
Dr. LOUIS VAN HECKEN (Independent General Practitioner, Belgium)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

23 September 2016

14:35-14:50 (NA149) The Right Patient: An Analytic Exemplar of the Social Organization of Knowledge
Dr. L. Dyjur, Director (Providence St. Mary, Walla Walla, WA, University of Calgary, Calgary, AB, Canada)(Panel Discussion) “Quality improvement of healthcare”

16:00-16:15 (NA061) NO SHOW IN OUTPATIENT CLINICS-CAN SIX SIGMA HELP!
Dr Huma Naz, et al (Aga Khan University Hospital, Karachi, Pakistan)

16:15-16:30 (NA098) Bad Medicine: Toxic Leadership in Healthcare Organizations can kill more than morale
LTC John J. Casey III, CEM, FACCP, SEM (Regional Health Command Europe, United States Army, AE, USA)

16:30-16:45 (NA080) Patient Empowerment and Medication Adherence
Siriwan Lim1, et al. (Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University ofSingapore (NUS), Singapore, 5 National University Hospital (NUH), Singapore)

16:45-17:00 (NA172) The effect of utilization of mobile-health platform on mortality and life quality of the patients withchronic kidney disease – mineral bone disorder
Yun Lu (Astallas Pharma Inc., Japan and Ark Health Solution Inc., China)

17:00-17:15 (NA067) Development the Patients Safety and Quality Management Feedback Support System for the
purpose of reduction in task load of Patients Safety Managers
Prof. Tatsuya Kitano (Seijoh University, Health Care Management Course, Faculty of Business Administration Graduate
School of Health Care Studies, Department of Patients Safety & Quality Management, Japan)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

23 September 2016

[Poster Presentation]【Poster discussion;12:00-13:00】(Poster Session) “Quality improvement of healthcare”(NA041) Does mirtazapine interfere with diabetes treatment ?
Prof. Won-Myong Bahk (Department of Psychiatry, Yeouido St Mary’s Hospital, College of Medicine, The Catholic
University of Korea)(NA097) Improving and reviewing Correct Patient, Correct Side and Correct Site practices at Western Health.
E,Hessian, et al. (Western Health, Footscray Hospital, Footscray VIC, Australia)(NA027) Lessons from Irish claims involving Slip/Trip/Fall (2014)
Irene O'Byrne-Maguire (National Treasury Management Agency, State Claims Agency, Dublin, Ireland)(NA082): Musical hallucinations treated with Ceftazidime
Young-Eun Jung, et al ( Department of Psychiatry, School of Medicine, Jeju National, University, Republic of Korea)(NA071) Patients Care System Construction and Service Improvement
JUNGHEE JUNG, et al (Seoul National University Hospital Healthcare System Gangnam Center, South Korea)(NA087) The Effect of the Participation of Care Managers in Community Care Meetings on Collaboration of the Specialist
Teams and Self Evaluation of Job
Akiko Sakai et al (Graduate School of Biomedical & Health Sciences Hiroshima University, Japan)(NA147) Paediatric medico-legal claims finalised in Ireland, 2014
Fiona Culkin, et al (National Treasury Management Agency - State Claims Agency, Dublin, Ireland)(Poster Session) “Clinical safety”(NA131) Measures to Prevent Medication Errors with Leadership by the Hospital Director
Noriko KATAOKA (Ebetsu Tanifuji Hospital, Japan), et al(NA122) Analysis of Cases in Which Using ImSAFER in Japan Stopped an Error from Becoming Greater
Rei Ushiro, et al (School of Nursing, Aichi Prefectual University, Aichi, Japan)

5th World Congress of Clinical Safety

21-23 Sep 2016 in Boston, US
by International Association of Risk Management in Medicine (IARMM)

23 September 2016

【Poster discussion; 15:00-16:00】(Poster Session) “Health risk analysis”(NA049) What factors affect suicidal ideation in Korean adolescents?
Kwanghun Lee, et al (Department of Psychiatry, College of Medicine, Dongguk University, Republic of Korea)(NA085) Distorted body image and body weight status in young Koreans
Bo-Hyun Yoon, et al (Department of Psychiatry, Naju National Hospital, South Korea)(NA049) What factors affect suicidal ideation in Korean adolescents?
Young-Eun Jung, et al (Department of Psychiatry, College of Medicine, Dongguk University, Republic of Korea)(NA084) Factors associated with bullying in college by students
Moon-Doo Kim et al (Department of Psychiatry, School of Medicine, Jeju National University, South Korea)(NA081) Factors in Medication Course Completion in Hepatitis C Patients Undergoing Dual Therapy who Participated in
Outpatient Nurse Interviews
Rika Yuasa, et al(Graduate School of Biomedical & Health Sciences Hiroshima University, Hiroshima, Japan)(Poster Session) “Drug safety”(NA047) Efficacy and Safety of Generic Escitalopram in Depression
Prof. Jong-Hyun Jeong (Department of Psychiatry, St. Vincent's Hospital, College of Medicine, The Catholic University of
Korea)(NA044) Platelet count changes associated with antidepressantsProf. Young Sup Woo (Department of Psychiatry, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic
University of Korea)(NA105) Education for residents using flow maps visually illustrating the process of medication administration
Muneto Tatsumoto, et al. (Dokkyo Medical University Hospital, Tochigi, Japan)

End of program