6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

6th World Congress of Clinical Safety(6WCCS)- Safe Environment and Progressive Skills Toward Smart Healthcare--- Based on Quality and Quantity Aspects

Date: 6 (Wed) - 8 (Fri) September 2017
Venue: Ambasciatori Palace Hotel, Rome, Italy

Bulletin

By
International Association of Risk Management in Medicine(IARMM)http://www.iarmm.org/6WCCS/

1

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Greetings
The Rome 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, and 2016 in Boston, it is a time for 6th Congress 2017 in Rome, Italy.

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 Rome Congress to meet and share
information with your colleagues in a heart of the Ancient Roman Empire.

Sincerely,
IARMM(Official language) English, No translation to other languages.
Free WI-FI is available.

26-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety(Congress place)Ambasciatori Palace Hotel, Rome, Italy
Via V. Veneto 62 - 00187 Rome, Italy
Tel: + +39 06 47493
http://www.royalgroup.it/ambasciatoripalace/en

Registration desk:
Lecture hall:
Poster presentation space:
Lunch:

Lobby of 5RRP³$PEDVFLDWRUL´
on the ground floor
5RRP³$PEDVFLDWRUL´
on the ground floor
Room ³3DOD]]R´Rn the mezzanine floor
5RRP³3DOD]]R´Rn the mezzanine floor(Onsite registration desk)
Opening hour of the onsite registration desk: from 9:00 to 17:30, 6 Sep. 2017
Opening hour of the onsite registration desk: from 9:00 to 17:30, 7 Sep. 2017
Opening hour of the onsite registration desk: from 9:00 to 17:30, 8 Sep. 2017

(Poster)
6 Sep. (Poster discussion time: 16:00-17:00)
7 Sep. (Poster discussion time: 16:05-17:00)
8 Sep. (Poster discussion time: 15:40-16:40)
Each poster should be displayed from 13:30 to the end time of poster discussion.

(1) )RRGVXSSO\
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³
3DOD]]R´
RQWKHPH]]DQLQHIORRU/XQFKDQGFRIIHHEUHDNVHUYLFH
VDUH
DYDLODEOHIRUSUHVHQWHUVDQGWKHDXGL(2) All delegates should register at the onsite conference desk in the following hours.
From 9:00 to 17:00, during the conference days.
Nname card, and participation certification letter: You can take them.

z 3OHDVHQRWHWKDWZHKDYHQRWDQ\RQVLWHUHJLVWUDWLWK6HSWHPEHUz 3OHDVHKDQJ\RXUQDPHFDUGGXULQJWKH
FRQIHUHQFHGD\V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
head.office01@iarmm.org

3

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Registration
Manner¼HXUR

Early bird registration (till 15 August 2017

Price

Price

IARMM IRMPM member
non-member and student
Delegate Fee for 3 days (The price is tax free.)

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Delegate Fee for 2 days (The price is tax free.)

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

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(Presenter)(Audience without a visa for Italy)(Audience requested a visa for Italy)

From 1 April 2017 to 31 May 2017
From 1 April 2017 to 15 August 2017
From 1 April 2017 to 15 July 2017

(Registration homepage):
http://www.iarmm.org/6WCCS/conference-payment.html*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 fees cover all printed materials (e-version proceedings, journals, etc), catering for coffee breaks, lunch, and theRWKHUUHJLVWUDWLRQVHUYLFHV,WGRHVQ¶WLQFOXGHGLQQH*The delegate fee for the remote participant is 400 ERU.

The registration is closed from 15 Aug 2017 to 5 Sep 2017.

Onsite registration (6, 7, 8 Sep 2017)

Price

Price

IARMM IRMPM member
non-member and student
Delegate Fee for 3 days (The price is tax free.)

¼

¼

Delegate Fee for 2 days (The price is tax free.)

¼

¼

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

¼

¼

*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 fees cover all printed materials (e-version proceedings, journals, etc), catering for coffee breaks, lunch, and the other registration
services.

46-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

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)
5DQJDU/RIVWHGW 3URI'U.LQJ¶V&ROODJH/RQ
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) / Tadashi Ishii (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 (6SHFLDOLVWDJLQHNRORJLLLSRáRĪQLFWZD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

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Transportation & Map to Palace
http://www.royalgroup.it/ambasciatoripalace/en/position

The hotel is close to the US Embassy, the Italian Ministry of Economic Development, and the 0LQLVWU\RI:RUNDVZHOO
major sights.

BY TAXI
It takes 5 minutes from Rome Termini (Rome Central Station) by taxi.
BY PLANE
There is no shuttle bus from airports to the hotel.
From Fiumicino - Leonardo da Vinci Airport, take the /HRQDUGR([SUHVVWUDLQGLUHFWO\WR5RPH¶V
From Ciampino Airport, take the Terravision coach to the centre of the city and get off at Via Marsala (Termini railway station).
)URPWKHVWDWLRQWDNH5RPH¶V0HWUR/LQH$WR%DUEHULQLRUWDN
175 bus to the Via Veneto stop.
BY TRAIN)URP5RPH¶V7HUPLQLVWDWLRQWDNH5RPH¶V0HWUR/LQH$DQGJHWR
BY CAR
The hotel is 11 km from the GRA - *UDQGH5DFFRUGR$QXODUHRUELWDOPRWRUZD\¶V([LW
8 Settebagni-Salaria.
Take the Exit 8, then follow Via Salaria for 8.5 km.
Go straight on Via Giovannelli and turn left in Largo Tartini, then go straight on Via Aldega for 85 m.
Turn left in Via Paisiello then straight on Via Pinciana until Piazzale Brasile. Turn left and cross Porta Pinciana arches. Follow Via Vittorio
Veneto for 250 m.

6

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Meals

Lunch & Coffee Breaks
Place: Guests may enjoy lunch
5RRP³3DOD]]R´Rn the mezzanine 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

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Timetable
6 September 2017
5RRP³$PEDVFLDWRUL´
5RRP³3DOD]]R´
onthe mezzanine floor
on the ground floor
10:00 - 11:50
11:50 - 13:00
13:00 - 17:00

Special Lectures
Oral presentation
Break
Oral presentation (till 16:00)

Break
Lunch
16:00 - 17:00
Poster Discussion

Poster display: 13:30-17:00

7 September 2017
5RRP³$PEDVFLDWRUL´
5RRP³3DOD]]R´
on the mezzanine floor
on the ground floor
9:30 ±11:50
11:50 - 13:00
13:00 - 17:00

Special Lectures
Oral presentation
Break
Oral presentation (till 16:05)

Break
Lunch
16:05 - 17:00
Poster Discussion

Poster display: 13:30-17:00

8 September 2017
5RRP³$PEDVFLDWRUL´
5RRP³3DOD]]R´
onthe mezzanine floor
on the ground floor
9:30 - 12:00
12:00 - 13:00
13:00 - 16:40

Special Lectures
Oral presentation
Break
Oral presentation (till 15:40)

Break
Lunch
1540 - 16:40
Poster Discussion

Poster display: 13:30-16:40

8

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Oral presentation manner(Place) Meeting room (Ambasciatori) on the ground floor.

1)$WWKHFRQIHUHQFHKDOO\RXFDQXVH3&ZLWK06:-2IILFH
2QHVFUHHQLVDYDLODEOH
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 setting (1 min), your oral presentation and discussion (2 min).

For an example:

When you have 20 minutes, you should allocate your time as follows.

First 1 minute for PC operation.
Second 17 minutes for your oral presentation.
Last 2 minutes for discussion.

96-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Poster presentation manner(Place) Room ³
Palazzo´on the mezzanine floor.

(Poster Display)
Bring pins by yourself.
Your abstract number is shown on your pin board.
Pin your poster material up on your board from 13:30 to your ending time of presentation.
You should withdraw your poster before 17:15. If not, we don¶t keep your poster.

(Poster Discussion)Your discussion time is allocated on 16:00-17:00 Sep 6, on 16:05-17:00 Sep 7 and on 15:40-16:40 Sep 8.
Each presenter should discuss with the attendees beside your poster without any PowerPoint material during
the poster discussion time.

(Poster size)
148cm height and 148 cm width

106-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Full paper submission

Any presenter can submit you full paper to our official journal (Journal of Medical Safety;
JMS) for a year of 2018.
http://www.iarmm.org/JMS/index.html

JMS2016: http://www.iarmm.org/JMS/JMS2016Cover.pdf
JMS2015: http://www.iarmm.org/JMS/JMS2015Cover.pdf

Submission period:

1st Aug 2017 - 31st Aug 2017

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

11

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Program (Final)(Utility)
Oral presentation space
Lunch space
Poster presentation space5RRP³$PEDVFLDWRUL´
on the ground floor5RRP³3DOD]]R´Rn the mezzanine floor5RRP³3DOD]]R´Rn the mezzanine floor(Official language) English, No translation to other languages.
Free WI-FI is available.

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.

SL; Special lecture126-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Morning 6 September 2017
5RRP³$PEDVFLDWRUL´
on the ground floor
9:00 Registration desk is open.

[Special Oral Presentation]
100:00-10:30 (SL: NA097) Automatic Business intelligence tools and tips: How to survive in the new Smart
healthcare and its overload of data
Filippo Bartoccioni, B. Calabrese, G. Orlandi, M. Dubinski, P. Minotti, Y. Akhmetov, K. Pelagagge
Asl Viterbo, Italy

10:30-11:00 (SL: NA090) Modern Health Education in Clinical Safety Assurance
Dean & Prof. Bakhtina Irina Sergeevna, & Garderobova L.V.
Saint-Petersburg Postgraduate School of Nursing of the Federal Medical Biological Agency, Russia

11:00-11:30 (SL: NA022) Improved safety of collection of blood specimens using an interfaced EPIC / Sunquest
Laboratory Information System
Director & Assoc Prof , Milenko Tanasijevic MD, Stacy Melanson MD
Director, Brigham and Women's Hospital, Harvard medical School, USA[Oral Presentation]
11:30-11:50 (NA098) Using Mapping to Improve Systems of Clinical Handover
Sandy Thomson
GovernancePlus, Australia

11:50-13:00 Lunch at Room ³
Palazzo´13

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Afternoon 6 September 2017
5RRP³$PEDVFLDWRUL´
on the ground floor[Oral Presentation]
13:00-13:20 (NA085) Furthering Antibiotic Stewardship
Mr J A Collins, Dr S. Money-Coomes, Dr Aojula, Dr J Au Yeung, Dr S Khan and Dr R J Parikh
The Royal Oldham Hospital, UK

through

13:20-13:40 (NA105) Ethics of Short-term Global Health Operations and Delivery of Care
Leo Lopez III, MD
Christus Santa Rosa, USA

13:40-14:00 (NA108) SAPREMO: Safe Ageing - Prevention and Demography at Centre Stage Respecting
Polypharmacy
Dr. med. Ursula Wolf
University Hospital Halle, Martin Luther University Halle-Wittenberg, Germany

14:00-14:20 (NA008) Medical Acupuncture: How to Improve the Quality Of Life
Dr. Steven K.H. Aung
University of Alberta, Canada

14:20-15:00 (NA012) Understanding Serious Adverse Events: A Process to Improve Organizational Culture
Bonnie Portnoy RN, MJ, CPHRM, CPSO, Senior Director, Risk Management & Patient Safety, Mount Sinai Health System,
Vicki Lopachin MD, Chief Medical Officer, Mount Sinai Health System, Rebecca Anderson, Director, Strategic Operations,
The Mount Sinai Hospital, USA

15:00-15:20 (NA044) The Study on Comparison of Perception Differences about Patient Safety Attitude, SurgicalTime Out and Factor of Retained Surgical Items between Nurses and Doctors Working in the Operating Room.
Eunsook Lee(RN, MSN), Eunok Kwon (RN, PhD), Sujeong Jeon (RN)
Seoul National University Hospital, South Korea

15:20-15:40 (NA043) Global standards and data capture technologies support improvement of clinical safety and theachievement of the five patient rights
Els van der Wilden-van Lier; Flora Sue
GS1 Global Office, The Netherlands

15:40- 16:00 (NA086) Implementation of a Management and Reporting Tool as a basis for optimization of Processes
and Outcome in 11 Hospitals including Surgical, Orthopaedic and Urological Patients
Haslinger-R (1), Kamptner-N (1), Halmerbauer-G (1), Ehrenmüller-M (1), Königswieser-T (2), Ausch-C (2)1. Department of Process Management and Business Intelligence, University of Applied Sciences Upper Austria, Steyr,
Austria
2. OÖ. Gesundheits- und Spitals-AG, Linz, Austria

14a6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

16:00-17:00, 6 September 2017
5RRP³3DOD]]R´Rn the mezzanine floor[Poster Presentation](NA125) Evaluation of Video Materials Assessing a Family Crisis
Hisae Nakatani, Akiko Kanefuji,Hiroshima University, Japan(NA010) Count Time Out to prevent count errors
Hye-young, Kang
Seoul National University Hospital, Korea(NA147) Attempt at acute care ward to
TOSHIKO KOBAYASHI
Toho University, Ohashi Medical Center, Japan

reduceinterference(NA045) Action of the Disaster Medicine Coordinate Workshops in Japan Held by the "ACT" Institute of Disaster
Medicine
Tadashi Ishii, Kazuma Morino, Yoshikazu Maruyama, Takuya Uozumi, Kuniharu Takahashi
Tohoku University Hospital, Japan(NA089) Experiences of Patient Safety Activities of Rapid Response Team for First Year
Sulhee Kim, Eunjin Yang, Jeoungeun Park, Sangmin Lee, Jinwoo Lee, Hannah Lee, Hyunjoo Lee, Hogeol Ryu, Seungyoung
Oh, Sangbae Go
SEOUL NATIONAL UNIVERSITY HOSPITAL, South Korea(NA078) Comparison of back pain among physiotherapists and nurses in the Slovenia
Marcel Duh, Jadrnaka 6WULþHYLü'DYLG+DORåDQ
Univerisiy of Maribor, Slovenia(NA009) Safety management requirements necessary for skilled birth attendance provided by midwifery students,
based on the perspective of training instructors
Kumiko Iwatani㸯, Kyoko Kanamori2, Satomi Yoshida3, Miwa Izuhara4
Kanazawa Medical University, Japan(NA024) Safety and Usefulness of Returned Ampule Sorting Machine –toward the Realization of Virtual Cassettes–
Koichi Takahashi, Kazuko Higuchi, Kazunori Yamaguchi, Nami Mizukawa, Takato Nozaki, Naoki Shinohara, Hiroaki
Tanaka, Masato Asakura, Shinji Kosaka, and Hitoshi Houchi
Kagawa University Hospital, Japan(NA082) To Improving patient safety and Effective traceability of surgical instruments during sterilization processusing GS1 standards
Shingo Kasamatsu, Yoko Ishimoto, Kazue Suwa, Naomi Emori, Kazufumi Sato, Koichi Uemura, Hironobu Akino,
University of Fukui, Japan15

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

16:00-17:00, 6 September 2017
5RRP³3DOD]]R´Rn the mezzanine floor[Poster Presentation](NA034) Checking failures and the estimation of risk-taking behaviors: A cross-sectional survey in a university
hospitalMasako Fujii, Hironobu Akino, Kazuyo Terasaki, Yoshimi Kuwabara, Kimiko Kitahama
University of Fukui, Japan(NA054) Simulation Training for Patient Safety in Neurosurgical Emergency - PNLS:Primary Neurosurgical Life
SupportMegumi Takahashi, Masahiro Wakasugi, Hiroshi Okudera, Hisashi Nakashima, Mie Sakamoto, Mayumi Hashimoto, Emiko
Asaka
Department of Crisis Medicine and Patient Safety, Graduate School of Medicine, University of Toyama, Japan(NA065) Relationship between professional experience as a practicing dietitian and health status or dietary
awareness among graduates of a department of food science and nutrition
Minatsu Kobayashi, Sayo Uesugi, Reiko Hikosaka
Otsuma women's University, Japan(NA083) Comparison of Delivery Outcomes between Clinics and Comprehensive Perinatal Care Centers
kyoko KANAMORI, Kumiko IWATANI, Miwa IZUHARA
Kyoto Koka Women's University, Japan(NA114) Developing a ward round checklist to improve patient safety
Ismail BOZKURT, MD, Chief of Continuous Quality Improvement Department / Medical Director
Burcu BOZKURT, Nursing Manager
Deniz KUCUKLER, Nursing Manager
Fatma KUCUKERENKOY ±Manager of Continuous and Quality Improvement Department
Vehbi Koc Foundation American Hospital, Turkey(NA143) A descriptive study on medical error incidents including near misses related to insulin injections in a
hospital in Japan
Kumiko Asakawa, Mihoko Kondo,Masako Fujii,Naomi Emori,Tomoko Hasegawa
University of Fukui Hospital, Japan(NA144) The Usefulness of “Partnership Nursing System”
Yukie Takayama; Mayumi Tada; Shingo Haneda; Mayumi Miyamae; Shinpei Ohtsuka, Anna Watanabe; Naomi Emori;
Tetsuo Fujibayashi; Kazuhiro Kikyo
University of Fukui Hospital, Japan(NA156) Relationship between postmenopausal symptoms and dietary intake of youth by longitudinal study.
Sayo Uesugi, Minatsu Kobayashi, Reiko Hikosaka

Otsuma Women's University, Japan16

to6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Morning 7 September 2017
5RRP³$PEDVFLDWRUL´
on the ground floor
9:00 Registration desk is open.

[Special Oral Presentation]
9:30-10:00 (SL: NA161) Strategic communications for medical professionals at the time of crisis: Basics of crisis
management and their applications to the cases in healthcare settings
Hajime SATO
National Institute of Public Health, Japan

10:00-10:30 (SL: NA023) Cardiac Troponin T could be safely used without CK and/or CKMB to rule out acute
myocardial infarction in and emergency ward setting.
Stacy E.F. Melanson MD PhD, Milenko J. Tanasijevic MD MBA
Brigham and Women's Hospital, Harvard medical School, USA

10:30-11:00 (SL: NA060) Reducing Nursing Interruptions to Improve Patient Safety
Prof. Linda McGillis Hall
University of Toronto, Bloomberg Faculty of Nursing, Canada

11:00-11:30 (SL: NA091) Lessons Learned from a Medication Error: How Safety Culture Mitigates Harm to Both
Patients and Clinicians
Director & Assoc Prof, May C M Pian-Smith, MD, MS
Harvard Medical School, USA[Oral Presentation]
11:30-11:50 (NA118) Successful Applications of High Reliability Organization Methods to Improve Patient Safety
and Actions Required to Accelerate Progress
Howard W Bergendahl JD, MS, CPPS
The Bergendahl Institute, LLC, USA

11:50-12:05 (NA116) CLOPIDOGREL PHARMACOGENETICS: A VALID METHOD TO ASSURE
FFECTIVENESS AND SAFETY OF THE ANTIPLATELET THERAPY
V. Conti, V. Manzo, C. Sellitto, T. Iannaccone, M. Costantino, G. Corbi, P. Malangone, G. Nicolella, G. Accarino, A.
Filippelli
University of Salerno, Italy

11:50-13:00 Lunch at Room ³
Palazzo´17

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Afternoon 7 September 2017
5RRP³$PEDVFLDWRUL´
on the ground floor[Oral Presentation]
13:00-13:20 (NA110) Evidence under threat: risk communication in an era of alternative facts
Thomas Rowsell
Uppsala Monitoring Centre, Sweden

13:20-13:40 (NA013) Accreditation - An Australian Perspective on the Impact of New Mandatory

Standards - Opportunities and Challenges for Leaders and Managers
Sandy Thomson
Quality Systems and Assurance Services Pty Ltd T/A GovernancePlus, Australia

13:40-14:00 (NA119) Antipsychotic associated metabolic monitoring: How well are we doing it?
Racha Dabliz, Mental Health Pharmacist, Concord Centre for Mental Health,Seniha Karacete, Senior Mental Health Pharmacist, Concord Centre for Mental Health,Angela Meaney, Clinical Nurse Consultant Physical Health & ccCHIP Clinics, Mental Health Service,
Bonnie Tse, Psychiatry Trainee, Concord Centre for Mental Health,Concord Hospital- Concord Centre for Mental Health, Australia

14:00-14:20 (NA025) Values, meaning and perspectives for healthcare professionals : impact on patient safety
Sophie Garcelon
WING SANTE, France

14:20-14:40 (NA073) Patient Safety and Risk Management: a lesson from the Aerospace industry - IT integration
with Electronic Medical Record (EMR)
DOMENICO MANTOAN, BARBARA CAMERIN, ANDREA BOER, MARINA BRATTINA, LORENZO GUBIAN, FABIOCASSAN, GIACOMO VIGATOVENETO REGION - HEALTHCARE ORGANIZATION, Italy

14:40-15:00 (NA007) The Safe Practice of Acupuncture
Dr. Steven K.H. Aung
University of Alberta, Canada
15:00-15:20 (NA011) Considering the “Second Victim”: ICARE for
Bonnie Portnoy, Senior Director, Risk Management & Patient Safety, Mount Sinai Health System (MSHS); Erica
Rubinstein MS, Senior Director, Patient Relations & Service Recovery, MSHS; The Mount Sinai Hospital, Vicki Lopachin
MD, CMO, USA18th6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Afternoon 7 September 2017
5RRP³$PEDVFLDWRUL´
on the ground floor[Oral Presentation]
15:20-15:35 (NA048) Assess The Culture Of Patient Safety Through Humpty Dumpty Fall Scale (HDFS) Evaluation
Ola Magdy Torky ,Shaimaa El Meniawy
Children's Cancer Hospital Egypt 57357, Egypt

15:35-15:50 (NA053) Trial of Exchanging Mini-Medical-Records System Shared between Patient and Doctor
Kazuhiro Okamura
Okamura Isshindow General Hospital, Japan

15:50-16:05 (NA115) GENETIC EVENTS IN CHRONIC LYMPHOCYTIC LEUKEMIA
AURELIAN UDRISTIOIU
Faculty of Medicine, Titu Maiorescu University, Bucharest, Romania

196-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

16:05-17:00, 7 September 2017
5RRP³3DOD]]R´Rn the mezzanine floor[Poster Presentation](NA063) International trades and food risk reports in mass media: the case of BSE
Hajime SATO
National Institute of Public Health, Japan(NA004) Removing biopsy proximity errors through endoscopic biopsy process method change
Hyojin Shin, Mi-Hyun Yun, Jihee Jung, Sooyeon Huh
Seoul National University Hospital Healthcare System Gangnam Center, South Korea(NA154) Are there more incidents in the emergency department during the months of overload? Review through theback to the emergency service (ES).
Julián Alcaraz Martínez, Mamen Escarbajal Frutos, Pavlo Povzon, Sara Ramos López, Isabel Reina Nicolas,
Diana Peñalver Espinosa, Beatriz E Costa Martinez, M Mar Cutillas Perez, Esther García Alfocea, M Jose Carrillo Burgos
Hospital Universitario JM Morales Meseguer, Spain(NA042) Development of Pilot Anesthesia Quality Index System in the Standard Surgery Cases
Yusuke Kasuya, Shiori Sakuma, Makoto Ozaki
Department of Anesthesiology, Tokyo Women's Medical University, Japan(NA029) Assessment of school zoonotic diseases awareness program among primary school students in SK Seri
Selangor USJ4, Subang Jaya, Selangor, Malaysia
Shafie, H., Ahmad, N.I., and Ajat, M.
Faculty of Veterinary Medicine, Universiti Putra Malaysia(NA077) Comparisons of Emotional Intelligence, Mental Health and Ego-resilience between Mothers ofChildren/Adolescents with and without Disabilities
Masumi Omori,Shin-ichi Yoshioka
The University of Shimane Izumo Campus, Japan(NA079) The structure of professional confidence of public health nurses
Tomoko Ogawa, Hisae Nakatani, Akiko Kanefuji, Kiyoka Yamashita
The University of Shimane, Japan(NA148) The review of influence on the number of police reporting system by new medical accident investigation
system staring from October 2015 in Japan
Ryoko HATANAKAThe University of Tokyo, Japan(NA080) Ergonomic environment of elderly people and encouraging sensory stimulation-DGUDQND6WULþHYLü'DYLG+DORåDQ'XãDQýHODQ0LODQ%UXPHQ0DMGD3DLQNLKDU=PDJR7XUN

20

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

University of Maribor, Faculty of health science, Slovenia

16:05-17:00, 7 September 2017
5RRP³3DOD]]R´Rn the mezzanine floor[Poster Presentation](NA072) Monitoring Critical Values in Primary Care as a Patient Safety Strategy
Moreno-Campoy EE. Dirección General de Investigación y Gestión del Conocimiento. Consejería de Salud.
Mérida-DelaTorre FJ. Laboratorio Clínico. Área de Gestión Sanitaria Serranía. Servicio Andaluz de Salud
Direccion General de Investigacion y Gestion del Conocimiento. Consejeria de Salud de Andalucia, Spain(NA094) Experiences of Patient Safety Activities of Rapid Response Team for First Year
Sulhee Kim, Eunjin Yang, Jeongeun Park, Sangmin Lee, Jinwoo Lee, Hannah Lee, Hyunjoo Lee, Seungyoung Oh, Hogeol
Ryu, Sangbae Go
SEOUL NATIONAL UNIVERSITY HOSPITAL, South Korea(NA152) Safety in Medical Environment –Discussion on the Prospective Vulnerability Analysis Results and Risk
Management Results
WEN CHUN TSAI,YA LING CHEN, PEI YING CHEN, YU WEN SHIH, SHU FEN CHOU
Department of Nursing, En Chu Kong Hospital, Taiwan(NA059) Communication between nursing students and nurses during practicums
Yukiko Kai1)㸪Keiko Murakami2)㸪Yuriko Ohkawa1)
School of Nursing, Faculty of Medicine, University of Miyazaki, Japan(NA081) Safety assessment of using preliminary formulation for preparing antitumor drugs
N.Mochizuki, D.Kano, M.Morimoto, N.Yoshino, M.Tanaka, M.Yamaguchi
National Cancer Center Hospital East, Japan(NA070) Potential drug therapy issues for the elderly: an insight based on nation-wide prescription audit in primarycare
Khalid Ahmed Jassim Al Khaja, Sindhan Veeramuthu, Reginald P. Sequeira
Arabian Gulf University, Bahrain(NA087) The current status of and attitudes towards using a pregnancy-related risk self-assessment scale among
Japanese females who gave birth in high-order health care institutions
Kyoko KANAMORI, Kumiko IWATANI, Miwa IZUHARA
Kyoto Koka Women's University, Japan(NA139) Influence of Teamwork Perception and Satisfaction of Intra-organizational Communication on Safety
Control
Kyoung Ja Kim
Hannam University, South Korea

216-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Morning 8 September 2017
5RRP³$PEDVFLDWRUL´
on the ground floor
9:00 Registration desk is open.

[Oral Presentation]
9:30-10:00 (NA162) The management of dermal filler complications - Aesthetical Medicine Department of thehospital St. Giovanni Calibita - Fatebenefratelli in Rome
Gloria Trocchi, Emanuele Bartoletti
Aesthetical Medicine Department of the hospital St. Giovanni Calibita - Fatebenefratelli in Rome[Special Oral Presentation]
10:00-10:30 (SL: NA075) The Role of Nurse Leaders in the Promoting the Safe Integration of Internationally
Educated Nurses into Canadian Hospitals
Prof. Linda McGillis Hall, PhD, FAAN, FCAHS
University of Toronto, Canada[Oral Presentation]
10:30-10:50 (NA071) THE USE OF MEDICAL SIMULATORS MAY LEAD TO A SIGNIFICANT REDUCTION
IN HEALTH CARE COSTS
G. Halmerbauer1, N. Kamptner, A. Schrempf, C. Ausch
University of Applied Sciences, AUSTRIA

10:50-11:10 (NA088) An application of classification methods on clinical data for retrospective detection of patientswith complications
R. Haslinger* (1), G. Halmerbauer(1), H. Wagner(2), C. Ausch(3)(1)Department of Process Management and Business Intelligence, University of Applied Sciences Upper Austria, Steyr(2)Department of Applied Statistics , Johannes Kepler University, 3OÖ. Gesundheits- und Spitals-AG, Linz, Austria
11:10 ±11:30 (NA015) Clinical Leadership in Establishing General Practitioner Accreditation for Minor Surgery: A
National Pilot Study
Dr Ailís ní Riain, Dr Claire Collins, Dr Tony O'Sullivan
Irish College of General Practitioners, Ireland

11:30-11:50 (NA100) Team Briefing - Changing the Focus of Surgical Safety Checklists
Kristine Wyatt
Kyneton District Health, Australia

11:50-13:00 Lunch at Room ³
Palazzo´22

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

Afternoon 8 September 2017
5RRP³$PEDVFLDWRUL´
on the ground floor[Oral Presentation]
13:00-13:20 (NA003) Integrating Nursing Informatics to Improve Patient-Centered Care
Pi-Chi Wu
Department of Nursing, Chiayi Chang Gung Memorial Hospital, Taiwan

13:20-13:40 (NA005) GENETIC EVENTS IN CHRONIC LYMPHOCYTIC LEUKEMIA
Aurelian Udristioiu, Manole Cojocaru
Emergency County Hospital & , Faculty of Medicine, Titu Maiorescu University, Romania

13:40-14:00 (NA049) Utilization Management Of Platelets Units Using Lean Six Sigma Methodology
ola magdy abdel hameed torky
Children's Cancer Hospital Egypt 57357, Egypt

14:00-14:20 (NA041) Preventing and managing hospital acquired pressure ulcers
Hany Mohamed, Mohamed kheder, sayda medany, ayman Mohamed and wesal skakerChildren's Cancer Hospital Egypt 57357, Egypt

14:20-14:40 (NA153) The Enhancement of ER Workplace Safety as to Reduce the Turnover Rate of the Nursing
Staff
WEN CHUN TSAI, YU WEN SHIH, YU HUA CHOU
Department of Nursing, En Chu Kong Hospital, Taiwan

14:40-15:00 (NA036) The usefulness of After Action Review system to improve the quality of debriefing in medical
systemHitoshi Yanaihara, Naoto Okada, Satoru Utsunomiya, Toshiyuki Narumi, Kanji Kabasawa, Sakae Otani, Masayasu Aoki
Yuichiro Yana, Eiji Morita, Yasuto Omura, Hidetomo Nakamoto
Saitama Medical University, Japan

15:00-15:20 (NA064) The relationship between working hours and dietary habit and weight gain during the
pregnancy period
Eri Abe, Minatsu Kobayashi, Kohei Ogawa, Katsunori Cha, Naho Morisaki, Takeo Fujiwara
Ohtsuma Women's University Japan

15:20-15:40 (NA017) Development the Patients Safety and Quality Management Feedback Support System for the
purpose of reduction in task load of Patients Safety Managers
Tatsuya Kitano
Seijoh University, Health Care Management Course,Faculty of Business Administration/Graduate School of Health Care
Studies,Patients Safety & Quality Management , Japan

23

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

15:40-16:40, 8 September 2017
5RRP³3DOD]]R´Rn the mezzanine floor[Poster Presentation](NA050) Utilization Management Of Platelets Units Using Lean Six Sigma Methodology
Ola Magdy Torky ,Shaimaa El Meniawy
Children's Cancer Hospital Egypt 57357, Egypt(NA051) Assess The Culture Of Patient Safety Through Humpty Dumpty Fall Scale (HDFS) Evaluation
Ola Magdy Torky ,Shaimaa El Meniawy
Children's Cancer Hospital Egypt 57357, Egypt(NA061) Factors analysis of poor healing wound in negative pressure wound therapy
YEN-HSI, LIN, TING-TING, CHENG, JIUN-LING,WANG
National Cheng kung University Hospital , Taiwan(NA062) Evaluation of multidisciplinary management care involved in diabetic wound
YEN-HSI, LIN,, JING-YI, LIN , JIUN-LING, WANG
National Cheng kung University Hospital , Taiwan(NA067) Development and validation of a trigger tool to identify adverse events and no-harm incidents in homehealthcare
Marléne Lindblad, Schildmeijer Kristina, Nilsson Lena, Ekstedt Mirjam, Unbeck Maria
Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden(NA157) Stercoral colitis
Lee, Mei-Lin, Tu Chu-Li, Yu-Feng Tian
Chi-mei Hospital, Tainan, Taiwan(NA159) Self-expandable metal stent(SEMS) Enhance The Patient Preoperative Life Quality
Tu Chu-Li
Chi-mei Hospital, Tainan, Taiwan(NA117) Falling in Hospitalized Patients Under the Influence of a Soporific –Analysis of Public Adverse Event
Reports on the Web
Taiko TERASHIMA; Lecturer; Japanese Red Cross Hokkaido College of Nursing㸪Hokkaido, Kitami㸪Japan
Akiko Hiyama; Lecturer; Sapporo City University, Sapporo, Hokkaido, Japan
Junichi TANEMOTO; Assistant professor; Japanese Red Cross Hokkaido College of Nursing㸪Kitami㸪Hokkaido, Japan
Sadako Yoshimura; Emeritus professor; Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan

24

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

15:40-16:40, 8 September 2017
5RRP³3DOD]]R´Rn the mezzanine floor[Poster Presentation](NA033) Implementation of a patient education multimedia tool to enrich patient knowledge about their planned
anesthesia care in advance of surgery
Kyan C. Safavi MD MBA, Yuri Chaves-Martins MD, Shu Lu MD, Emily Naoum MD, Gabrielle Paoletti MD, Katarina
Ruscic MD PhD, Lisa Warren MD, Lisa Leffert MD
Massachusetts General Hospital, USA(NA130) Working stress and coping strategies among intensive care nurses
Shu-Ching Lin, Shu-Ming Chen
Chi Mei Medical Center, Taiwan(NA069) Characteristics of psychosocial support for supporters in disaster relief
Chikako Itagaki, Tadashi Ishii
Japanese Red Cross Medical Center, Japan(NA076) Evaluation of inter-rater reliability and accuracy of the Fall Risk Behavior Assessment Tool (FRBA-Tool)for prediction of the risk of fall
Akiko Hiyama, Keiko Nakamura
Faculty of Nursing, Sapporo City University, Japan(NA128) Rapid communication with patient side to share the truth
Yukio Seki, Miho Kinoshita, Junichi Mizuno, Norie Tsuboi, Mitsuyo Ohno, Masaru Inoko, Yumiko Kose
Japanese Red Cross Nagoya Daini Hospital, Japan(NA074) Actual Use of Non-Technical Skills Related to Intravenous Drip Management by First-year Nurses in Japan
Saeko KINUGAWA, Noriko KUROSAWA
Division of Nursing faculty of Nursing, Tokyo Healthcare University, Japan(NA124) Introduction of TeamSTEPPS training for education of medical school 4th grade
Hiroshi OKUDERA, M.D.,Ph.D., Hisashi NAGASHIMA, M.D., Ph.D.
Masahiro Wakasugi, M.D., Ph.D. ,Yoko YAMAMOTO, R.N., M.Ms.
Etsuko NOGAMI, R.N., M.Ns.
Toyama University Hospital, Japan(NA145) Influence of our new nursing system called the Partnership Nursing System: PNS on medical safety andpatients’ satisfactions
Naomi Emori , Miho Murata , Yukie Takayama , Kumiko Asakawa , Kazue Suwa , Tomoko Hasegawa
University of Fukui Hospital, Japan

25

6-8 Sep 2017, Ambasciatpri Palace Hotel, Rome, Italy
International Association of Risk Management in Medicine (IARMM)

6th World Congress of Clinical Safety

International Association for Risk Management in Medicine(IARMM)

Academic medical society for health and safety
Since 2002

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