7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

7th World Congress of Clinical Safety(7WCCS)- Sustainable health care and management -Patient Safety Promotion
Patient Safety First

Date: 7 (Fri) - 8 (Sat) September 2018
Venue: Best Western Hotel Bern, Switzerland

Bulletin

By
International Association of Risk Management in Medicine(IARMM)http://www.iarmm.org/

1

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Greetings

The Bern Congress is organized by IARMM to develop highly-advanced safe and cleanscience and technology. The congress covers a wide range of safety topics, such as clinicalsafety (patient safety, medication safety, medical device safety), infectious disease outbreak,disaster healthcare, clinical crisis governance, environmental health & safety, food safety,
and other related safety subjects.
After the previous Congresses, 2012 in London, 2013 in Heidelberg, 2014 in Madrid, 2015
in Vienna, 2016 in Boston, and2016 in Rome, it is a time for 7th Congress 2018 in Bern,
Switzerland.
We are sure that the Congress will assist the world wide exchange of knowledge and skills inthis specialist area. Let's all join together at the Bern Congress to meet and share information
with your colleagues in a heart of beautiful Switzerland.

.

Sincerely,
IARMM(Official language) English,

No translation to other languages.

Free WI-FI is available.

27th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)(Congress place)
Best Western Hotel Bern
Volkshaus AG Bern, Zeughausgasse 9, 3011 Bern, Switzerland
Tel: +41 31 329 22 22, Fax:+41 31 329 22 99
Email: Questions for meetingveranstaltungen@hotelbern.ch
Email: Questions for accommodation
reservation@hotelbern.ch
https://hotel-bern.ch/en/

Registration desk:
Oral presentation space:
Poster presentation space:
Lunch & Coffee break:

Lobby of Room “Unionssaal 1 and 2” on the second floor
Room “Unionssaal 1 and 2” on the second floor
Room “Marzili”, foyer of an oral presentation room “Unionssaal 1 and 2
Room “Marzili”, foyer of an oral presentation room “Unionssaal 1 and 2(Onsite registration desk)
Opening hour of an onsite registration desk: from 8:00 to 17:30, 7 Sep. 2018
Opening hour of an onsite registration desk: from 8:00 to 17:30, 8 Sep. 2018

(Poster)
Each poster should be displayed from 10:00 to the end time of poster discussion.
7 Sep. (Poster discussion: 14:45-15:15)
7 Sep. (Poster oral presentation: 15:35-17:00)
8 Sep. (Poster discussion: 15:50-16:20)
8 Sep. (Poster oral presentation: 14:40-17:00)
The poster presenter should withdraw your poster before 18:00. If not, we don’t keep your poster.

All delegates should register at the onsite conference desk in the following hours.
From 8:00 to 17:30, during the conference days.
Name card, and participation certification letter: You can take them.
⚫
⚫

Please note that we have not any onsite registration desk before 7th September 2018.
Please hang your name card during the conference days.

The abstract book in internet is delivered to the registered delegates. The Congress hall has free WIFI service, sothat you can see all abstracts in internet during the Congress period.
There is no print version of the abstract book.

International Association of Risk Management in Medicine (IARMM)
4-7-12-102 Hongo, Bunkyoku, Tokyo, Japan(Tel/Fax) +81-3-3817-6770
7wccs1@iarmm.org

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Registration Manner(€ : euro)

Early bird registration (till 15 August 2017

Price

Price

IARMM IRMPM member
non-member and student
Delegate Fee for 2 days (The price is tax free.)

€380

€290

Delegate Fee for 1 day (The price is tax free.)

€200

€140

(Audience without a visa for Switzerland)(Audience requested a visa for Switzerland)

From 1 April 2017 to 15 August 2018
From 1 April 2017 to 15 July 20187(Registration ways): You can choose earther one.
Online:http://www.iarmm.org/7WCCS/conference-payment.html
http://www.iarmm.org/7WCCS/Registration_by_PayPal.pdf
Offline:http://www.iarmm.org/7WCCS/RegistrationForm.rtff*The Proceedings (electronic version) is delivered to all delegates in a special website.
The Proceedings (print version) is not released.

* The dinner is not scheduled.
*Delegate fee covers all printed materials (e-version proceedings, journals, etc), catering for coffee breaks, lunch, and theother registration services. It doesn’t include dinner.

The registration is closed from 16 Aug 2018 to 6 Sep 2018.

Onsite registration (7, 8 Sep 2018)

Price

Price

IARMM IRMPM member
non-member and student
Delegate Fee for 2 days (The price is tax free.)

€430

€330

Delegate Fee for 1 day (The price is tax free.)

€250

€190

*The Proceedings (electronic version) is delivered to all delegates in a special website.
The Proceedings (print version) is not released.
* The dinner is not scheduled.
*Delegate fee covers all printed materials (e-version proceedings, journals, etc), catering for coffee breaks, lunch, and the otherregistration services.

47th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Major Organizers

Organizing Committee
President: Ryoji Sakai (IARMM President. Dr. Med. Hon. Prof. SU, former Profs. TWU, EPFL, USM, etc., Tokyo, Japan)
Job Harenberg (Past Co-President of 2 & 4WCCS. em Prof. Dr. Med. Ruprecht- Karls-University Heidelberg, Germany)
Maria Angeles Cuadrado Cenzual (Prof. MD, Dept Med., Complutense University of Madrid, Spain)
Bartoccioni Filippo (Prof. MD Azienda Sanitaria Locale (ASL) Viterbo, Italy)
Helda Pinzon-Perez (Prof. MD California State University, Fresno-. infectious disease, San Francisco USA)
Allen J Vaida (Dr. Executive Vice President, The Institute for Safe Medication Practice, PA, USA)
Nathalie de Marcellis-Warin (Prof. Dr. Ecole Polytechnique de Montreal, President and Chief Executive Officer of CIRANO, Canada)
Björn Brücher (Prof.of Surgery, Bon Secours Cancer Institute, VA, US: Prof.of Ethical Leadership, New Westminster College, Canada)
Rangar Lofstedt (Prof. Dr. King’s Collage London, UK)
Bryony Dean Franklin (Prof. Dr. Medication Safety, University College London, School of Pharmacy, UK)
Dean Ian Curren (Prof. NHS Health Education England, Queen Mary, University of London, The London Deanery, UK)
Uvo M Hoelscher (Prof. Dr. Fachhochschulzentrum Münster Univ., Germany)
Milenko Tanasijevic (Assoc. Prof. MD, Harvard University, surgery, Boston, USA)May C. M. Pian-Smith (Assoc. Prof. MD, Harvard University, surgery, Boston, USA)
Minoru Ono (Prof MD University of Tokyo Hospital, Surgery, Japan)
Keiko Kamibeppu (Prof. Dr University of Tokyo, Japan) / Tadasi Ishi (prof. MD Tohoku University Hospital, Miyagi Japan)
Hajime Sato (Director, National Institute of Public Health, health crisis management,Saitama, Japan)
Enric Macarulla (Prof. Surgery, Autonomous Univ. Barcelona. Hospital Igualada, Igualada, Barcelona, Spain)
Norbert Pateisky (Prof. Dr. Vienna University, Vienna, Austria)
Smilja Tudzarova Gjorgova (Prof. Medical University, St. Cyril and Methodius (surgery), Macedonia)
Pilar Escolar (Prof. Escuela Universitaria EUSES (UdG), Tarragona, Spain)
Janet Brownlee (Nursing Professor, University of Ottawa, Canada)
Steve Green (Prof. MD Sheffield Hallam University, UK)
Elena Ivanovna Ryabchikova (Prof. MD Russian Academy of Science, Russia)
Dean Fathers (Prof. Chair at EIGA, UK) / Peter McCulloch (Oxford University, UK)
Dietmar Ausserhofer (Basel University, Switzerland /Eric Poon (former Assoc. Prof. MD. Harvard University, medication safety, USA)
Haytham Kaafarani (Asist. Prof. MD. Harvard University, surgery, Boston, USA)
KONE Adjoua-Victoria (Paris University Hospital. France) / Matthieu Colom (University of Lion, France)
Güler Demirbas Uzel (Dr. INTERNATIONAL ATOMIC ENERGY AGENCY, Seibersdorf, Austria)
Ahmad Elsheikh (Director of Quality and Patient Safety, Makkah, Ministry of Interior, Saudi Arabia (patient safety)
Amanda Steane (Essential Care advisor, UK) / Mary P Tully (University of Manchester, UK)
Dina Baroudi (Dr. M S Basharahil hospotal, Saudi Arabia)
Artur Chelmicki (Specialista ginekologii i położnictwa, Poland) / Mustafa Atac (CEO, Redstar Aviation, Turkey)
Kjell Andersson (Dr. Past President of IARMM European Congress, Sweden)
Leena Tamminen-Peter (Dr. Occupational Health Ergonomics, Oy Ergosolutions BC Ab, Finland)Marcel Westerlund (Central Hospital of Växjö, Sweden)
Rusli B. Nordin (Prof. & Chair. Past President Asia Congress of IARMM, Malaysia)
Alexander Pivovarov (Prof. & Dean. Dr. President of Ukraine Society in IARMM, Ukraine)
Dean Fathers (Prof. Centre for Health Enterprise, UK) / Hoss A Dowlat (Vice-President, PharmaBio Consulting, UK)
Claudia Megele (Assoc. Prof. University of Hertfordshire & Chair @MHchat, @SWSCmedia, @U4Change, UK)
Linda Cairns (EPP CIC, UK) / Levette Lamb (Regional Patient Safety Advisor, UK)
Aurelian UDRISTOIU (Dr. Spitalul Judetean de Urgenta Targu Jiu, Romania)
Richard Ayres (EMEA Global Comparators at Dr Foster Intelligence. UK)
Issam El Amri (MD. President, Association Tunisienne d'Aide Aux Victimes d'Erreurs Médicales, Tunisia)
Drshwetha Akshaya (Assistant Executive Director, Hamad Medical Corporation, Qatar)João Santos-Lucas (MD. U. of North Carolina-Singapore, Singapore)
Rim Mabrouk (Faculty of Nursing at Damanhour University, Egypt)
Shoumen Datta (former MIT, USA) / Abhay Chopada (BMI Clementine Churchill Hospital, USA)5

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Transportation & Map to Palace
Best Western HOTELBERN
Zeughausgasse 9CH-3011 Bern
T +41 31 329 22 22 | Reception

https://hotel-bern.ch/en/kontakt/kontakt/how-to-get-there.html

By train:-5 minutes walking distance from main train station Bern, or take the tram 6/7/8 or 9 to the tram stop
"Zytglogge"
By car:
10 Minutes by car from the Autobahn exit "Wandorf", take direction "Zentrum" over the Kornhausbruecke(Kornhausbridge), after the theatre take a right and the second street left. Then you will see the
HOTELBERN on the left hand side.
Parking:
Hotel guests are offered parking at a discounted price between 5.00 pm and 9.00 am in the parking garage"Metro" - CHF 15.00 per night.
Throughout the day the regular parking prices apply. 24 Hr parking - CHF 40.00
Parking garages nearby:
Metro - Waisenhausplatz 19
Rathaus Parking -Postgasshalde 50
Bahnhof Parking - Parkterrasse Hauptbahnhof (main train station)
Parking Casino - Kochergasse 1

By plane:
Airport Bern-Belp, 20 minutes bus ride the main train station or take a taxi

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Meals

Lunch & Coffee Breaks
Place: You enjoy lunch & coffee breaks at Room “Marzili” on the second floor .
The fees are included into your congress registration fee.
There are several different menus so that you can choose your food.

The Hotel has other coffee bars and restraints, but the fees are charged by your expenses.

77th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Timetable

7 September 2018
Room “ Unionssaal 1 and 2”
9:30 – 12:50
12:00 - 13:00
13:00 - 17:00

Educational Lectures
Oral presentations
Break
Oral presentations
15:35-17:00 Poster oral presentation

Room “ Marzili ”
10:40-11:00 Coffee break
Lunch
14:45 - 15:15 Poster Discussion
15:15-15:35 Coffee break

Poster display: 10:00-17:30

8 September 2018
Room “ Unionssaal 1 and 2”
9:00 - 12:00
12:00 - 13:00
13:00 – 17:00

Educational Lectures
Oral presentations
Break
Oral presentations
15:40-17:00 Poster oral presentation

Room “ Marzili”
10:40-11:00 Coffee break
Lunch
14:50 - 15:20 Poster iscussion
15:20-15:40 Coffee break

Poster display: 10:00-17:30

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Oral presentation manner(Place) Meeting room “Unionssaal 1 and 2”

on the 2nd floor.

1) At the conference hall, you can use 1 PC with MS Windows 10 and MS-Office.
One screen is available.
Everyone should bring your USB stick.

2) Bring your PowerPoint material with your USB tip at least 30 minutes before your presentation time.

3) Set the USB tip with PC on a presentation desk by yourself at first in your presentation time.

4) A total of your presentation time consists of PC opening setting (first 1 min), your oral presentation,
discussion (2 min), and PC setting (last 1 min).

For an example: When you have 15 minutes, you should allocate your time as follows.
First 1 minute for PC operation.
Second 10 minutes for your oral presentation.
Third 2 minutes for discussion.
Last 1 minute for PC operation.

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Poster presentation manner(Poster display place) Room “Marzili”, foyer of an oral presentation room “Unionssaal 1 and 2”(Poster Display)
Bring pins by yourself.
Your abstract number is shown on your pin board.
Pin your poster material up on your board from 10:00 to your ending time of presentation.
You should withdraw your poster before 17:30. If not, we don’t keep your poster.

Each poster presenter should give “poster discussion” and “poster oral presentation”, as follows.

(1) Poster Discussion
Your discussion time is during 14:45-15:15 on Sep 7, and during 14:50-15:20 on Sep 8.
Each poster presenter should discuss with the attendees beside your poster without any PowerPoint
material during the poster discussion time.

(2) Poster oral presentation
Each poster presenter should give the oral presentation of your summary in an oral presentation
room “Gurten” Unionssaal 1 and 2”
The poster oral presentation time is during 15:35-17:00 on Sep 7, and during 15:40-17:00 on Sep 8.
Each poster oral presentation time is 3 min without any discussion by following the program order in“Poster Discussion”.
You can use PowerPoint material with Windows10 PC.

(Poster size) 150cm height and 150 cm width

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Full paper submission

Any presenter can submit you full paper to our official journal (Journal of Medical Safety;
JMS) for a year of 2019.
http://www.iarmm.org/JMS/index.html

JMS2018: http://www.iarmm.org/JMS/JMS2018Cover.pdf

Submission period:

1st Aug 2018 - 31st Aug 2018

Instructions for authors of full papers:
http://www.iarmm.org/6WCCS/INSTRUCTIONS_FOR_AUTHORS.pdf

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Program (Final)(Oral Presentation Place)
Meeting room “Unionssaal 1 and 2”on the second floor(Poster display place)
Room “Marzili”, foyer of an oral presentation room “Unionssaal 1 and 2”(Lunch & Coffee break)Room “Marzili”, foyer of an oral presentation room “Unionssaal 1 and 2”(Official language)
EnglishNo translation to other languages.

The abstract book in internet is delivered to the registered delegates. The Congress hall has free WIFI
service, so that you can see all abstracts in internet during the Congress period.

EL: Educational Lecture,

NA: number of abstract

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【7 September 2018; Oral Presentation】(Place) Meeting room “Unionssaal 1 and 2” on the 2nd floor

Education lecture
9:00-9:25(EL02/NA020) A Patient-Centered Approach to Improving Physician Engagement: Aligning Safety, Quality and theExperience of Care
Vicki LoPachin MD 1), Bonnie Portnoy, MJ, RN, CPSO, CPHRM; Erica Rubinstein, MS,LCSW, CPXP;
Rebecca Anderson, MPH; Jessica Matos, MBA( 1)Chief Medical Officer , Senior Vice President, Mount Sinai Health System, New York , USA)

9:25-9:50(EL01/NA002)

A Safety Events Reporting System for Pathology and Laboratory Diagnostics
Milenko Tanasijevic MD MBA(Assoc. Prof. Haravard Medical School and Brigham and Women’s Hospital,Boston, USA)

9:50-10:15(EL04/NA071) Is Narrative Really the Best Medicine?: Approaching Sustainable Healthcare and Clinical Safety ThroughStory—An American Patient’s Perspective
Rebecca Housel(University of Rochester, New York, USA)

10:15-10:40(EL03/NA072) Significance of barium swallow examination for avoiding a diagnosis delay of achalasia
Prof. Tadashi Ishii, Toru Nakano, Takeshi Koseki, Takashi Kamei(Tohoku Univ. Hospital, Japan)

10:40-11:00
Coffee break

Oral presentation

11:00-11:20(NA051) Medication safety: A new complementary approach to CIRS in a Swiss university hospital
COSMA ROCHAT Monica, BULTEEL Jérémi, VOIROL Pierre, RAPIN Joachim, LEHN Isabelle, CACI Mirela(Centre Hospitalier Universitaire Vaudois, Switzerland)

13

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【7 September 2018; Oral Presentation】(Place) Meeting room “Unionssaal 1 and 2” on the 2nd floor

11:20-11:40(NA100) HOSPITAL ACCREDITATION: COMPARING FOUR INTERNATIONAL MODELS
Isabel Gómez de Soria; Pilar León Sanz
(Universidad de Navarra - Facultad Medicina - Departamento Humanidades Biomédicas, Spain)

11:40-12:00(NA101) CT in the Management of Colorectal Cancer
Shona Mackinnon; Maher Jumah(King George Hospital, London, UK)

12:00-13:00
Lunch

13:00-13:20(NA006) CLOSE THE DOOR: THE EFECT OF TRAFFIC IN THE OPERATING ROOM
María Sáenz, Carmen Sarabia, Gema Roiguez, Marta Santiago,Begoña Velez, Sana Espeso,
Sara Valverde, Gema Canal(Hospital Universitario Marqués de Valdecilla, Spain)

13:20-13:40(NA007) Patient safety, leaner procedures and data for clinical decision making using barcode technology in hospitals,
a global overview of hospital implementations
Els van der Wilden-van Lier,(GS1 Global Office, Netherlands)

13:40-14:00(NA010) Sentinel Events Analysis in Saudi. Tareef Al Amaa, Mr. Abdulaziz Abdulbaqi, . Abdulrhman AlBawardi,
Ms. Haifa AlNaimi, . Nasser Al Talhi(Ministry of Health, Saudi Arabia)

14:00-14:20(NA013) The benefits of combining risk management with performance improvement in reducing preventable hospital
readmission
Mohamed Elfaiomy, mary ann loren, mahmouadwan, noha wageeh, raed hijy
(Royal commission health services program, Saudi Srabia)
147th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【7 September 2018; Oral Presentation】(Place) Meeting room “Unionssaal 1 and 2” on the 2nd floor

14:20-14:40(NA039) Patient’s expectations and perceptions of infection control measures- A question of gender? Results of the
AHOI feasibility study
Tillmann Görig, Kathleen Dittmann, Claus-Dieter Heidecke, Axel Kramer, Nils-Olaf Hübner(AHOI-project, University Medicine Greifswald, Germany)

14:40-14:45 Let’s ’go to ‘POSTER DISCUSSION ROOM’.

14:45-15:15 Break

15:15-15:35 Coffee break

15:35-17:00

Poster oral presentation
Each poster presenter should talk the summary in 3 min.
You can use your PowerPoint material, too.
There is no discussion time.
Those oral presentations should be performed by poster presentation order.

15

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【8 September 2018; Oral Presentation】(Place) Meeting room “Unionssaal 1 and 2” on the 2nd floor

Education lecture
9:00-9:30(EL05 / NA078) PATIENT SAFETY AND OVERDIAGNOSIS
Prof. Maria Angeles Cuadrado Cenzual(Hospital Clínico San Carlos,Faculty of Medicine. MADRID Spain)

Oral presentation

9:30-9:45(NA005) External Fixation care: Chlorhexidine versus Povidone Iodine
María Sáenz, Carmen Sarabia, Begoña Velez, Elena Roscales, Marta Santiago,
Patricia Artabe, Mª Eugenia Miguel, M;ónica Escudero, Javier Torres, Israel Cabañas(Hospital Universitario Marqués de Valdecilla, Spain)

9:45-10:00(NA014) Role of information technology in improving patient safety
Zoghby,kamal ahmed.MD, Mohamed Elfaiomy, Ammar ashari, MaryAnn loren
Mohamed Abdulwahab, Veno, Nabeeh Bajunaid.MD(royal commission health services program, Saudi Arabia)

10:00-10:15(NA048) Barcode scanning at the point of care supports the great role of nurses in patient safety and efficiency ofhealthcare
Els van der Wilden-van Lier
(GS1, Netherlands)

10:15-10:30(NA067) Potentially inappropriate medications for the elderly in Hospital Vila Franca de XiraMariana Carvalho, Sérgio Gomes, Catarina da Luz Oliveira, Carla Ferrer, Eduardo Haghighi(Hospital Vila Franca de Xira, Portugal)

10:40-11:00
Coffee break16

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【8 September 2018; Oral Presentation】(Place) Meeting room “Unionssaal 1 and 2” on the 2nd floor

11:00-11:15(NA077) The Shifting Sands of Healthcare Governance in Saudi Arabia
Kevin Street(Ministry of Health, Saudi Arabia)

11:15-11:30(NA008) Occupational Health Hazards among Staff Nurses working in Operation Theaters
Harmeet Kaur Kang, Lovedeep Kaur
(Chitkara School of Health Sciences, Chitkara University, Punjab, India )Education lecture
11:30-12:00(EL06/ NA105) Cycle Model for Patient Safety Culture … framework and modular
Ryoji Sakai(President & Chair, IARMM)

12:00-13:00
Lunch

Oral presentation

13:00-13:15(NA019)“Disclosure of adverse events: Improving patient safety by fostering trust and credibility”
Bonnie Portnoy MJ RN CPSO CPHRM(Vice President Risk Management and Patient Safety, Mount Sinai Health System, New York, USA)

13:15-13:30(NA044) Things Need to Change: Raising awareness of co-worker abuse in healthcare professions
Teresa Bateman, MA, LPN; Leanne Loranger, PT, MHM; Lyndsay Arndt; Anne Assaly.
(College of Licensed Practical Nurses of Alberta, Canada)17

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【8 September 2018; Oral Presentation】(Place) Meeting room “Unionssaal 1 and 2” on the 2nd floor

13:30-13:45(NA060) The outcome of ED patient transferred to other hospital as solution of crowding
SANGRIM LEE, SANGDO SHIN, EUNHEE JUNG, In Sook Lee, Hyung bok Lee(Seoul National University Hospital , South Korea)

13:45-14:00(NA066) The digitalisation of the WHO Surgical Safety Checklist – a proof of concept study in the operating room
Kunduzi Basir , Gogalniceanu P, Russ S, Olsburgh J, Calder F, Koffman G, Sevdalis N, Mamode N(King's College London, UK)

14:00-14:15(NA068) DO MOBILE APPS SHORTEN THE TIME TAKEN TO ACCESS EMERGENCY PROTOCOLS?
Mohmad S, Gogalniceanu P, Kunduzi B, Maple H, Karydis N, Loukopoulos I, Kessaris N,
Olsburgh J, Mamode N(King's College London, UK)

14:15-14:30(Na056) False quality of recombinant factor eight, “Kogenate” directed by MHW, pharmaceutical company andinvestigators in Japan---Bad effects for abroad
Kazuo Hayashi(BEST, Co.Ltd, Japan)

14:30-14:45(NA040) A new approach for educational method of communication in healthcare – Seeking for a possibility ofinnovative medical education, deploying Improvisation. –Tatsuya Kitano(Seijoh University, Health Care Management Course, Japan)

14:45-14:50 Let’s ’go to ‘POSTER DISCUSSION ROOM’.

14:50-15:20

Break

15:20-15:40

Coffee break18

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【8 September 2018; Oral Presentation】(Place) Meeting room “Unionssaal 1 and 2” on the 2nd floor

15:40-17:00 Poster oral presentation
Each poster presenter should talk the summary in 3 min.
You can use your PowerPoint material, too.
There is no discussion time.
Those oral presentations should be performed by poster presentation order.

19

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【7 September 2018;Poster Discussion】
14:45-15:15, (Place) Room “Marzili”, foyer of an oral presentation room “Unionssaal 1 and 2”(NA001) Reduce the number of emergency room blood gas barcode sampling errors
JEN-CHUN LIN(National Cheng Kung University Hospital, Taiwan)(NA026) Pursue Effective Teaching Method using Horizontal Development of not a many Rules
Kenji Tanaka, Midori Inaba(University of Electro-Communications, Japan)(NA022) Rescuer of mothers: World famous medical scientist and the far future foreseeing pioneer of prevention andhygiene - 200th anniversary of the birth of Ignác Fülöp Semmelweis
Peter Schmidt(Semmelweis University, Budapest; Pediastrian Győr; Hungarian Scientific Academy , Hungary)(NA030) The current situations and issues of the medical safety training for all staff in Japanese hospitals
Saeko Kinugawa，Ikuko Iwamoto(Division of nursing faculty of Nursing, Tokyo Healthcare University, Japan)(NA042) Comparison of Functional Resonance Analysis Method with Root Cause Analysis in Published Data
by Japan Council for Quality Health Care
Hiroshi Okudera, Masahiro Wakasugi, Etsuko Nogami, Hisashi Nagashima(Department of Crisis Medicine and Patient Safety, Graduate School of Medicine and Pharmaceutical
Science, University of Toyama, Japan)(NA037) Usefulness of an Educational Model for Safety Management in Skilled Birth Attendance during Midwifery
Training
Kumiko Iwatani, Kyoko Kanamori, Kaoru monya(University of Shiga Prefecture, Kyoto Koka Women’s University, WAKABAKAI TSUDUKI Hospital, Japan)(NA043) What increased the incident reports from doctors in our hospital?
Akino H, Kuwabara Y, Terasaki K, Fujii M, Inoue A, Uno M, Kitahama K.
(University of Fukui Hospital, Japan)(NA045) Planned surgery: prognosis of operations
Nikolay A. Kuznetsov(Sechenov University, Moscow , Russia)(NA050) Medication safety: A new complementary approach to CIRS in a Swiss university hospital
COSMA ROCHAT Monica, BULTEEL Jérémi, VOIROL Pierre, RAPIN Joachim, LEHN Isabelle, CACI Mirela(Centre Hospitalier Universitaire Vaudois), Lausanne, Switzerland)20

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【7 September 2018;Poster Discussion】
14:45-15:15, (Place) Room “Marzili”, foyer of an oral presentation room“Unionssaal 1 and 2”(NA052) A Narrative Approach to Perinatal Liaison between Practicing Midwives and Medical Institutions in Japan
Kyoko KANAMORI, Kumiko IWATANI, Miwa IZUHARA, Satoi TAKAHASI(Kyoto Koka Women’s University, Japan)(NA053) An efficient and safe system based on barcodes to manage surgical instruments
PENG MEI-HUI(Chi Mei Medical Center, Taiwan)(NA058) Safety of the patient in the intraoperative circulating nurse competencies
Maria da Nazaré Ribeiro Cerejo, Sónia Ventura Ângelo(Escola Superior de Enfermagem de Coimbra, Portgal)(NA064) Impact of iatrogenic acute kidney injury on inpatients in Hospital Vila Franca de Xira
Catarina da Luz Oliveira, Sérgio Gomes, Carla Ferrer, Luís Silva, Nuno Cardoso, Vitória Calado(Hospital Vila Franca de Xira, Portugal)(NA083) Complications Associated with the Use of Laryngeal Tube Suction during Pre-hospital Cardiopulmonary
Resuscitation
Masahiro Wakasugi, Kotaro Matsui, Tomoya Hatano, Hiroshi Okudera(University of Toyama, Japan)(NA085) Emotional Experiences of Nurses Caring for Children in Pediatric and Adolescent Psychiatric Wards
Masumi Omori,Teruko Ishibashi,Akiko Tamashiro,Shin-ichi Yoshioka(The University of Shimane, Japan)(NA090) Skill of Occupational Health Nurse to Intervenes to Support Health Crisis for Workers and Families: A
Literature Review
Hisae Nakatani, Shio Tsuda, Akiko Kanefuji, Mari Karikawa, Uiko Nakata(Hiroshima University, Japan)(NA091) Improving DVT Prophylaxis in Surgical Patients in the North of Scotland
Dr David Samy, Dr Manal Muhareb, Mr Ian Thomas(Raigmore Hospital, Inverness, United Kingdom)(NA092) The impact of stress on incidence of back pain
Jadranka Stricevic, David Haložan, Marcel Duh(Faculty of health Sciences, University of Maribor, Slovenia)

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【7 September 2018;Poster Discussion】
14:45-15:15, (Place) Room “Marzili”, foyer of an oral presentation room“Unionssaal 1 and 2”(NA096) Evaluation of Appropriate Panic Value for Low Blood Sugar
Saeko Takahashi, Chie Mineo, Maha Ikeda, Yuka Yoneyama, Shuzo Kobayashi, Nobuaki Shinozaki(Shonan Kamakura General Hospital, Japan)(NA099) Reduction of Inpatient Fall by the use of Sensor Bed
Saeko Takahashi, Chie Mineo, Maha Ikeda, Yuka Yoneyama, Shuzo Kobayashi, Nobuaki Shinozaki(Shonan Kamakura General Hospital, Japan)(NA102) IMPACT OF THE PATIENT IDENTIFICATION ERRORS IN THE HOSPITAL AND THE ORGANIZATION.
CUADRADO-CENZUAL MA, CIUDAD CABAÑAS MJ, BAILEN C, COLLADO YURRITA L.
(HOSPITAL CLINICO SAN CARLOS. Faculty of Medicine. Complutense University. MADRID, Spain.)(NA104) LESS IS MORE: ROLE OF ROUTINE ANALYTICAL STUDIES IN THE PREPARATORY OF PEDIATRIC SURGERY.
BAILEN C, COLLADO YURRITA L, CIUDAD CABAÑAS MJ, CUADRADO-CENZUAL MA..
(HOSPITAL CLINICO SAN CARLOS. Faculty of Medicine. Complutense University. MADRID. SPAIN)(NA076) Application for surgical instruments individual identification code (GS1-Datamatrix) to sterilization
management system
Yoko Ishimoto, Shingo Kasamatsu, Naomi Emori, Kazuhisa Sato, Hironobu Akino(University of Fukui Hospital, Japan)(NA089) Influence of our new nursing system called the Partnership Nursing System: PNS on medical safety andJapanese nurses’ job satisfactions
Naomi Emori Miho Murata Kumiko Asakawa Yoko Ishimoto(University of Fukui Hospital, Japan)

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

Yoko Ishimoto【8 September 2018;Poster Discussion】
14:50-15:20, (Place) Room “Marzili”, foyer of an oral presentation room “Unionssaal 1 and 2”(NA004) Trial of monthly hospital peer review of invasive treatment results in Tokushukai Medical Group
Hidemitsu Nakagawa1,2), M.D., Nobuaki Shinozaki, M.D., Shinichi Higashiue, M.D.,Hisaaki Abuso, M.D.,
Yasuyosi Fukushima, M.D., Takao Suzuki, M.D.2).
(1) Nozaki Tokushukai Hospital, 2) Tokushukai Medical Group, Japan)(NA009) Safety management on Japan Helicopter Emergency Medical Service using flight risk assessment checklist
Kumiko Sakata, Hiroshi Okudera, M.D., Ph.D., Masahiro Wakasugi M.D., Ph.D., Kunie Nakai,R.N.
(Department of Crisis Medicine and Patient Safety, Aichi Med Univ, Japan)(NA012) Improvement of emergency room blood gas barcode inspection error number of projects
LIN, JEN-CHUN(National Cheng Kung University Hospital, Taiwan)(NA023) The Hungarian Model of Knowledge Sharing as tools of value creation for Medical Specialists
Márta Konczosné Szombathelyi PhD habil, Széchenyi István University Győr(Semmelweis University, Budapest; Pediastrian Győr; Hungarian Scientific Academy , Hungary)(NA028) Nurse's non-technical skills for prevention of falls in hospitalized patients
Misako Kinoshita & Natsuki Abe(Fukushima Medical University, Japan)(NA029) A survey of the implementation and characteristics of fall prevention in hospitalized patients
Akiko Hiyama, Keiko Nakamura(Sapporo City University, School of Nursing, Japan)(NA031) Improvement of Patient Safety by Early Examination using an Exclusively Developed Portable
Electroencephalogram Monitoring Head Set
Hiroshi Okudera, Mie Sakamoto, Masahiro Wakasugi, Hisashi Nagashima, Koji Amano, Jiro Oba(Department of Crisis Medicine and Patient Safety, Graduate School of Medicie, University of Toyama, Japan)(NA032) Analyses of the achievement level of the nursing art of “ug-administration skills” of the students
at Nursing College A
IZUMI TAKENAKA(Office TAKENAKA, Osaka, Japan)(NA038) Evaluation of an Educational Program for Midwifery Students to Prevent Medical Accidents
Kumiko Iwatani(University of Shiga Prefecture School of Nursing, Shiga, Japan)

23

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【8 September 2018;Poster Discussion】
14:50-15:20, (Place) Room “Marzili”, foyer of an oral presentation room “Unionssaal 1 and 2”(NA049) Patient Safety Alerts in Emergency
Alcaraz Martínez J, Marín Martínez JM, Ferrer Pinar B, Conesa Hernández A, Serrano Martínez JA,
Soto Castellón B, Ferrer Pérez JJ, Ortega Liarte JV, Escudero Sánchez C, Trigueros Ruiz N, Perez Costa R.
(Morales Meseguer Universitary Hospital, Spain)(NA046) The review of the reason why Administrative penalty for medical malpractice is weak in Japan.
Ryoko HATANAKA(The University of Tokyo, Japan)(NA054) Multiple interventions to reduce working overtime of nurses in Southern Taiwan
Yueh-Ting Chung, Su-Yueh Lin, Jing-Yi Lin, Shih-Yin Huang, Hui-Fen Chen, Li-Hui Huang, Shin-Hong Chen
(Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung
University, Tainan, Taiwan)(NA055) Is minimally invasive surgery more effective than standard surgery in posterior total hip arthroplasty?
Ke Hsin Lin(Chi Mei Medical Center, Taiwan)(NA059) Assessment of clinical impact anisk management related to emergency abdominal CT scans after a merger ofthree affiliated university hospitals
Jean Cournoyer-Roigue, Pascale Audet(Université de Montréal, Canada)(NA062) Using Team Resource Management to Shorten the Procedure of Prostate Robotic Surgery PreparationKUO HSIAO PI(CHI MEI MEDICAL CENTER, Taiwan)(NA063) Home hospice patients transfer from emergency department decrease time of ED observation and ER
readmission rate in the end of life care
Weng Tzuchieh, Zhang CC, Chen PJ,(CHI MEI MEDICAL CENTER, Taiwan)(NA065) Implementation of the Patient Safety Strategy in the Portuguese Operating Rooms: Nurses’ Perception
Amélia Filomena de Oliveira Mendes Castilho, Ana Sofia Carvalho Mota
(Nursing School of Coimbra, Portugal)(NA079) Improving operation notes for safer communication
Tina Bylinski, Ian Thomas(Raigmore Hospital, NHS Highlands, Scotland, UK)24

7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)【8 September 2018;Poster Discussion】
14:50-15:20, (Place) Room “Marzili”, foyer of an oral presentation room “Unionssaal 1 and 2”(NA082) Enhancing patient safety during spine surgery
Tangarasu, Sasidar. Kale, Sugam Suvarn.
(Department of Anaesthesia, Ng Teng Fong General Hospital, Singapore)(NA088) Relationship between fall accidents and taking sleep inducing drugs
Ichiro Kawana,Naoki Miyazawa,Mika Jinbo(Saiseikai Yokohamashi Nanbu Hospital, Japan)(NA098) Introduction of Escalation-Function of Oxygen Saturation Monitoring
Saeko Takahashi, Chie Mineo, Maha Ikeda, Yuka Yoneyama, Kohei Imamura, Shoji Takamuro,
Shuzo Kobayashi, Nobuaki Shinozaki(Shonan Kamakura General Hospital, Japan)(NA103) ATTENTION CENTERED TO THE PEDIATRIC SURGICAL PATIENT. IMPROVEMENT IN ACCESSIBILITY TO
ANALYTICAL TESTSBAILEN C, GARCIA A, COLLADO YURRITA L, CITY CABAÑAS MJ, CUADRADO CENZUAL MA.
(HOSPITAL CLINICO SAN CARLOS. Faculty of Medicine. Complutense University. MADRID, Spain.)(NA086)

A Study of the Troubles on Using Medical Equipment in Visiting Nursing.
Naomi Emori , Miho Murata , Mieko Okita , Osamu Yamamura , Yuji Sakamoto , Kazuhiro Kikyo(University of Fukui Hospital, Japan)

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7th World Congress of Clinical Safety

7-8 Sep 2018, Best Western Hotel Bern, Switzerland
International Association of Risk Management in Medicine (IARMM)

International Association for Risk Management in Medicine(IARMM)

Academic medical society for health and safety
Since 2002

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