IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

IARMM
2nd World Congress of Clinical Safety“Risk in Clinical Care”

Date: 12th (Thurs) -13th (Fri) September 2013
Venue: University of Heidelberg

Congress Guide
Ver 5.0

By
International Association of Risk Management in Medicine (IARMM)
http://www.iarmm.org/2WCCS/

Co-organized by

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Official language: English only.
Homepage:

http://www.iarmm.org/2WCCS/(Important deadline)
Abstract submission (oral & poster): was closed.
Full paper submission (if you like): from 1st August 2013 to 31th August 2013
(Instruction) http://www.iarmm.org/2WCCS/INSTRUCTIONS_FOR_AUTHORS.pdf
Conference and dinner registration: now open till 31th August 2013
You can register yourself on the above congress homepage.
A certification letter of your participation is given at an onsite registration desk.
The presentation, of which registration is not carried out by July 31, 2013, will be removed from the final
program (released on August 5, 2013).

Event Overview
The Congress is organized by IARMM together with Heidelberg University and the other Germanorganization. It aims to improve and promote the science and technology of better safety in both risk andcrisis management in health care. The congress covers a wide range of topics such as patient safety,
medication safety, medical device safety, infectious disease outbreak, and the other related subjects.
German scientific culture of risk has the longest history of over hundred years in the world and has
absolutely active movements in risk science and technology which generated the important key concepts,
such as philosophy of risk, risk communication, risk management, etc.
We are sure that the Congress will assist the world wide exchange of knowledge and skill in this specialist
area with excellent German risk scientists. Let's all join together at our Heidelberg Congress to meet andshare information with your colleagues.

(Contact details)
Conference registration and exhibition registration to:(E-mail) head.office01@iarmm.org

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Internet remote live broadcast

This conference has also 2 live broadcast systems in internet for the remote participants.

(1) For remote audience
All lectures on the conference room (including the following remote presentation) are broadcasted on
PCs of net audiences in the world by internet streaming.
Each audience is requested to preinstall a streaming software on the PC with internet.

(2) For remote oral presentation
A speaker gives the oral presentation using Skype in internet at the PC.
The live speech with PowerPoint material is projected on the conference room screen, and, also the live
lecture is broadcasted on PCs of net audiences by internet streaming.
Each speaker is requested to preinstall SKYPE free software program on their PC with internet, andpreset web-microphone and web-camera.

(Note)
Each user of the above live systems should register and prepay the conference registration fee. The fee ofthe remote participant is same as that of the conference hall participant.
The detail manual of PC operation for the live streaming broadcast is provided after your registration.

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Introduction“Union of Risk Management for Preventive Medicine (URMPM)”, former name of “International Associationof Risk Management in Medicine: IARMM)”, was founded as an international medical society for health andsafety in Switzerland on April, 2002. Its headquarters has been located in Tokyo, Japan since 2005. This
academic medical society held the 1st World Congress of Clinical Safety (1WCCS) in University of London,
September 2012 with delegates from over 30 countries. The main purpose of this world congress is toimprove and promote a science of risk and emergency management for patient safety, medication safety,
medical device safety and infectious disease control together around the world. The 2nd WCCS will be heldin Heidelberg, Germany in September 2013 under a keyword of “Risk in Clinical Care”.
While by the end of the 20th century, new topics such as clinic gene technology had been added to medicine’s
paramount concern with health, it should not be forgotten that health and safety remain integral to humanwell being. In the 21st century, risk and crisis management are widely recognized as one of fundamental
aspects of human existence.
Germany is a well-recognized country of world top level in risk science and technologies with over hundredyear history. Germany has generated many basic tools, such as risk science, philosophy of risk, risk
communication, risk management, etc. Therefore, it is clear that the German scientific culture in risk
science and technology can also give great advances in “Risk in Clinical Care” in an aspect of risk science.
On the above accounts, the 2nd WCCS is promoting internationally the improvement and promotion ofsafety cultures for medical service & practice, pharmacology, infectious disease, etc. The 2nd WCCS will beheld in Heidelberg, Germany in response to many requests to exchange knowledge and experiences with ourinternational experts in risk and emergency management. We are inviting experts from Germany, other
European countries, North America plus those from several international organizations. The 2nd WCCS will
also host many delegates from Europe, US, Canada, Australia, Asia, Africa, and the Middle East.
It is expected that lessons from German risk world will contribute to the improvement of safety cultures inhealthcare around the world

Registration and Dinner fees
All registration prices are VAT Exempt

Price

Price

IARMM
Non-Member

IARMM Member andStudent

Delegate Fee Thursday 12th & Friday 13th September 2013

€300

€220

Delegate Fee Thursday 12th September 2013

€150

€110

Delegate Fee Friday 13th September 2013

€150

€110

The fee of the remote participant is 200 ERU.
Dinner: € 65

(VAT is included.)Congress place
Neue Universität at Heidelberg University、Hall 3, 4a, 14 and Foyer.

Universitätsplatz,

69117 Heidelberg

The map is available in the below.
http://www.uni-heidelberg.de/universitaet/besucher/karten/2170a.html

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)Lunch
You can get your lunch ticket at our onsite registration desk. Please come by our desk.
The restaurant locates in front of the conference building. It takes a couple of minutes on foot.
There are several different menus so that you can choose your food.

Mensa in the "Marstallhof"
located at Mastallhof 1, Heidelberg

Coffee shops (with your expense)
The above restaurant doesn’t have any coffee service.
However, there are very nice coffee shops, close to the conference building.

Dinner party
Time: From 6:30 pm to 8:30 pm, 12th September 2013
Place: Kulturbrauerei Heidelberg AG
Leyergasse 6, 69117 Heidelberg
Phone +496221-502 980
Route guide:
The walking time form the University is about 5 - 10 minutes. You just walk down
Hauptstrasse (right at the University). Then, after a square right underneath the castle (Kornmarkt) you
turn left down the alley Leyergasse.

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Travel information
Heidelberg is well located and easily accessible by plane, train or car.
(1) How to get to Heidelberg
by plane(From Frankfurt Airport)
You can take the train to Heidelberg which takes 50 minutes by ICE (one way: approx. 24 Euro). You have tochange trains in Mannheim.
Another way is to book a seat on the Lufthansa Airport Shuttle Service. A one way ticket to the Crowne
Plaza Hotel in Heidelberg (which is in the city centre, close to the main bus station Bismarckplatz) is 22
Euro (20 Euro if you fly with Lufthansa). The bus takes 60 minutes to Heidelberg and requires reservation.
http://www.lufthansa.com/online/portal/lh/de/info_and_services/from_to_airport?nodeid=3163691&l=en

A third possibility to get to Heidelberg from the Airport is by TLS Shuttle Service (one way: approx. 33 Euro,
1 h ride, reservation required). You can also book an individual transfer (155 Euro).
https://www.tls-heidelberg.de/index.php/(From Stuttgart Airport)
You can take the train to Heidelberg. It takes 90 minutes by IC (one way: approx. 26 Euro). Anotherpossibility is the Airport transfer from Stuttgart. This is an individual car transfer which requires
reservation and costs about 125 Euro (travel time: 90 minutes).
(From Frankfurt Hahn Airport)
You can use the buses which leave there. Reservation is not required (Except for groups of 5 or more persons(at least 3 work days before). The price for a one way ticket to Heidelberg main station is 18 Euro. The bus
takes 135 minutes to Heidelberg. Please note that there is no connection by train from Hahn to Heidelberg.
by train
You can book tickets for the German railway system via the internet of the Deutsche Bahn.
http://www.bahn.de/i/view/GBR/en/

by carFrom the north: Motorway A5 / A 656 (via Darmstadt, direction: Karlsruhe/Basel), exit at Heidelberg
motorway interchange
From the south: Motorway A5 (direction: Frankfurt a. M.), exit at Heidelberg motorway interchange.

(2) Local public transport service
The local public transport service in the Rhine-Neckar area is the Verkehrsverbund Rhein-Neckar.

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

http://www.rnv-online.de/english.html

Hotel Accommodation

There is accommodation available in Heidelberg for all budgets, please see the links below foraccommodation available close to the venue. Heidelberg is not a megacity with huge hotels, so that werecommend that you will book your accommodation as soon as possible to ensure you receive your preferred
hotel.

Recommended Hotels:
http://hotelheidelberg.com/cms/
http://www.booking.com/city/de/heidelberg.en.html
http://www.galahotels.com/en/Home

Youth hotel:
http://heidelberg.jugendherberge-bw.de/home-hd.html?&L=1&cHash=80a24bcd3b3bebffec8252dc1911afdb

Other Hotels:
http://heidelberg.jugendherberge-bw.de/Please note that Heidelberg University and IARFMM in no way indorse these hotels or take responsibility
for your booking with your chosen hotel. Your booking is a contract between yourself and your chosen hotel.

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Sightseeing
Information: Tourist Information Heidelberg

Willy-Brandt-Platz 1 69115 Heidelberg
Tel. +49 6221 58 444 44
Fax +49 6221 58 402 54
E-Mail: touristinfo@heidelberg-marketing.de

Solar-powered boat "Neckarsonne"
The ship on the Neckar River is powered by solar energy. The passengers experiencethe most delightful views of the city while the ship gently glides by. During the 50
minutes trip on the river the passengers receive information about solar shuttle andthe highlights of Heidelberg and its outlaying areas.
Tickets
Adults 7.00 €, Children:
3.00 €
Pupils/Students: 5.00 €Handicapped persons: 6.00€

Timetable
March – October:
Thursday – Sunday at 10
am, 11.30 am, 1 pm, 3 pm,
4.30 pm, 6 pm

Landing stageKarl-Theodor-Brigde, Old
Bridge, Old Town

Where to ask/buy
Tickets for individuals orgroup-tickets are available
at the landing stage or at
the Ticket-ShopMore information andgroup fees: Tel.: +49
6221/58 40 223 or +49
6221/58 40 225
E-Mail:guide@heidelberg-marketi
ng.de

Duration:
Approx. 50 minutes (bothways)

WINE TASTING CAN BE REQUESTED AT THE TOURIST INFORMATION:
Tourist Information at the main station

Willy-Brandt-Platz 1
69115 Heidelberg, Germany
Phone +49 6221 58 444 44
Fax +49 6221 58 402 54
Email: touristinfo@heidelberg-marketing.de

Opening Hours:
April 1 - October 31: Monday to Saturday 9:00 AM - 7:00 PM, Sunday, Holidays 10:00 AM - 6:00 PM
November 1 - March 31: Monday to Saturday 9:00 AM - 6:00 PM, Sunday, Holidays closed

Tourist Information in the Town Hall
Opening Hours: Monday - Friday 8:00 AM - 5:00 PM
Saturday 10:00 AM - 5:00 PM
Sunday and Holidays close

Market Square

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Major Organizers

Congress President: Ryoji Sakai (IARMM President. Profs (retired), Dr. med Honor Prof. SU., Tokyo)
Congress vice-President: Job Harenberg (Prof. Dr. med. Clinical Pharmacology, Ruprecht-Karls-University
Heidelberg, Mannheim)
Chair of Executive committee: Mark Weinert (Dr. med. Krankenhaus München Pasing, München)(Germany)Günther Jonitz (Dr. med. Günther Jonitz, President of the Berlin Chamber of Physicians, Founding Member of
the German Coalition of Patient Safety, Consultant of the Federal Ministry of Health, Germany)
Uvo M Hölscher (Prof. Medical Technology and Ergonomics, Münster University of Applied Sciences, Münster)Ortwin Renn (Prof. Sociology of Environmental Technology, University of Stuttgart, Stuttgart)
Martin Hofmann-Apitius (Prof. Bioinformatics, University of Bonn, Bonn)
Constanze Lessing (Dr. Director, German Coalition for Patient Safety, Bonn)
Wolfgang Heinrichs (Prof. Applied quality assurance in anesthesia and intensive care. Simulation Centre Mainz,
Mainz)
Michael Jordan (Praxis Prof. for Urology, München)
Torsten Hoppe-Tichy (Dr. Chief Pharmacist bei University of Heidelberg, Heidelberg)
Gesine Hofinger (Dr. President, Platform People in Complex Work Environments, Remseck)Marcus Rall (Dr. Director, TuPASS Center, EuSim, Stuttgart)
Gisela Wachinger (Dr. ZIRIUS, München)Mark Weinert (Dr. Krankenhaus München Pasing, München)
Michael St. Pierre (Dr. Erlangen University Hospital, Erlangen)
Christian Schulz (Dr. Technische Universität München, München)
Martin Daumer (Sylvia Lawr Centre, TRIUM Analysis, Munich)
Luca Toldo (Dr. Merck KGaA, Frankfrut)
Peter Glocker (Dr. Systemic Counsellor, Coach, Family Therapy, Conflict Management, Healthcare Coach,Augsburg)(International organizations)
Sven Staender (President of Patient Safety Subcommittees of “European Society of Anaesthetists”, Switzerland)
Dina Baroudi (WHO external patient safety expert, Saudi Arabia)(The other countries)
Ryoji Sakai (President of IARMM & WHRMC. Hon. Prof. SU, former Profs. TWU, EPFL, USM, etc., Japan)
Allen J Vaida (IARMM Advisor, Dr. Executive Vice President, The Institute for Safe Medication Practice , USA)
Björn Brücher Björn LDM Brücher (Prof. of Surgery, Bon Secours Cancer Institute, Richmond, USA)
Aidan Halligan (Prof. University College London, Brighton and Sussex University Hospitals, UK)
Rangar Lofstedt (Prof. King’s Collage London, UK)
Bryony Dean Franklin (Prof. University of London, Imperial College London, UK)
Steve Green (Honor Prof. Sheffield Hallam University, UK)
Toshiichi Seino (Porf. Teikyo Heisei University, Japan)
Hisao Kato (former Prof. Keio University, Japan)
Tanja Manser (Prof. Universite de Fribourg, Switzerland)
Dean Fathers (Prof. Chair at EIGA, UK)
Eric Poon (Harvard University, US)
Peter McCulloch (Oxford University, UK)
Dietmar Ausserhofer (Basel University, Switzerland)
Elena Ivanovna Ryabchikova (Prof. Russian Academy of Science, Russia)
Blanca Torres Manrique (Assoc. Prof. Universidad de Cantabria, Spain)
Nathalie de Marcellis-Warin (Past President of IARMM American Congress,
Prof. Ecole Polytechnique de Montreal, Canada)
Artur Chelmicki (Specialista ginekologii i położnictwa, Poland)IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Mustafa Atac (CEO, Redstar Aviation, Turkey)
Kjell Andersson (Past President of IARMM European Congress, Sweden)
Marcel Westerlund (Central Hospital of Växjö, Sweden)
Rusli B. Nordin (Prof. & Chair. Past President Asia Congress of IARMM, Malaysia)
Alexander Pivovarov (Prof. & Dean. President of Ukraine Society in IARMM, Ukraine)
Shoumen Datta (former MIT, US)
Abhay Chopada (BMI Clementine Churchill Hospital, US)
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)
Richard Ayres (EMEA Global Comparators at Dr Foster Intelligence. UK)João Santos-Lucas (U. of North Carolina-Singapore, Singapore)IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Timetable
12th September
am 9:00- am 9:05
am 9:05- am 11:00
am 11:00- am 12:00
am 12:00- am 12:05
am 12:05- pm 1:00
pm 1:00- pm 3:00
pm 3:00- pm 4:00
pm 4:00- pm 5:00

Hall 14 (Oral)
Live broadcast

Hall 4a (Oral)

Foyer (Poster)Opening Remark

Break

Break

Memorial address (1) (2)Special Lecture (1) (2)

Break
Oral Session (1)Panel (1)Break

Invitation note

Break

Break

Lunch

Lunch

Poster Discussion (1)Panel (2)Panel (3)Oral Session (2)

Break

Break

Break

Poster Discussion (2)Panel (4)Oral Session (3)Break

Dinner 18:30-20:30 at Kulturbrauerei Heidelberg AG

13th September
Hall 14 (Oral)
Live broadcast

Hall 4a (Oral)

Foyer (Poster)

am 9:00-am 12:00

Special Lecture (3) (4)Panel (5)Oral Session (4)Breakam 12:00- pm 1:00

Lunch

Lunch

Poster Discussion (3)pm 1:00- pm3:30

Special Lecture (5) (6)Panel (6)Oral Session (5)Breakpm3:30-pm3:40Break

pm3:40-pm4:25

Panel (7)

Pm4:25-pm5:00

Break

Break
Oral Session (6)

Break
Break

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Oral presentation manner(Place)Hall 14 and Hall 4a at Neuen Universitat in University of Heidelberg

1) There are 2 rooms for oral presentation.
Hall 4a: First floor
Hall 14: Second floor2) At each conference hall, you can use 1 PC with MS Windows 7.
3) Bring your PowerPoint material with your USB tip at least 30 minutes before your presentation time.
4) Set the USB tip with PC on a presentation desk by yourself at first in your presentation time.
5) A total of your presentation time consists of PC setting (2 min), your oral presentation and discussion (3min).
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.
Next 3 minutes for discussion.
Final 1 minute for PC operation.

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Poster presentation manner(Place)Foyer:First floor at Neuen Universitat in University of Heidelberg(Display and discussion)Day
12 September morning
12 September afternoon
13 September morning

Display time
09:00 – 13:00

Discussion
time
12:00-13:00

13:00 – 17:00
09:00 – 13:00

15:00-16:00
12:00-13:00

Your abstract number is shown on your board.
Scotch tape your material to your board during your display time.
Stand by your board in your discussion time to explain by yourself.

(Poster board size)
145 cm long and 117 cm wide
Bring scotch tape or Thumbtacks by yourself.

Poster discussion:

Each presenter should discuss with the attendees beside the poster without any

PowerPoint material during the poster discussion time.

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Program【12 SEPTEMBER 2013: HALL 14, 2ND FLOOR:ORAL: LIVE BROADCASTING】(9:00 - 9:05, 12 SEP. 2013)

OPENING REMARKRYOJI SAKAI (PRESIDENT OF IARMM & WHRMC. HON. PROF. SU.

PROFS (RETIRED). DR.,

TWU, EPF, USM, ETC., JAPAN)(9:05 - 9:30, 12 SEP. 2013)

MEMORIAL ADDRESS (1)(ML01)”IMPROVEMENT OF SAFETY OF TREATMENT WITH NEW ORALANTICOAGULANTS BY A QUALITATIVE POINT OF CARE TEST USING URINE SAMPLES”

DIRECTPROF. DR. MED. JOB HARENBERG (1), SHANSHAN DU (1), SANDRA KRÄMER (1), CHRISTINA GIESE(1), ASTRID SCHULZE (2), ROLAND KRÄMER (3)(DEPARTMENT OF CLINICAL PHARMACOLOGY (1), ORTHOPEDIC CENTER (2), MEDICAL FACULTY
MANNHEIM, INSTITUTE INORGANIC CHEMISTRY (3), UNIVERSITY OF HEIDELBERG, MANNHEIM,GERMANY)MEMORIAL ADDRESS (2)(ML02) “HOW TO CHANGE SAFETY CULTURE ON NATIONAL LEVEL – THE PATIENT SAFETY STORY IN GERMANY”
GÜNTHER JONITZ(Dr. med. Günther Jonitz, President of the Berlin Chamber of Physicians,
Founding Member of the German Coalition of Patient Safety, Consultant of the Federal Ministry of Health,German)(9:30 - 9:55, 12 SEP. 2013)

SPECIAL LECTURE (1)“THE TOP TEN ISMP MEDICATION SAFETY ISSUES”
ALLEN J VAIDA(DR. EXECUTIVE VICE PRESIDENT, THE INSTITUTE FOR SAFE
MEDICATION PRACTICE , USA)
(9:55 - 10:20, 12 SEP. 2013)(SL01)

SPECIAL LECTURE (2)“FUTURE OF RISK SCIENCES IN EUROPE”
ORTWIN RENN
(PROF. DR. UNIVERSITY OF STUTTGART, GERMANY)(10:20 - 11:00, 12 SEP. 2013)(SL02)

IARMM ２nd World Congress of Clinical Safety
Held by(11:00 – 12:00, 12 SEP. 2013)

PANEL (1):

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)‘INTERNATIONAL PERSPECTIVES FOR CLINICALSAFETY’(11:00 – 11:15, 12 SEP. 2013)(SL03)“HELSINKI DECLARATION ON PATIENT SAFETY IN ANAESTHESIOLOGY”(CHAIRMAN, PATIENT SAFETY TASK FORCE IN “EUROPEAN
SOCIETY OF ANAESTHETISTS”, REGIONAL HOSPITAL MÄNNEDORF/ZUERICH, SWITZERLAND)

DR. SVEN STAENDER(11:15 – 11:30, 12 SEP. 2013)(NA085)INCLUDING 3 MIN OF DISCUSSION“EXCHANGING KNOWLEDGE ABOUT PATIENT SAFETY PRACTICES AMONG EU

MEMBER STATES: A PROGRESS REPORT ABOUT SELECTED GOOD PRACTICES AND EXCHANGEMECHANISMS BY THE JOINT ACTION PROJECT OF THE EUROPEAN UNION NETWORK FOR
PATIENT SAFETY AND QUALITY OF CARE (PASQ JA)”

DR. LIETZ, MARTINA. DR. LESSING, CONSTANZE(INSTITUTE FOR PATIENT SAFETY (IFPS), UNIVERSITY OF BONN BY ORDER OF THE GERMANCOALITION FOR PATIENT SAFETY (APS), BONN, GERMANY)(11:30 – 11:45, 12 SEP. 2013)(NA064)INCLUDING 3 MIN OF DISCUSSION“IMPLEMENTATION OF SAFE CLINICAL PRACTICES IN THE PROJECT “EUROPEAN

UNION NETWORK FOR PATIENT SAFETY AND QUALITY OF CARE”

LENA MEHRMANN, LIAT FISHMAN, CHRISTIAN THOMECZEK(AGENCY FOR QUALITY IN MEDICINE (AQUMED / AEZQ) – JOINT INSTITUTION OF THE GERMANMEDICAL ASSOCIATION AND THE NATIONAL ASSOCIATION OF THE STATUTORY HEALTH
INSURANCE PHYSICIANS, BERLIN, GERMANY)(11:45 – 12:00, 12 SEP. 2013)(NA147)INCLUDING 3 MIN OF DISCUSSION“GLOBAL COMPARATORS PROJECT; INTERNATIONAL COMPARISON OF HOSPITALOUTCOMES USING ADMINISTRATIVE DATA”
RICHARD AYRES (DR. FOSTER INTELLIGENCE, UK)

Invitation note:“Introduction to the 3rd World Congress of Clinical Safety, 2014 in Spain”(12:00 - 12:05, 12 Sep. 2013)(12:05 - 13:00, 12 Sep. 2013)(13:00 - 13:45, 12 Sep. 2013)(13:00 - 13:15, 12 Sep. 2013)(SL04)

Lunch

Panel (2): ‘Clinical communication for risk and safety’
including 3 min of discussion“Team communication strategies for safe handover”
Tanja Manser(Prof. Dr. Universite de Fribourg, Switzerland)IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)(13:15 - 13:30, 12 Sep. 2013)

including 3 min of discussion(13:30 - 13:45, 12 Sep. 2013)

including 3 min of discussion(NA002)“Communication for medical professionals to improve patient safety”
Mark Weinert(Dr. Krankenhaus München Pasing, Germany)(NA058)“Interpersonal Communication Skills and Patient Safety:

Expanding Patient-Caregiver Communication Studies for Nursing Students at the Tel Aviv-Yaffo Academic
College”

Dr. Pazit Azur*i, Dr. Yafa Haron(*Dean, School Of Nursing Science, Tel Aviv-Yaffo Academic College, Israel)

Panel (3): Simulation and human factor for clinical safety'
Chairperson: Gesine Hofinger (Germany)(13:45 - 15:00, 12 Sep. 2013)(13:45 - 14:15, 12 Sep. 2013)(SL05)“Design of Crisis Resource Management scenarios for full scale simulators – what is needed to
improve the overall clinical safety?”
Wolfgang Heinrichs (Prof. Dr. Applied quality assurance in anesthesia and intensive care. Simulation
Centre Mainz, Germany)(14:15 - 14:40, 12 Sep. 2013)(SL06)“Human error and safety in health care organizations”(Dr. President of the platform “People in complex work environments", Germany)

Gesine Hofinger(14:40 - 15:00, 12 Sep. 2013)

including 3 min of discussion(NA119)“Education in Technical Safety at the Medical University of Graz”
Dr. Puchinger M., Rehak, P. H.
(Medical University of Graz, Department of Surgery, Research Unit of Medical Engineering and Computing,Graz, Austria)(15:00 - 16:00, 12 Sep. 2013)

Break

Panel (4): 'Clinical safety culture'
Chairpersons: Prof Tracey Bucknall (Australia) & Dr. Simon Huf (England)(15:00 – 16:55, 12 Sep. 2013)(15:00 - 15:25, 12 Sep. 2013)(SL07)“NEOCONTROL: Pelvic Floor Therapy System - How does a new technological development
eliminate any patients risk in pelvic floor therapy”.
Michael Jordan(Praxis Prof. Dr. for Urology. Kitalpha Med. München, Germany)(15:25 - 15:40, 12 Sep. 2013)(NA015)including 3 min of discussion“Balancing Risk with Experience? International Placements in Developing Countries”

Prof. Louise Ackers, Mr James Ackers-Johnson, Dr. Emilie Lewis(School of Law and Social Justice, Faculty of Humanities and Social Sciences University of Liverpool, UK)IARMM ２nd World Congress of Clinical Safety
Held by(15:40 - 15:55, 12 Sep. 2013)12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

including 3 min of discussion(NA105)“INVOLVEMENT IN HEALTHCARE IMPROVEMENT INTERVENTIONS: PERCEPTIONS
OF A FRONT LINE HEALTHCARE TEAM”

Lorna Flynn1, Peter McCulloch1, Graham Martin2, Francesca Castillo1, Lauren Morgan1(1Nuffield Department of Surgical Sciences, University of Oxford, 2Department of Health Sciences,
University of Leicester)(15:55 – 16:10, 12 Sep. 2013)

including 3 min of discussion(NA129)“Driving clinical safety initiatives through innovative technological feedback systems in an
Australian academic health service.”

Bain C1, Weir-Phyland J1, Metcalf S1, Ingram P1 and Prof. Bucknall T 1&2

1( Alfred Health, Melbourne, Australia; 2Deakin University Melbourne, Australia)(16:10 - 16:25, 12 Sep. 2013)

including 3 min of discussion(NA120)“Quality improvement Audit: The Hunger Games - Our fight to reduce nil by mouth times for
gastroscopy. “Dr Simon Huf, Dr Sorayya Alam, Dr Ariadne Strong, Dr Dineth Sumathipala, Dr James Robinson(North Bristol trust, Bristol, England)(16:25 - 16:40, 12 Sep. 2013)

including 3 min of discussion.

(16:40 - 16:55, 12 Sep. 2013)

including 3 min of discussion(NA057)

Remote presentation“Knowledge of Student Nurses on Quality Assurance in Clinical Practice”
Ms. Manisha Kammar (Asst. Prof. Symbiosis College of Nursing, Pune, Maharashtra, India)(NA035)“Designing and Validating an Egyptian Assessment Tool for Environmental Risk Factors
Affecting Intensive Care Patients “Elham Youssef Elhanafy, DrNSc, RNa,*,

Reem Mabrouk Abd El Rahman, DrNSc, RNa,**(*Nursing Administration Department, Faculty of Nursing, University of Damanhour, El-Beheira, Egypt,
A.R.E., Egypt)

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)【13 September 2013: Hall 14, 2nd floor: Oral: Live broadcasting】(9:00 – 9:30, 13 Sep. 2013)(NA042)

Special Lecture (3)“Global Risk Due To Medical Product Globalization”

Bilha Cahana(Judge (Retired) Dr. Jerusalem 91451 Israel)

Special Lecture (4)“Patient Safety and Medical Devices”
Uvo M Hölscher(Prof. Dr.-Ing. MT-E: Medical Technology and Ergonomics, Münster University ofApplied Sciences, Germany)(9:30 - 10:10, 13 Sep. 2013)(SL08)

Panel (5): 'Medication safety and drug safety’
Chairpersons: Prof. Job Harenberg (Heidelbeg University, Germany) & Dr. Allen J Vaida (ISMP, USA)
(10:10 – 11:50, 13 Sep. 2013)(10:10 – 10:40, 13 Sep. 2013)(SL09)“An overview of real-world data mining approaches in the context of pharmacovigilance”

Martin Hofmann-Apitius (Prof. Dr. Bioinformatics, University of Bonn, Germany)(10:40 – 10:55, 13 Sep. 2013)(NA078)including 3 min of discussion“Medication Reconciliation in High 5s: Germany’s approach to implement a standardized

clinical procedure”

Daniela Renner1, Liat Fishman1, Katharina Bayer2, Daniel Berning3, Constanze Lessing3, ChristianThomeczek1
1 German Agency for Quality in Medicine (AQuMed), Berlin, Germany
2 Hospital Pharmacy oft Klinikum Coburg, Coburg, Germany

3 Institute for Patient Safety (IfPS), University of Bonn by order of the German Coalition for Patient Safety(APS), Bonn, Germany(10:55 – 11:10, 13 Sep. 2013)(NA011)including 3 min of discussion“Potentially Inappropriate Medication and in-Hospital Falls”

Lilli Neumann, Dipl. Health Economist1; Verena Hoffmann, M.A.2; Björn Klugmann1; Stefan Golgert1;
Joerg Hasford, MD2; Wolfgang von Renteln-Kruse, MD1
1 Albertinen-Haus, Geriatrics Centre, University of Hamburg, Germany
2

InstituteofMedicalInformation

Sciences,

BiometryandEpidemiology

Ludwig-Maximilians-University Munich, Germany(11:10 – 11:50, 13 Sep. 2013)(SL10)“Preventing Vaccine-Related Medication Errors”

Allen J Vaida (Dr. Executive Vice President, The Institute for Safe Medication Practice , USA)

(IBE),

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Lunch(12:00 - 13:00, 13 Sep. 2013)

Special Lecture (5)(SL12)“Results of 5 years crisis resource management training in a large private hospital chain inGermany – Helios clinical group”(13:00– 13:30, 13 Sep. 2013)

Wolfgang Heinrichs(Prof. Dr. Applied quality assurance in anesthesia and intensive care.

Simulation Centre Mainz, Germany)

Special Lecture (6)“Overview of German activities in patient safety”
Constanze Lessing (executive manager of the Institute for Patient Safety, University of Bonn, Germany)(13:30 – 14:00, 13 Sep. 2013)(SL13)(14:00 – 15:30, 13 Sep. 2013)

Panel (6): ‘Surgical safety, preoperative risk management and Checklist’(14:00 – 14:30, 13 Sep. 2013)(SL14)“Safety management principle of surgery - Principal and major procedures toward safe
surgery operation”
Björn LDM Brücher (Prof. of Surgery, Bon Secours Cancer Institute, Richmond, USA)
(14:30 – 14:45, 13 Sep. 2013)(NA059)including 3 min of discussion“A new bar code technology for managing the use of surgical endoscopes---Ultra-fine direct part marking of unique device identification (UDI)---“

CEO, Dr. OCHIAI, Chikayuki and UGAJIN, Mitsuru(14:45 – 15:00, 13 Sep. 2013)(SL15)(NTT Medical Center Tokyo, Japan)

including 3 min of discussion“SAFE SURGERY SAFE LIFE CHECKLIST IMPLEMENTATION , OBSTACLES AND SUCCSESS- M.S.BASHARAHIL HOSPITAL MAKKAH SAUDI ARABIA”

Dina Baroudi (Dr. WHO external patient safety expert, Saudi Arabia(15:00 – 15:15, 13 Sep. 2013)(SL16)

including 3 min of discussion“Development of patient safety indicator in anesthesia- Does it matter?”Dina Baroudi (Dr. WHO external patient safety expert, Saudi Arabia) & WEINERT, M(15:15 – 15:30, 13 Sep. 2013)

including 3 min of discussion(NA023)“The nurse’s view: counting as a procedure to prevent the inadvertent retention ofsurgical items”
Lex, Katharina; Dr. Lux, Richard (Research Fellows at the German Institute for Patient Safety, RheinischeFriedrichs-Wilhelms-Universität Bonn (D), Germany)IARMM ２nd World Congress of Clinical Safety
Held by(15:30– 15:40, 13 Sep. 2013)(15:40 - 16:25, 13 Sep. 2013)(15:40 - 15:55, 13 Sep. 2013)(NA127)

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Break
Panel (7): 'Safety with healthcare team and communication'
including 3 min of discussion“COMMUNICATION OF PATIENTS WITH BREAST CANCER WITH HEALTHCAREPROFESSIONALS”

Patouras Grigorios1, Stamatopoulou Eleni2, Stamatopoulou Athanasia3, Chrysomallis Marios4, Heras
Panagiotis5
1.RN, Nafplion Nursing Unit, General Hospital of Argolida, Greece / 2. RN, BSC, MSc Notional school of
Public Health. Greece / 3. Bachelor Degree on Account Management & MSc on International Business
Management- Expert in Human Resource Management. Greece / 4. Nursing Student of Alexander
Technological Educational Institute of Thessaloniki.Greece / 5. Doctor, Coordinator Director of Pathology,
Nafplion Nursing Unit, General Hospital of Argolida. Greece(15:55 - 16:10, 13 Sep. 2013)(NA095)including 3 min of discussion“German Version of Observational Teamwork Assessment for Surgery (OTAS-D): Adaption,

Refinement and first results from German ORs”

Stefanie Passauer-Baierl*, Nick Sevdalis+, Louise Hull+ & Matthias Weigl**Institute and Outpatient Clinic for Occupational, Social, and Environmental Medicine; University Hospital
LMU Munich; Germany+ Department of Surgery and Cancer, Imperial College London, UK(16:10 - 16:25, 13 Sep. 2013)

including 3 min of discussion(NA104)“THE INFLUENCE OF TEAM EXPERIENCE ON TEAMWORK AND PERFORMANCE IN EMERGENCY CARE”

Jan Schmutz1, Florian Hoffmann2, Ellen Heimberg3, & Tanja Manser1
1Department of Psychology, University of Fribourg, Switzerland
2Dr. von Hauner University Children‘s Hospital, Munich, Germany
3University Children‘s Hospital, Tübingen, Germany

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)(Session) Oral presentation
Presentation core time: 10 min talking + 3 discussion
The invited speaker has the different presentation period.

【12 September 2013: Ｈall 4a, 1st floor: Oral session, No live broadcasting】(10:25 – 12:00, 12 Sep. 2013)

Oral Session (1): ‘Philosophy of managing risk and error’(10:25 – 10:45, 12 Sep. 2013)(SL17)“Preventing health risks through participation – the citizen forum in health care conception"(Dr. ZIRIUS, Stuttgart , Germany)

Gisela Wachinger(10:45 – 11:00, 12 Sep. 2013)

including 3 min of discussion(11:00 – 11:15, 12 Sep. 2013)

including 3 min of discussion(NA012)“Developing an All Ireland Approach to Patient Safety”
Levette Lamb – Regional Patient Safety Advisor Northern Ireland
Gavin Lavery – Clinical Director HSC Safety Forum Northern IrelandDavid Vaughan – Director of Leadership and Quality, Royal College of Physicians Ireland.

(NA014)The Risks of Safety in Health Care

Franz Porzsolt1, Hardy Müller2, Hedwig François-Kettner3
1 MD,

PhD. Health Care Research and Clinical Economics at Dept. General and Visceral Surgery,
2WINEG Hamburg, 22305 Hamburg,
University Hospital Ulm, 89073 Ulm, Germany
Germany
3Direction Nursing, Charité University Medicine, 10117 Berlin, Germany(11:15 – 11:30, 12 Sep. 2013)(NA063)including 3 min of discussion“Requests for Allowance about Supposed Harmful Events”

Dr. Paola Costanzo°,P.Zanino*, M.T. Nicola*, G.Gennaro*°Risk Manage - Local Health Trust - Alexania – Piedmont, Italy.
*Risk Management Unit – Local Health Trust of Alexania, Italy.
(11:30 – 11:45, 12 Sep. 2013)(NA118)including 3 min of discussion“A marriage of convenience – In patient experience of urinary catheterisation”

Daniel Darbyshire MBBS MRCS FHEA
(Clinical Fellow in Urology, Salford Royal Hospital, UK)IARMM ２nd World Congress of Clinical Safety
Held by(11:45 – 12:00, 12 Sep. 2013)(NA052)

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

including 3 min of discussion“The Educational Effectiveness of Rapiesponse System by Fundamental Critical Care Support”

1) Takamitsu Kodama, MD

The University of Texas Southwestern Medical Center at Dallas, USA.
Section on EMS, Disaster Medicine and Homeland Security, Division of Emergency Medicine, Department ofSurgery, Japan2) Masashi Nakagawa, MD Social Insurance Kinan Hospital, Department of Anesthesiology, Japan3) Eiji Kawamoto, MD
Mie University Hospital, Emergency Critical Care Center, Japan4) Jun-ya Ishikawa, MD
Yokohama City University School of Medicine, Department of Emergency
Medicine, Japan
5) Shigeki Fujitani, MD
Tokyo Bay Urayasu/Ichikawa Medical Center, Japan
6) Kazuaki Atagi, MD
Osaka City General Hospital, Department of Critical Care Medicine,
Japan

Lunch

(12:00 - 13:00, 12 Sep. 2013)(13:00 – 14:45, 12 Sep. 2013)

Oral Session (2): Risk factor in clinical safety(13:00 – 13:15, 12 Sep. 2013)

including 3 min of discussion(NA019)“Orthodontic Objects as Risk Factors in Treatment”

Dr. Reeta Varho1, H Oksala2 , A-L Svedström-Oristo1

1 Department of Oral Development and Orthodontics, Finland
2 Department of Community Dentistry,(13:15 – 13:30, 12 Sep. 2013)(NA032)

Institute of Dentistry, University of Turku, Turku, Finland

including 3 min of discussion“The Influence that Stress Gives in Human Error Factor”

Shino Shiosaka1),

Nobumi Matsuda MD2)

1) Pack knowledge Co.,Ltd (Mental health researching company), Japan2) Matsuda Eye Clinic, Japan(13:30 – 13:45, 12 Sep. 2013)

including 3 min of discussion(13:45 – 14:00, 12 Sep. 2013)

including 3 min of discussion(NA096)“The influence that stress, sub-consciousness give in human error factor”
Nobumi Matsuda MD (Matsuda Eye Clinic, Japan)(NA098)“Factors responsible for the complications associated to patients with peripheral venous
catheters: an empirical study conducted with nurses”

Salgueiro-Oliveira,Anabela Salgueiro-Oliveira(Nursing School of Coimbra, Portugal)(14:00 – 14:15, 12 Sep. 2013)

including 3 min of discussion(14:15 – 14:30, 12 Sep. 2013)

including 3 min of discussion(NA133)“Adverse events reported during Mortality and Morbidity Conferences in wards with risky
clinical care in a university hospital network”
Kamran S. 1, Randriamanana D. 1, Pibarot M.L. 2, Hartmann J.F. 3, Benhamou D.4, Lienhart A.5,
Vidal-Trécan G.1(1Public Health Service, Paris Center Hospital Group; 2 Medico Administrative Department of Paris
Hospital Network (AP-HP) Headquarter / Quality of care and Patient safety unit; 3Robert Debré Hospital; 4Anesthesia and critical care ward, Paris South Hospital Group; 5 Anesthesia and critical care ward, Paris
East Hospital Group., France)(NA130)“Examining barriers to escalation of care for deteriorating patients in an Australian academic healthservice.”
M.Sandford1, G.Bingham1, C.Kelly1, & Prof. T.Bucknall 1&2( 1Alfred Health, Melbourne, Australia; 2Deakin University, Melbourne, Australia)

IARMM ２nd World Congress of Clinical Safety
Held by(14:30 – 14:45, 12 Sep. 2013)(NA117)

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

including 3 min of discussion“Measuring ward round quality – experience from Urology”

Daniel Darbyshire MBBS MRCS FHEA
Clinical Fellow in Urology, Salford Royal Hospital, UK(14:45 - 16:00, 12 Sep. 2013)(16:00 - 16:45, 12 Sep. 2013)(16:00 - 16:15, 12 Sep. 2013)(NA008)Break

Oral Session (3): Safe healthcare technology
including 3 min of discussion

The Problem of the Superficial Femoral Vein: A Short Case Study
Robin Edwards(Ortho/Trauma Unit, Nobles Hospital, USA)
(16:15 - 16:30, 12 Sep. 2013)(NA137)

including 3 min of discussion“The incidence of needlestick injuries among health workers in Hungary”

Zoltan Balogh PhD, Mariann Raskovicsne Csernus, Henriett Hirdi, Vanora Hundley, Judit Meszaros CSc(University of Semmelweis Faculty of Health Science Department of Nurisng, Hungary)(16:30 - 16:45, 12 Sep. 2013)

including 3 min of discussion(NA090)“Risk of QT Prolongation Induced by SSRIs; A Case-Control Study”
Joongyub Lee, MD1, Nam-Kyong Choi, PhD1, Ye-Jee Kim 2, Bo Ram Yang 2, Mi-Sook Kim2, Xue-Mei Jin, MD 2,
Jungmee Kim, MD 2, Man Young Park3, Dukyong Yoon3, Rae Woong Park3, Byung-Joo Park, MD, PhD1,2,4
1 Clinical Epidemiology Division, Medical Research Collaborating Center, Seoul National University
Hospital and Seoul National University College of Medicine, Seoul, Korea
2 Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea
3Department of Biomedical Informatics, Ajou University School of Medicine, Suwon, Korea;
4 Korea Institute of Drug Safety and Risk Management, Seoul, Korea

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Presentation core time: 10 min talking + 3 discussion
The invited speaker has the different presentation period.

【13 September 2013: Hall 4a, 1st floor: Oral session, No live broadcasting】(9:30 – 12:00, 13 Sep. 2013)(9:30 – 9:45, 13 Sep. 2013)

Oral Session (4): Medication safetyincluding 3 min of discussion(NA136)“Validation of a short questionnaire to identify preference of patients for improvement of safetyof anticoagulant therapy”

Shabnam Zolfaghari (1), Christel Weiss (2), Lutz Frölich (3), Prof. Dr. med. Job Harenberg (1)Departments of Clinical Pharmacology (1), Biometry and Statistics (2), Geriatric Psychiatry (CIMH) (3),
Faculty of Medicine Mannheim, Ruprecht-Karls-University Heidelberg, Mannheim, Germany(9:45 – 10:00, 13 Sep. 2013)

including 3 min of discussion(NA009)Active Pharmacovigilance Using Bayesian Confidence-Propagation Neural Network-Based
Machine-Learning

Douglas S. McNair, MD PhD(Engineering Fellow & President, Cerner Math, USA)
(10:00 – 10:15, 13 Sep. 2013)(NA142)

including 3 min of discussion“Medication safety - options and pitfalls of electronic support tools"

Hanna Seidling(Dr. Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg,

Germany)(10:15 – 10:30, 13 Sep. 2013)(NA030)including 3 min of discussion“Normothermia During Operating Procedures”

Dr. Maurice Janssen, Rens Engels, Karen Kroonen, Fabian Tijssen(Orbis Medical Centre, School of Medical Physics and Engineering, Netherlands)(10:30 – 10:45, 13 Sep. 2013)(NA062)

including 3 min of discussion“Contrast Dose Management : Certegra® Informatics Platform”

S. Barbero*, F. Brucculeri*, E. Oppezzo*, C. Tappero*, GG. Taverna*, F.Maggioni^, P.Costanzo°* Radiology Department – Local Health Trust – Alexania – Piedmont, Italy^ Brand Manager Emerging Business Bayer Healthcare, Italy° Risk Manager - Local Health Trust – Alexania – Piedmont, Italy(10:45 – 11:00, 13 Sep. 2013)(NA093)including 3 min of discussion“Simulated Medication Rounds for Undergraduate Nursing Students”

Siriwan Lim, Sok Ying Liaw

(Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore)(11:00 – 11:15, 13 Sep. 2013)(NA122)

including 3 min of discussion“BRINGING PATIENT SAFETY TO LIFE; AN INCLUSIVE APPROACH TO

MEDICATION SAFETY- THE DEVELOPMENT OF A SAFER LITHIUM THERAPY GUIDELINE –“Arturo Langa MD
Consultant Psychiatrist NHS Lanarkshire (Scotland)
Editor of the International Journal of Developmental Disabilities

IARMM ２nd World Congress of Clinical Safety
Held by(11:15 – 11:30, 13 Sep. 2013)12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

including 3 min of discussion(NA134)“Use TRM Systems on a Miscontact Toxic Substance for Clinical Standard Procedures in
Emergency Department”

H. Y. , Han ,RN, H. P. , Ma ,Dr, C. S. , Wang , Dr, N. J. , Liou , Dr , F. C. ,Wen , RN , L. G. , Shiu, RN , S. P. ,Ke , RN , P. S. , Luo , RN ,(Taipei Medical University- Shuang Ho Hospital, Ministry of Health and Welfare,Taiwan)(11:30 – 11:45, 13 Sep. 2013)(NA139)including 3 min of discussion“MEDICATION SAFETY”

Cidalina da Conceição Ferreira de Abreu(Coimbra Nursing School, Portugal)(11:45 – 12:00, 13 Sep. 2013)

Break(12:00 - 13:00, 13 Sep. 2013)

Lunch(13:00 - 15:00, 13 Sep. 2013)

Oral Session (5): 'Informatics and IT in clinical safety'(13:00 - 13:30, 13 Sep. 2013)(SL18)

Title: (later)(Dr. Sylvia Lawr Centre, TRIUM Analysis, Munich, Germany)

Martin Daumer(13:30 - 15:45, 13 Sep. 2013)

including 3 min of discussion(NA075)“Individual but networked: The German National Incident Reporting Network
CIRSmedical.de”

Christina Gunkel, Hahnenkamp C, Sanguino Heinrich A, Thomeczek C, Rohe J

Agency for Quality in Medicine (AQuMed / AEZQ) – Joint Institution of the German Medical Associationand the National Association of the Statutory Health Insurance Physicians, Berlin, Germany(13:45 - 14:00, 13 Sep. 2013)(NA018)System “including 3 min of discussion“The Trial of Patient Safety Education Using the Educational Electronic Medical Recoding

Dr. Tomoyoshi Yamazaki *1, Muneou Suzuki *1, Kenji Araki *1, Yukiko Kai *2, Katsuhiro Hayashi *2,
Katsuhiro Umemoto *3
1: University of Miyazaki Hospital, Medical Informatics, Japan
2: Faculty of Medicine , University of Miyazaki, Japan
3: School of Knowledge Science, Japan Advanced Institute of Science and Technology, Japan(14:00 - 14:15, 13 Sep. 2013)(NA140)including 3 min of discussion“Cultural Background and Patient Safety in OR”

Yasuhiko SUEMORI MD, MBA(Graduate School of Economics, Kyushu University, Fukuoka, Japan)(14:15 – 14:30, 13 Sep. 2013)(NA107)CHECKLISTS”

including 3 min of discussion“A SYSTEMATIC APPROACH TO DEVELOP CLINICAL PERFORMANCEJan Schmutz1, Florian Hoffmann2, Walter J. Eppich3, Ellen Heimberg4, & Tanja Manser1
1Department of Psychology, University of Fribourg, Switzerland

2Dr. von Hauner University Children‘s Hospital, Munich, Germany

3Northwestern University Feinberg School of Medicine, Chicago, USA
4University Children‘s Hospital, Tübingen, Germany

IARMM ２nd World Congress of Clinical Safety
Held by(14:30 - 14:45, 13 Sep. 2013)12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

including 3 min of discussion(NA003) Patients Right to Information: Viewpoint of The Tunisian Association of Assistance to Victims ofMedical Errors.

Dr. Issam El Amri (Regional Health Inspector, Tunisia)
Dr. Chakib Doudech (Regional Health Inspector, Tunisia)(14:45 - 15:00, 13 Sep. 2013)(NA079)including 3 min of discussion“Improving patient safety through standardization - the High 5s checklist”

Dr. med Daniel Berning 1, Liat Fishman2, Daniela Renner2, Christian Thomeczek2,
Constanze Lessing1

1. Institute for Patient Safety (IfPS), University of Bonn by order of the German Coalition for Patient Safety(APS),
Bonn, Germany
2. German Agency for Quality in Medicine (AQuMed), Berlin, Germany(15:00 - 17:00, 13 Sep. 2013)

Oral Session (6): 'Clinical safety culture'(15:00 - 15:15, 13 Sep. 2013)

including 3 min of discussion(15:15 - 15:30, 13 Sep. 2013)

including 3 min of discussion(NA101)“Embedding a Patient Safety Culture”
Anna Johnstone (Head of Clinical Governance & Assurance (GSTT Germany))
Bill Thomas (Quality Performance Manager (GSTT Germany))(NA005)“Patient safety and quality improvement”
Dr. Carol Rocker (Vancouver Island, Canada)(15:30 - 16:00, 13 Sep. 2013)(NA007)

Wu Pi Chi

Improving Emergency Evacuation Procedures for Nurses in China(Head Nurse, Chang Gung Memorial Hospital Chiayi, Taiwan)(16:00 - 16:30, 13 Sep. 2013)

including 3 min of discussion(NA006) Improving Community-based Male Infant Circumcision Services

Paula Whittaker, Helen Gollins, Eleanor Roaf

(Public Health, NHS Tameside & Glossop, UK)IARMM ２nd World Congress of Clinical Safety
Held by(Session)

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

Poster presentation[Morning on 12 September 2013: Foyer, 1st floor: Poster]
Poster display time: 9:00 - 13:00 Sep 12.
Poster discussion time: 12:00 - 13:00 Sep 12.

Poster Session (1): Clinical safety strategy--- Pat 1Moderator:

Gisela Wachinger(NA066)“Strategies in Safety: Improvement of Patient/Specimen Identification errors”(Dr. ZIRIUS, Stuttgart, Germany)

Cuadrado-Cenzual MA, Alguacil Pau A; De Pedro Moro JA(Clinical Hospital Madrid. Clinical Hospital Salamanca. SPAIN)(NA067)“Risk Management. Appliyng Root Cause Analysis of Patient and Specimen Errors”

De Pedro Moro JA; Collado L; Cuadrado-Cenzual MA(Clinical Hospital Salamanca . Clinical Hospital Madrid. SPAIN)(NA073)“Safety in the Works Final Project University”

Torres Manrique B, Sarabia Cobo CM, Salvadores Fuentes P; Castanedo Pfeiffer C, Ortego Mate CM, Maazo
Pérez M, Paz Zulueta M, Sarabia Lavín R, Zabala Blanco J, Sevilla Miguelez ML.
(Departamento de Enfermeria, E.U.E. "Casa de Salud Valdecilla", Universidad de Cantabria, Spain)(NA080)“Safety Culture on Perioperative Care: Impact on Intraoperative”

Ana Maria Afonso and Maria Nazaré Cerejo(Nursing School of Coimbra, Portugal )(NA086)“Patient Safety and risk of Prolongation of Stay in Rehabilitation Hospitals”

Gacto-Sánchez Mariano, Medina-Mirapeix Francesc, García-Guillamón Gloria, Escolar-Reina Pilar.
(Departamento de Fisioterapia. Escuela Universitaria EUSES (UdG) , Spain)(NA033)“SELF-PERCEPTION ON UG PRESCRIPTION BY DENTISTRY STUDENTS TOWARDS ASAFER PRESCRIPTION”

ROIGO GUZMÁN-ÁLVAREZ1, MARA MEDEIROS DOMINGO2,3, LUCINA ISABEL REYES LAGUNES4,
ALFONSO EFRAÍN CAMPOS-SEPÚLVEDA5(1, Professor of Pharmacology, Faculty of Medicine and Dentistry-UNAM; 2. Clinical Seminar Professor,
Faculty of Medicine-UNAM; 3 HIMFG Researcher; 4, Professor Emeritus of the Faculty of Psychology at the
UNAM; 5. Professor anesearcher at the Department of Pharmacology, Faculty of Medicine, UNAM, Mexico).

IARMM ２nd World Congress of Clinical Safety
Held by(NA121)
Systems”

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)“Design for Patient Safety – A Prospective Hazard Analysis Framework for Healthcare

Jieling Long, Mecit Can Emre Simsekler, James Ward, and P John Clarkson
University of Cambridge, UK(NA131)“Tailoring feedback to improve clinical performance.”
T.Bucknall 1&2 A.Hutchinson 1&3& A.Sales 4
1Deakin University, Melbourne, Australia; 2Alfred Health, Melbourne, Australia
Melbourne Australia; 4University of Michigan, USA(NA114)“Informed

3MonashHealth ,surgical consent: Pathway to surgical risk management”

Zargham Hyder, Pavitt C, Webster A, Chan G, Qurashi K, Chopada A(Ealing Hospital, LONDON, UK)(NA115)“Effects of Nonviolent Communication Program for Nurse Unit Managers in the
Hospital”
Kim, Soon-Lae 1. Chung, Hee-Shim2
1Prof., Dr. College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea
2Deputy director of Nursing, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, Seoul,
Republic of Korea

Poster Session (2): Medication and drug safety
Moderator:(NA055)

Dr. Shabnam Zolfaghari (Heidelberg University, Germany),“Korean Medication Algorithm for Depressive Disorder – Antidepressant choices according tosafety, adverse event and comorbid physical illnesses”

Kyung Joon Min1, Eun-Sung Lim2, Jong-Hyun Jeong3, Young-Min Park4, Jeong Seok Seo5, Won
Kim6,Won-Myong Bahk7, Duk-In Jon8, Bo-Hyun Yoon9, Young-Chul Shin10
1College of Medicine, Chung-Ang University, Seoul, Korea; 2Shinsegae Hospital, Kimje, Korea; 3St. Vincent

Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea; 4Ilsan Paik Hospital, Collegeof Medicine, Inje University, Goyang, Korea; 5School of Medicine, Konkuk University, Chungju, Korea;
6Seoul Paik Hospital, School of Medicine, Inje University, Seoul, Korea; 7Yeouido St. Mary’s Hospital,

College of Medicine, The Catholic University of Korea, Seoul, Korea; 8Sacred Heart Hospital, College ofMedicine, Hallym University, Anyang, Korea; 9Naju National Hospital, Naju, Korea; 10 Kangbuk Samsung
Hospital, Sungkyunkwan University, School of Medicine, Seoul, Korea(NA092)“Improving Oxygen Administration at St Peter’s Hospital”

J Sandhu, L Mazin, J Powell, L Wijayasiri, M Wood
St Peter's Hospital, UKIARMM ２nd World Congress of Clinical Safety
Held by(NA049)12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)“Propofol Addiction in Korea”

Dae-Bo Lee1, Young-Hun Cheon2, Bo-Hyun Yoon3, Kwang-Heun Lee4, Won-Myoung Bahk5, Sang-Yeol Lee6+
1.

Depatment of Psychiatry, Gunsan Medical Center, Gunsan, South Korea

2.

Department of Psychiatry, Chamsarng Hospital, Incheon, South Korea

3.

Department of Psychiatry, Naju National Mental Hospital, Naju, Republic of Korea

4.

Department of Psychiatry, Dongguk University College of Medicine, Kyoungju, Republic of Korea

5.

Department of Psychiatry, Catholic University College of Medicine, Seoul, Republic of Korea

6.

Department of Psychiatry, Wonkwang University School of Medicine and Hospital, Iksan, Republicof Korea(NA046)“Does Low Dose of Queitapine Make Diabetes Worse in the Diabetic Patients?”

Won-Myong Bahk1, Young Sup Woo1, Kyung Joon Min2, Bo-Hyun Yoon3, Jong-Hyun Jeong4, Sang-Yeol Lee5,
Moon-Doo Kim6, Kwang Heun Lee7, Young Joon Kwon8, Jeong-Seok Seo9
1Yeouido

St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea; 2College of Medicine,

Chung-Ang University, Seoul, Korea; 3Naju National Hospital, Naju, Korea; 4St. Vincent’s Hospital, The
Catholic University of Korea, Suwon, Korea; 5Wonkwang University School of Medicine, Iksan, Korea;
6Collegeof Medicine, Jeju National University, Jeju, Korea; 7College of Medicine, Dongguk University,

Gyeongju, Korea; 8College of Medicine, Soonchunhyang University, Chunan, Korea; 9College of Medicine,
Konkuk University, Chungju, Korea(NA124)“THE ROLE OF THE NURSE IN THE URGENT EMBOLIZATION OF BLEEDINGANGEIOMYOLIPOMA OF THE KIDNEYS”

Stamatopoulou

Eleni1,

Stamatiou

Konstantinos2,

Christopoulos

George3, Zavradinos

Dimitrios4,

Chrysomallis Marios 5, Patouras Grigorios6, Heras Panagiotis7
1. RN, BSC, MSc Notional school of Public Health, Greece
2. MD, PhD General Hospital Piraeus “TZANEIO”, Greece
3. MD, Hospital Piraeus “TZANEIO”, Greece
4. MD, Hospital Piraeus “TZANEIO”, Greece
5. Nurse Student of ATEI Thessaloniki, Greece
6. RN, Nafplion Nursing Unit, General Hospital of Argolida, Greece
7. Doctor,Coordinator Director of Pathology, Nafplion Nursing Unit, General Hospital of Argolida, GreeceIARMM ２nd World Congress of Clinical Safety
Held by(NA125)

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)“THE ROLE OF THE NURSE IN SPONTANEOUS RETROPERITONEAL HEMORRHAGEAS A RESULT OF ANTICOAGULANTS OVERDOSE”

Stamatopoulou

Eleni1,

Stamatiou

Konstantinos2,

Christopoulos

George3, Zavradinos

Dimitrios4,

Chrysomallis Marios 5, Patouras Grigorios6, Heras Panagiotis7
1. RN, BSC, MSc Notional school of Public Health , Greece
2. MD, PhD General Hospital Piraeus “TZANEIO” , Greece
3. MD, Hospital Piraeus “TZANEIO” , Greece
4. MD, Hospital Piraeus “TZANEIO” , Greece
5. Nurse Student of ATEI Thessaloniki, Greece
6. RN, Nafplion Nursing Unit, General Hospital of Argolida, Greece
7. Doctor,Coordinator Director of Pathology, Nafplion Nursing Unit, General Hospital of Argolida, GreeceIARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)[Afternoon on 12 September 2013: Foyer, 1st floor: Poster]
Poster display time: 13:00 - 17:00 Sep 12.
Poster discussion time:

15:00 - 16:00 Sep 12.

Poster Session (3): Others
Moderator: Levette Lamb (Regional Patient Safety Advisor, Ireland)(NA087)“Incidence of Adverse Events among Inpatients in Rehabilitation Hospitals”

Gacto-Sánchez Mariano, Medina-Mirapeix Francesc, García-Guillamón Gloria, Escolar-Reina Pilar.
(Departamento de Fisioterapia. Escuela Universitaria EUSES (UdG) , Spain)(NA048)How Antiepileptic Drug Make Suicidality? : A Levitracetam Case Report.

Won-Myong Bahk MD, PhD1, Young Sup Woo1, Hoo Rim Song1, Kyung Joon Min2, Bo-Hyun Yoon3,
Young Chul Shin4, Sang-Yeol Lee5, Moon-Doo Kim6, Kwang Heun Lee7, Young Joon Kwon8
1Yeouido St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea; 2College of Medicine,

Chung-Ang University, Seoul, Korea; 3Naju National Hospital, Naju, Korea; 4Kangbuk Samsung Hospital,
Sungkyunkwan University, Seoul, Korea; 5Wonkwang University School of Medicine, Iksan, Korea;
6College of Medicine, Jeju National University, Jeju, Korea; 7College of Medicine, Dongguk University,

Gyeongju, Korea; 8College of Medicine, Soonchunhyang University, Chunan, Korea(NA050)“A Study of Prevalence of Metabolic Syndrome and Its Impact on Health Related Quality of Life
and Body Image in Patients with Schizophrenia”

Sang-Yeol Lee1+, Kyung Joon Kim2, Young-Chul Shin3, Young- Joon Kwon4.
1.
MD PhD. Department of Psychiatry, Wonkwang University. School of Medicine, Iksan,, Republicof Korea
2.
Department of Psychiatry, Chungang University College of Medicine, Seoul, Republic of Korea
3.
Department of Psychiatry, Sungkyungkwang University, College of Medicine, Seoul Republic of
Korea
4.
Department of Psychiatry, Soonchunghyang University, College of Medicine, Cheonan, Republic of
Korea(NA053)“Problem lists in older in-patients: an old idea whose time has come?”

R Hyatt, D Sen, Z Alio, L Manku, Y Sote, P Taylor(East Lancashire Healthcare NHS Trust, Blackburn, Lancashire. UK)

IARMM ２nd World Congress of Clinical Safety
Held by(NA070)

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)“THE ROLE OF DEVELOPMENT OF SPECIFIC HUMAN RESOURCES FOR CARE

DISABILITES PEOPLE”

Dr. Ligia Rusu1, Mihnea Marin1, Ileana Hamburg2
1University of Craiova, Romania
2IAT Gelsenkirchen, Germany(NA071)“A Case: Carbamazepine-Induced Hypersensitivity Synome “Jeong Seok Seo1 MD, PHD, Kyung Joon Min12, MD, PhD, Young Chul Shin3, MD
1 Department of Psychiatry, School of Medicine, Konkuk University, Chungju, Korea
2Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Korea
3Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Korea(NA074)“Purchase products for hand hygiene: a commitment to quality”

Torres Manrique B, Sarabia Cobo CM, González de la Guerra JM, González Campo M, Cabeza Díaz, P.
(Departamento de Enfermeria, E.U.E. "Casa de Salud Valdecilla", Universidad de Cantabria, Spain)(NA076)“Lithium Intoxication within normal therapeutic blood level: A case report”

1Moon-Doo Kim, MD, PhD, 1Bong-Hee Jeon, MD, 1Joon-Hyuk Park, MD, PhD, 2Kwang-Heun Lee, MD, PhD,
3Bo-Hyun Yoon, MD, PhD, 4Young-Joon Kwon, MD, PhD, 5Sang-Yeol Lee, MD, PhD, 6Kyung-Joon Min, MD,

PhD, 7Won-Myong Bahk, MD, PhD
1Jeju National University Hospital, Jeju, Korea
2Dongguk University Geongju Hospital, Gyeongju, Korea
3Naju National Hospital, Naju, Korea
4Soonchunhyang University Cheonan Hospital, Cheonan, Korea
5Wonkwang University Hospital, Iksan, Korea
6Chungang University Hospital, Seoul, Korea
7Catholic University Yeouido St. Mary’s Hospital, Seoul, Korea(NA077)“Treatment of Neuroleptic Malignant Syndrome in Child and Adolescent: A case report”

1Moon-Doo Kim, MD, PhD, 1Bong-Hee Jeon, MD, 1Joon-Hyuk Park, MD, PhD, 2Kwang-Heun Lee, MD, PhD,
3Bo-Hyun Yoon, MD, PhD, 4Young-Joon Kwon, MD, PhD, 5Sang-Yeol Lee, MD, PhD, 6Kyung-Joon Min, MD,

PhD, 7Won-Myong Bahk, MD, PhD
1 Associate Professor, Jeju National University Hospital, Jeju, Korea
2Dongguk University Geongju Hospital, Gyeongju, Korea
3Naju National Hospital, Naju, Korea
4Soonchunhyang University Cheonan Hospital, Cheonan, Korea
5Wonkwang University Hospital, Iksan, Korea
6Chungang University Hospital, Seoul, Korea
7Catholic University Yeouido St. Mary’s Hospital, Seoul, Korea

IARMM ２nd World Congress of Clinical Safety
Held by(NA083)

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)“Prevalence and Its Correlates of Night Eating Syndrome in Schizophrenic Outpatients”

Bo-Hyun Yoon, M.D.,1* Kyung-Joon Min, M.D.,2 Moon-Doo Kim, M.D.,3 Kwang-Hun Lee, M.D.,4 Sang-Yeol
Lee, M.D.,5 Je-Heon Song, M.D.1
1Department of Psychiatry, Naju National Hospital, 2Department of Psychiatry, Chung-Ang University

Hospital, Korea, 3Department of Psychiatry, Jeju National University Hospital, Korea, 4Department of
Psychiatry, Dong-Kuk University Hospital, Korea 5 Department of Psychiatry, Wonkwang University
Hospital, Korea(NA123)James Wigley *“Fluid therapy: Are we doing more harm than good?”

Mr Daniel Darbyshire^

Mr Mathew Gallagher*

Dr Eryl Davies▫

* Core surgical Trainee, University Hospital Southampton, Hampshire, UK^ Urology Clinical Fellow, Salford Royal Hospital, Lancashire, UK▫Urology House officer, Salford Royal Hospital, Lancashire, UK(NA068)“Risk Management.Failure Models and Effects Analysis of Identification Patient Errors”

Cuadrado-Cenzual MA; Collado Yurrita L; De Pedro Moro JA(Clinical Hospital Madrid. Clinical Hospital Salamanca. Spain)(NA088)“Incidence of Extra-Days of Hospitalization and Disability at Discharge in Patients with

Adverse Events in Rehabilitation”

Gacto-Sánchez Mariano, Medina-Mirapeix Francesc, García-Guillamón Gloria, Escolar-Reina Pilar.
(Departamento de Fisioterapia. Escuela Universitaria EUSES (UdG) , Spain)(NA024)“ASSESSMENT OF HEALTH CARE WASTE MANAGEMENT PRACTICES AND

KNOWLEDGE AMONG HEALTH CARE WORKERS WORKING AT TERTIARY CARE SETTING OFPAKISTAN”

Dr Ramesh Kumar*, Dr Zulifiqar ali, Dr Zulifiqar Ali Gorar and Dr Zulifiqar Khan
*PhD Public Health Fellow at Chulalongkorn University, Thailand. Health Services Academy, Cabinet
Division, Islamabad,Pakistan(NA126)“INFORMATION TO THE HEALTH PROFESSIONALS FOR THE TREATMENT OFBLINDNESS.

--- RECENT STUDIES”

Chrysomallis Marios1,Stamatopoulou Eleni2, Patouras Grigorios3, Kourkouta Lamprini 4 , Heras Panagiotis
5

1. Nursing Student of Alexander Technological Educational Institute of Thessaloniki.Thessaloniki,Greece
2. RN, BSC, MSc Notional school of Public Health, Greece
3. RN, Nafplion Nursing Unit, General Hospital of Argolida, Greece
4. Nursing Department of Alexander Technological Educational Institute of Thessaloniki.Thessaloniki,
Greece5. Doctor, Coordinator Director of Pathology, Nafplion Nursing Unit, General Hospital of Argolida, GreeceIARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)[Morning on 13 September 2013: Foyer, 1st floor: Poster]
Poster display time: 9:00 - 13:00 Sep 13.
Poster discussion time: 12:00 - 13:00 Sep 13.

Poster Session (4): Clinical safety strategy--- Part 2Moderator: Dina Baroudi (WHO regional officer, Saudi Arabia)(NA089)“Risk Factors of Unexpected Endotracheal Extubation Involved in Nursing Care in an

Academic ICU - We shouleappraise staff education about physical restraints and ethical consideration to
reduce the incidence.”

Prof. Tokie Nakata, Maho Murata, Masako Nakatani, Noriko Okamoto, Manabu Kume, Kazumitsu
Fujimoto, Rumi Kuwanaga, Michiyo Sekimoto, Nobuya Kusunoki, Nobuhiro Maekawa(Department of Clinical Quality and Safety Management, Kobe University Hospital, Japan)(NA028)“The Recognition and Timely Management of Severe Sepsis Within Acute Care”

Sofie Singh(Infection Control Nurse, NHS Scotland/NHS Dumfries and Galloway, UK)(NA013)“Early Management of Severe Sepsis in the Emergency Department”

Gavin Lavery (Dr. Clinical Director HSC Safety Forum, Ireland)
Mrs Levette Lamb (Regional Patient Safety Advisor, Ireland)(NA112)“A multidisciplinary team approach to Quality Improvement: Preventing Venous
Thrombus Embolism & translating VTE guidelines in to practice”
Dr. Shwetha Akshaya, Assistant Executive Director for Quality & Patient Safety(Quality & Patient Safety Department, Hamad Medical Corporation. QATAR)(NA081)“To improve Communication with Patient and their Companion in Emergency Department; An
Action Research Study”

Dr. Tahmineh Salehi

Department of nursing management, School of Nursing and Midwifery, Tehran, Iran
University of Medical Sciences(TUMS)

Dr. Nahid Dehghan Nayeri, Dr. Arash Rashidian, and Dr. Eessa Mohammadi(NA045)“Assessment of Handwritten Prescription and Electronic Prescription System Prescribing

Errors”

Ahmed I Albarrak1, Eman Abdurahman Alrashidi2, Rwaa Kamil Fatani2, Shoog Ibrahim Al Ageel2,
Rafiuddin Mohammed3

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

1: Associate Professor of Health Informatics, College of Medicine, King Saud University, Riyadh, Saudi
Arabia2: Medical student, College of Medicine, King Saud University, Riyadh, Saudi Arabia
3: Researcher, College of Medicine, King Saud University, Riyadh, Saudi Arabia(NA110)“The use of a simulated ward round and its impact on medical error making amongst medical

undergraduates.”Dr. Thomas IM 1, Nicol LG 2, Walker KG 2 Watson AJM2
(University of Aberdeen 1 & NHS Highland 2, Scotland, UK)(NA116)“Safe sedation in endoscopy: time for a new approach?”

Dr. N Zakeri, S Webster, S Coda, A Humphries, AV Thillainayagam

Department of Gastroenterology & Hepatology, Imperial College Healthcare NHS Trust, London, United
Kingdom.
(NA132)“Effort to increase the transport check lists completion rate for reducing medical errors
during the intra-hospital transport of emergency patients.”

Heekang Choi
(Emergency Medical Center, Seoul National University Hospital, Seoul, Korea)(NA138)
Improvement”“Considering Different Nature of Hazards in Risk Identification for Patient Safety

Simsekler M. C. E.1, Ward J. R.1, Clarkson P. J. 1
(1Cambridge University Engineering Design Centre, Cambridge, UK)(NA109)“ASSESSING THE ACCURACY OF PATIENT DATA IN ELECTRONIC SURGICALHANDOVER SHEETS”

Toritseju Sillo, Dominic Pimenta(Department of General Surgery, Wexham Park Hospital, Slough, Berkshire, UK)(NA084)“Lifestyle is associated with job stress: the role of occupational nurse“

Hisae NAKATANI1, Mai HOSODA2, Kazuko IKEDA3, Hitomi FUJIMOTO3, Tomoko OGAWA4
1Hiroshima University, 2Shimane Prefecture, 3 Shimane Fujitsu Limited,
4 Kawasaki University of Medical

Welfare, 5Shimane University, Japan(NA069)“NEW STRATEGIES TO IMPROVE THE QUALITY AND EFFICIENCY OF HEALTHASSISTANCE TO CHRONIC CANCER PATIENTS”

Cuadrado-Cenzual MA ; Sastre J; De Pedro Moro JA.

(Clinical Hospital Salamanca. Clinical Hospital. Madrid. Spain)(NA141)“Potential Dangers of Abbreviation Use – An Audit of Abbreviation Use Within Secondary Care”

Don Koh1*, Hasnain Asharia1, Vaidehi Konteti1, Shen Chen1, Stuart D. Rosen2

1Faculty of Medicine, Imperial College School of Medicine, Imperial College London, UK
2National Heart and Lung Institute, Imperial College London, UK

IARMM ２nd World Congress of Clinical Safety
Held by12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)(NA128 )“THE ROLE OF UROLOGY NURSE IN THE EVALUATION OF CHRONIC PROSTATITISPATIENT. A PROSPECTIVE STUDY OF CHRONIC PROSTATITIS WITH EMPHASIS TO
EPIDEMIOLOGICAL AND MICROBIOLOGICAL FEATURES”
Stamatopoulou Eleni1, Stamatiou Konstantinos2, Christopoulos George3, Zavradinos Dimitrios4,

Chrysomallis Marios 5, Patouras Grigorios6, Heras Panagiotis7

1. RN, BSC, MSc Notional school of Public Health, Greece
2. MD, PhD General Hospital Piraeus “TZANEIO” , Greece
3. MD, Hospital Piraeus “TZANEIO” , Greece
4. MD, Hospital Piraeus “TZANEIO” , Greece
5. Nurse Student of ATEI Thessaloniki, Greece
6. RN, Nafplion Nursing Unit, General Hospital of Argolida, Greece
7.Doctor,Coordinator Director of Pathology, Nafplion Nursing Unit, General Hospital of Argolida, Greece

Poster Session (5): Infection
Moderator: Dina Baroudi (WHO regional officer, Saudi Arabia)(NA094)“The Measure of Okayama University Hospital to Prevent Inhalation/Ingestion in Dentistry”

Dr. Hajime Shirai 1,2), Seiji Iida 2), Yoshinobu Yanagi 2), Mariko Narazaki 2), Masamichi Maruyama 2), Tamaki
Maekawa 2), Yasuhiro Torii 1), Manabu Morita 4), Yoshio Ohta 3), Keiji Iwatsuki 2,4)
1) Comprehensive Dental Clinic, Okayama University Hospital, Japan
2) Division of Medical Safety Management, Medical Safety Department, Okayama University Hospital,
Japan3) Kagawa Prefectural Central Hospital, Japan4) Vice-Exective Director, Okayama University Hospital, Japan(NA102)“Preventive Methods of Infectious Diseases at Special Nursing Homes in Japan”

Ayako Oura1), Takahiro Yamazaki1), Atsushi Ogihara2), Kazuhiko Machida2)
1) Graduate School of Human Sciences, Waseda University. Japan
2) Faculity of Human Sciences, Waseda University, Japan

IARMM ２nd World Congress of Clinical Safety
Held byCongress homepage:

12 – 13 September 2013, Heidelberg University, Germany
International Association of Risk management in Medicine (IARMM)

http://www.iarmm.org/2WCCS/

Poster: http://www.iarmm.org/2WCCS/poster_2WCCS.pdf

Flyer: http://www.iarmm.org/2WCCS/Fryler_IARMM_2WCCS.pdf