The International Society for Quality in Health Care

33rd International Conference

Change and Sustainability in Healthcare
Quality: the Future Challenges

Tokyo International Forum, Japan
16 – 19 October 2016
CONFERENCE PROGRAMMEISQua’s 33rd International Conference - Tokyo

CONTENTSTOKYO 2016
Welcome speech / committee members

4

Sunday 16 October: Pre-Conference Overview

6

Monday 17 October: Programme in Detail
Session Outlines

11

Tuesday 18 October: Programme in Detail
Session Outlines

33

Wednesday 19 October: Programme in Detail
Session Outlines

51

Posters Selected for Display

69

General Information

105

Maps

110

Sponsors

119#ISQua2016

3

ISQua’s 33rd International Conference - Tokyo

ISQua WELCOMETOKYO 2016
Welcome to Tokyo, Japan and ISQua 2016. The vibrancy of thiswonderful city is matched only by the excitement of the programme
for the next few days.
The history of ISQua, over 30 years, cannot of course match thevenerable story of this land and its peoples. Nor can our efforts inquality improvement match the phenomenal technological growththat is synonymous with Japan.
With your collaboration, we are up to the challenge. The Programme Planning
Committee and the ISQua staff have built an exciting, stimulating and forward-looking
programme, which will have something for all. We cannot get to every presenter, sochoose carefully. The conversation times over meals and tea breaks are ideal spaces toglean lessons from those who heard other speakers.
The programme brings together the enthusiasm of youth and the wisdom ofexperience. The plenary speakers are, as always, highlights, but don’t forget theposters, which so often represent the future of Quality Improvement. I will look forward
to meeting you at these displays.
Above all meet and greet each other, both old friends and colleagues and newacquaintances from other countries and of course, the faces of those authors you liketo read. ISQua 2016 is without doubt the “Meeting of the Minds”, the “Great Good
Place” and Tokyo, the city to explore and inspire.
Welcome Everyone
Clifford Hughes
ISQua President

ISQUA BOARD

HONORARY ADVISORS

Cliff Hughes; AU

President
Immediate Past President

Yu – Chuan(Jack) Li; TW

Editor – IJQHCDavid Bates; US
Wendy Nicklin; CA

President Elect

SheilaLeatherman;
US

Low and Middle
Income Countries

Russell
McGowan: AU

Patient Perspective

Jeffrey Braithwaite; AU
Duncan Inverarity; IE
Yuichi Imanaka; JP
Janne Lehmann Knudsen; DK
Wui- Chiang Lee; TW
Villis Marshall; AU
Bhupendra Kumar Rana; IN
Leslee Thompson; CA

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ISQua’s 33rd International Conference - Tokyo

PROGRAMME AND PLANNING COMMITTEECHAIR OF ISQua 2016
Hirobumi Kawakita

Japan Council for Quality Health Care (Chair of ISQua 2016)

CO-CHAIRS
Cliff Hughes

ISQua

Yuichi Imanaka

Japan Council for Quality Health CareCOMMITTEE
Helen Crisp

The Health Foundation (Rep for 2017 Conference)

Triona Fortune

ISQua

Akio Hirata

Japan Council for Quality Health CarePeter Lachman

ISQua

Wendy Nicklin

ISQua

Shin Ushiro

Japan Council for Quality Health Care

Naohito Yamaguchi

Japan Council for Quality Health Care

ABSTRACT COMMITTEE
Michael Counte

St. Louis University US

Chris Cornue

Sláinte Global Partners (sgp); US

Danielle Dorschner

Accreditation Canada

Triona Fortune

ISQua

Ezequiel Garcia Elorrio Institute for Clinical Effectiveness and Health Policy, Buenos AiresDavid Greenfield

University of Tasmania

Jim Robblee

University of Ottawa Heart Institute; CA

Ronen Rozenblum

Brigham and Women’s Hospital & Harvard Medical School; US

Jennifer Zelmer

Azimuth Health Group; CA#ISQua2016

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ISQua’s 33rd International Conference - Tokyo

SUNDAY 16 OCTOBEROVERVIEW
08:30 – 12:45

Pre-Conference 1
Level 5,
Room B5 (1)Innovations Workshop: Future-Proofing National
Health Systems So They Can Deal with Ageing
Cohorts with Associated Chronic Diseases:
Creating Sustainable Health Care

13:30 – 17:15

Pre-Conference 2
Level 5,
Room B5 (1)Using Patient Reported Outcomes
Measures(PROMs) to Promote Patient-Centered
Care: PROMs for Patient-Centered Care 101

13:30 – 16:35

Pre-Conference 3
Level 4 Hall C

Japan and WHO Session: Special Policy Forum:
Reforming Healthcare in the Super-Aging
Society

09:00 – 15:00 Pre-Conference 4External Evaluation Systems: Future Challenges
Level 5 Room B5 (2)15:30 – 17:30

Pre-Conference 5
How Do We Learn About Improving Health
Level 5 Room B5 (2) Care?

Pre Conference 1: Innovations Workshop: Future-Proofing National
Health Systems So They Can Deal with Ageing Cohorts with
Associated Chronic Diseases: Creating Sustainable Health Care
08:30 – 12:45 (Break: 10:30 – 11:00)

Level 5, Room B5 (1)Facilitators: René Amalberti; FR, Jeffrey Braithwaite; AU, [On behalf of theInnovations Systems of Working Group of the International Society for Quality in
Health Care]
Abstract
Health care systems across the world are experiencing increased financial,organisational and social pressures attributable to a range of critical issues
including the challenge of ageing populations. Health systems need to adapt,in order to continue to provide quality care to the widest range of patients,
particularly those with chronic and complex diseases, and especially those invulnerable and low income groups. We report on a workshop designed to tackle
such issues held under the auspices of ISQua in October 2015 in Doha, Qatar, withrepresentatives from Argentina, Australia, Canada, Colombia, Denmark, Emirates,
France, Ireland, Jordan, Qatar, Malaysia, Norway, Oman, United Kingdom, South
Africa and Switzerland. We discuss some of the challenges facing health caresystems in countries ageing rapidly, to those less so, and touch on current andfuture reform options.
1.

6

Amalberti R, Nicklin W, Braithwaite J (2016). Preparing national healthsystems to cope with the impending tsunami of ageing and its associatedcomplexities. Towards more sustainable healthcare. International Journal for
Quality in Health Care, In press.
#ISQua2016

ISQua’s 33rd International Conference - Tokyo

Pre Conference 2: Using Patient Reported Outcomes
Measures(PROMs) to Promote Patient-Centered Care: PROMs forPatient-Centered Care 101
13:30 – 17:15

Level 5, Room B5 (1)Presenters: Susan Frampton; US, Janne Knudsen; DK, Eugene C. Nelson; US,John Ovretveit; SE, Eyal Zimlachman; IL
Aim: To advance patient-centered care by making effective use of patientreported outcomes.
Description of Workshop: We will use brief presentations and discussions toprovide a comprehensive introduction on how to use the voice of the patient(patient reported outcomes) to promote patient-centered care in ways thatmatter most to patients.
Handouts: A summary of the presentations and a cause and effect diagram on
factors leading to successful adoption of PROMs to support patient centeredcare will be made available as handouts.
13:30 – 13:40

Opening: Preview of Workshop

Janne Knudsen; DK

13:40 – 14:10

Patient–Centred Care and PROMs: What,
Why, How, Impact?

Eugene Nelson; US

14:10 – 14:40

Measuring What Matters to Patients: What is
the State of the Art?

Eugene Nelson; US

14:40 – 15:10

Using PROMs to Improve Patient Care: Cases
and Principles

Susan Frampton; US

15:10 – 15:30

Break

15:30 – 16:00

Using eHealth Media and HIT to use PROMs
to Promote Patient-Centred Care: Slaying the
IT Dragon

John Ovretveit; SE

16:00 – 16:30

Changing the Clinical Culture: How toEngage Physicians and Staff in Using PROMs
to Take Better Care of Patients and to beMore Efficient?

Eyal Zimlachman; US

16:30 – 17:15

Putting PROMs into Practice: Panel
Discussion, Driver Diagram, and Questions
and Answers

All presenters

17:15

Close

Presenters Available
for Curbside Consults#ISQua20167

ISQua’s 33rd International Conference - Tokyo

Pre-Conference 3: Japan and WHO Session: Special Policy Forum:
Reforming Healthcare in the Super-Aging Society
13:30 – 16:35
13:30 – 13:35

Level 4, Hall C

Opening

Hirobumi Kawakita; JP
Edward Kelley; WHO

13:35 – 14:20

History and Current Situation of Universal
Health Coverage in Japan

Keizo Takemi; JP

14:20 – 14:50

G7 Health Ministers’ Meeting and Japan
Vision – Health Care 2035

Kenji Shibuya; JP

14:50 – 15:05

Break

15:05 – 15:35

The future of Japan’s Health System –Sustaining Good Health and Equity at Low
Cost in Super-Aging Society

Hiroki Nakatani; JP

15:35 – 16:05

Visualization and Collaboration for Health
System Reforming

Yuichi Imanaka; JP

16:05 – 16:35

WHO Vision and Expectations

Edward Kelley; WHO

Pre-Conference 4: External Evaluation Systems: Future Challenges
09:00 – 15:00

Level 5 Room B5 (2)External evaluation programs have evolved to adopt similar structures, elements
and approaches. It is also recognised that they face common challenges
irrespective of sector and country context. Many debates surrounding theirefficacy and contribution to safety and quality, far from being resolved, continue,
often with renewed intensity as healthcare systems come under increasingpressure.
This pre-conference session will examine the future challenges for external
evaluation systems. What is predicted to remain the same and what will thechallenges be?
Speakers from east and west, developed and developing countries will offer theirperspectives and direction forward to address the challenges.

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ISQua’s 33rd International Conference - Tokyo

09:00 – 09:05 Introduction and Objectives
09:05 – 09:20 Where Have We Come from and Where Are
We Now? Accreditation
09:20 – 10:30

Triona Fortune; ISQua

What are the Challenges? Experiences from Accreditation

09:20 – 09:50 Evaluating External Evaluation Programmes
for Effectiveness and Sustainability

Virginia Mumford; AU

09:50 – 10:20

Side Effects of Overdoing it: Lessons froma Comprehensive Hospital Accreditation
Programme

Carsten Engeland Henning Boje
Andersen; DK

10:20 – 10:30

Questions and Answers

10:30 – 11:00

Morning Break

11:00 – 12:30

Considerations for the Future

11:00 - 11:25

The Bigger Picture, A National Strategy

Sheila Leatherman; US

11:25 – 11:50

Emerging Hybridity: A Comparative Analysis
of Regulatory Arrangements in the FourCountries of the United Kingdom

Joy F. Furnival; UK

11:50 – 12:05

Implementing the Accreditation Program in
Iranian Hospitals: Challenges and Barriers,
Tehran, Iran

Pouran Raiessi; IR

12:05 – 12:30

Panel Discussion: Considerations and Challenges for the Future

12:30 – 13:30

Lunch

13:30 – 15:00

How…Examples of New Ways of Working from Around the World

13:30 – 13:50

Clients’ Insights and Experiences on
the Approach Towards Culturally BasedAccreditation Standards

13:50 – 14:10

Bruno Lucet; FR
French Quality Accounts: A New Way toStrengthen Leadership in the Field of Quality
and Security Improvement

14:10 – 14:30

Working Together – The Brazilian Experience

Maria Carolina
Moreno; BR

14:30 – 14:50

Twenty Years of Hospital Accreditation - The
Thai Hospital Accreditation Experience

Anuwat Supachutikul;
TH

14:50 – 15:00

Comments, Questions and Close

Triona Fortune; ISQua#ISQua2016

Calvin Wood; CA

9ISQua’s 33rd International Conference - Tokyo

Pre-Conference 5: How Do We Learn About Improving Health Care?
15:30 – 17:30

Level 5 Room B5 (2)Speakers: Peter Lachman; ISQua, Cliff Hughes; ISQua, M. Rashad Massoud; US,
Leighann Kimble; US
Outline: This session will describe the outcome of the Salzburg Global Seminarconvened July 10 – 15, 2016 on how to increase the rigor, attribution andgeneralizability of improvement. There has been a dichotomy between the worldof implementation and research. The Salzburg Global Seminar brought these twoworlds together for better learning and advancement of the field of healthcare
improvement. During this session, participants will apply the domains of guidancedeveloped at the Salzburg Global Seminar.
17:30 – 19:00

10

Welcome Reception
Venue: Exhibition Hall, Room B7, Level 7#ISQua2016

MONDAY
MORNING

17 October 2016
08:00 – 08:45

WELCOME COFFEE WITH 				THE TRADE EXHIBITORS

08:45 – 10:00

MONDAY MORNINGOPENING AND PLENARY

OPENING CEREMONY AND AWARDS
Level 4, Hall C

Chair: Cliff Hughes; ISQua

Official Conference Opening (25 minutes)
Hirobumi Kawakita, Chair; Japan Council for Quality Health Care (JQ)
Cliff Hughes; ISQua President
Yasuhisa Shiozaki; The Minister of Health, Labour and Welfare
Yoshitake Yokokura; President, Japan Medical Association
Making the Most of the ConferencePeter Lachman; ISQua CEO
Morning Plenary: Can We Improve Quality Improvement? (50 minutes)
Speaker: Mary Dixon-Woods; UKThis talk will identify many of the challenges faced by quality improvement (QI) in
healthcare. Though QI is frequently advocated as a way of addressing healthcare’s
problem, evidence of its effectiveness has remained very mixed. The reasonsfor this are varied, but include an ongoing tendency to see QI methods andinterventions as magic bullets, an absence of sound evaluation, weak fidelity inthe application of QI methods, failures of specification and poor understanding of
mechanisms, inattentiveness to context and what it means, inadequate reportingand publication bias, and lack of coordination of effort or sharing of learning.
Too much QI is undertaken in isolation at local level, failing to pool resourcesand develop collective solutions, and introducing new hazards in the process.
Suggestions on how QI might most effectively be improved will be offered for
discussion.

10:00 - 10:30#ISQua2016

MORNING BREAK

11

MONDAY 17 OCTOBER 2016

10:30 – 12:00 MONDAY CONCURRENTSESSIONS A1 - A8
A1

Cost of Quality at the System Level– 90 minutes
Level 5, Room D5

Chair: Joanna Noble; CA

Quality and Safety of Obstetrics in Canada
Speakers: Joanne Noble, Malcolm Eade and Leslee Thompson; CA
With a common goal of advancing patient safety and practice excellence inobstetrics, Accreditation Canada led the development of a joint report on thequality and safety of obstetrics in Canada.
The report leverages Accreditation Canada data, medico-legal claims data andRisk Assessment Checklists (RAC) program results from the Healthcare Insurance
Reciprocal of Canada (HIROC), medico-legal claims data from the Canadian
Medical Protective Association (CMPA) and results from Salus Global Corp’sManaging Obstetrical Risk Efficiently (MOREOB) Program.
This collaboration provided the opportunity for shared learning from various
patient safety data sources to improve reliability by identifying important andactionable deficiencies in health care processes, latent and system issues, and theeconomic ‘burden’ of obstetrical patient harm incidents.
This session will share the knowledge translation and transfer strategy employed by
the four partners, key results, ‘scale and spread’ learnings, and recommendations
for improving obstetrical safety at the macro and local levels.

A2

Improvement Science for Quality and Safety– 15 minutes each
Level 4, Room G409

Chair: Siu Fui; HK

Is There a Relationship Between Early Unplanned Return to Theatre
and Three-Year Revision Rates for Elective Hip and Knee Replacement Surgery?
(Abstract no. 2316)
Alex Bottle, H. Chase, P. Aylin, M. Loeffler; UK
The 6-Pack Program to Decrease Fall Injuries in Acute Hospitals:
A Cluster Randomised Controlled Trial (Abstract no. 1962)
Anna Barker, R. Morello, R. Wolfe, C. Brand; AU
Improvement Science to Evaluate Person-Centred and Integrated Care:
An International Comparison (Abstract no. 3108)
B. Vrijhoef, S. Tan, T. Wong, Mila Nurjono; SG

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17 OCTOBER 2016 MONDAY

Halving Broken Hipsin Hospital – The New
Zealand Experience
MONDAYMORNING
10:30– 12:00(Abstract no. 2603)

CONCURRENT
R. Hamblin, Sandy Blake, C.SESSIONSPetagna; NZ

The Aftermath of Medical Errors: Supporting Our Second Victim Colleagues(Abstract no. 1909)
Hanan Edrees, A. Wu; USA3External Evaluations Systems – 15 minutes each
Level 5, Room B5 (1)Chair: Paula Wilson; US

Analysis of an External Evaluation Project in Argentine Public Maternity Hospitals(Abstract no. 1154)
Carol Mae Gilmore, I. Kurlat, R. Bernztein; AR
Manual Cleaning of Endoscopic Retrograde Cholangiopancreatography
Endoscopes Using Remote Video Auditing (Abstract no. 1337)
Donna Armellino, K. Cifu, M. Wallace, S. Johnson; US
Assessing the Longitudinal Impact of Safety and Quality Reforms: An Analysis of
the ACHS Pilot Accreditation Program in Hong Kong (Abstract no. 2863)
David Greenfield, M. Pawsey, D. Yen, C. Dennis; AU
Evaluation Framework for Patient Safety Incident Reporting Systems(Abstract no. 1828)
Kelsey Flott, A. Darzi, E. Mayer; UK
Hospital Variations in Postoperative Sepsis and Related Outcomes after Coronary
Artery Bypass Grafting Surgery (Abstract no. 2735)
Lixin Ou, J. Chen, K. Hillman, A. Flabouris; AU#ISQua2016

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MONDAY 17 OCTOBER 2016

Session Outlines for MONDAY 5 OCTOBER 2015 continued

A4

Using Education to Support Quality Improvement– 45 minutes each
Level 5, Room B5 (2)Chair: Tsung-Hsien Su; TW & Sophie Bulmer; UK

Session 1: Using Simulation as a Comprehensive Strategy for Quality Improvement
Speakers: Huei-Ming (Matthew) Ma, Tsung-Hsi Wang; TW
Simulation has been used mainly for teaching knowledge and skills in medical
education. Now there is a trend to incorporate soft skills of safety and quality into
the simulation training. This session will describe Taiwan’s successful experiences for
applying simulation as a comprehensive strategy to support quality improvement
and cover:1.

Educating patient safety practices to medical students,

2.

Improving team performance with teamwork-based simulation,

3.

Fostering changes through national patient safety simulation contest,

4. Using in-situ simulation as an improvement tool for error detection in
introduction of new protocols.
Objectives:
1.

To apply simulation training to individuals, teams, work units and organizations.

2.

To apply simulation as the tool for creating safe culture and fostering changes inwork procedures and systems.

Session 2: Developing Relational and Reflective Practice to Enhance Engagementwith Quality Improvement
Speakers: Sophie Bulmer, Liz Wiggins, Brian Marshall; UK
There is much research into the technical aspects of QI and much research into
the importance of relational and reflective practice to the development of change
leaders. Yet the two disciplines rarely meet. The Health Foundation and Ashridge
Business School have pioneered GenerationQ, a Masters programme in Quality
Improvement Leadership, which teaches relational skills alongside the technicalso leaders are better able to improve patient quality in practice. In this highly
participative session, we offer delegates the opportunity to experience a little ofthe programme and to enhance their own relational and reflective skills; we will
share the evaluation from the first four cohorts of the programme; lastly we will
invite discussion into the topic of what more could, or should, be done to integratetechnical leadership with its focus on tools and techniques and relational leadership,with its focus on self-awareness and an ability to engage others.
Objectives: After the session attendees will be able to:1.

Experience the highly interactive, Adult-Adult learning style and content of theGenerationQ programme.

2.

Personally have the opportunity to enhance their own relational and reflective
skills.

3.

Connect with others to share experiences and hear and learn from their stories.

4. Learn about the impact of the first four cohorts of the GenerationQ programme.

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17 OCTOBER 2016 MONDAY

A5

Person Centred Care – 45 minutes each
Level 7, Room D7

Chair: Richard Thomson; UK

Session 1: The Role of Person Centred Care for Improving Healthcare Quality and
SafetySpeakers: Richard Thomson, Susan Hrisos, Jason Scott, Lynne Stobbart; UK
There is growing support for the role of person centred approaches in improving
healthcare quality and safety. Shared Decision Making (SDM) is argued as central
to achieving Evidence Based Medicine, and patient empowerment as key toimproving patient safety. We further argue that to fully realise this potential,
the interdependence of patient and professional perspectives and behaviours
in relation to person centred care needs to be fully appreciated. This workshop
explores these proposed interdependences using tried and tested person
centred approaches to demonstrate and illustrate arguments (e.g. MAGIC andThinkSAFE). The session will begin with a presentation supported by robust
theoretical and empirical evidence, followed by plenary discussion. Delegates willthen be introduced to SDM tools and patient safety resources, and in small groups
explore and reflect on the merits of these to support collaborative interactions
with patients. The workshop closes with structured feedback, key learning, andquestions for the authors.
Objectives:
1.

To gain an understanding of how SDM, patient involvement in safety and otherperson centred approaches to healthcare might function as mechanisms forsupporting collaborative change and improvement.

2.

To understand the significance of the interdependent and relational nature ofpatient and professional perspectives and behaviours in this endeavour.

3.

To gain insight about decision aids and PDAs and their use and application to
support effective patient/professional interactions.

4. To critically appraise own practice and/or research in relation to supporting
patient/professional collaborative interactions.

#ISQua201615

MONDAY 17 OCTOBER 2016

Session 2: Impact of Online Patient Feedback in 2 Countries
Speakers: Michael Greco; AU
Whilst traditional forms of patient feedback methods (e.g. surveys, interviews,etc.) often provide data about patient experience, one of their potential
shortfalls is that they are largely ‘one-way’ because it is the organisation seeking‘feedback’ from the consumer. The question could be asked ‘what’s in it for the
consumer?’ In addition, the public is now going online to tell their story about
their experiences with health services. This is because technology (such as smart
phones) have democratised the public voice. Most people can now go online and‘shout’ about their experience (good or bad). However, this too is a ‘one-way’
conversation because health organisations and their staff find it difficult to engage
constructively with such postings on the internet. What is needed is more of a
two-way dialogue where consumers ‘feel heard’ when they provide feedback, andhealth organisations and their staff can engage in a productive conversation withthe consumer where the focus is on service improvement.
Such public online ‘engagement’ (as opposed to ‘feedback’) has impacts on the
public’s perception of the health organisation’s commitment to person-centredcare. It also has impacts on the health organisation and their staff, particularly
in terms of resolving issues (in real time), restoring relationships (that may havebeen damaged), reducing formal complaints and helping them to focus on service
improvements that are more person-centred.
Objectives:
By the end of the session participants will gain:
1.

Knowledge about what makes online public feedback different to othertraditional forms of patient feedback.

2.

An understanding of the impact that online (interactive) feedback has on
health organisations and the community.

3.

Insights about how the Patient Opinion platform is resolving issues, restoring
relationships between patients and providers, reducing formal complaints andimproving services.

A6

Health Information Technology – 15 minutes each
Level 5, Room G510

Chair: Carlos J. Regazzoni; AR

Implementing External Electronic Medication Records to Promote Effective
Hospital Medication Reconciliation (Abstract no. 2073)
Chien-Ning Hsu, Y.-C. L. Wang, I.-L. Chen, S.-C. Hsiao; TW
A Collaborative Cross-Country Study to Measure the Impact of Electronic
Medication Management Systems (Abstract no. 2346)
Johanna I Westbrook, S. Shah; UK, E. Lehnbom; AU, A. Girling; UK

16#ISQua2016

17 OCTOBER 2016 MONDAYA National Scheme to Ensure Medication Safety: The National Certification
System for Computerized Physician Order Entry (CPOE) in France(Abstract no. 2356)
Pierre Liot, M. Mohammad, V. Mary; H. Nabarette; FR
Estimating the Effects of Fall Prevention Interventions by Adjusting for the Risk
of Falling with a Propensity Score (Abstract no. 1327)
Sachiko Iijima, S. Toyokawa, E. Morita; JP, P.A. Quigley; US
Home Telemonitoring for Aged Care – Do The Elderly Comply and Complete?
(Abstract no. 2955)
Marlien Varnfield, R. Jayasena, J. O’Dwyer, B. Celler; AU

A7Care Across the Continuum – 90 minutes
Level 4, Hall C

Chair: Edward Kelley; WHO

Implementing Integrated People Centred Health Services: Engaging Providers
and Patients with the WHO Framework
Speakers: Nuria Toro Polanco; WHO, Bruce Agins; US, Rashad Massoud; US, Yuichi
Imanaka; JP and Nittita Prasopa-Plaizier; WHO
The WHO Framework on integrated people-centred health services (IPCHS) calls
for reforms to reorient health services, shifting away from fragmented, vertical,
supply-oriented models, towards health services that are delivered through models
built on strong and effective primary health care that put people and communities
at their centre. A key strategy to achieving these reforms is engaging andempowering people. But how can we know if we are succeeding?
WHO and USAID ASSIST are working together to promote people-centredcare as an essential pillar of quality improvement in Mali and South Africa. To
support the implementation of IPCHS, a set of indicators to monitor the progressachieved has been developed based on validated measurement tools. In parallel,
qualitative research to develop measures and indicators from patients’ and families’
perspectives has been conducted in support of the Global framework on patientand family engagement.
This session will present results from the IPCHS quality improvement initiativein Mali and South Africa with a focus on engaging and empowering people
and will highlight how the inclusion of indicators that measure engagement,
including patients and families-based indicators, can further enrich the IPCHS
implementation and measurement approach.

#ISQua201617

MONDAY 17 OCTOBER 2016

A8

Quality Care in Developing Countries and for
Vulnerable Populations – 15 minutes each
Level 1, Room D1

Chair: Amy Stern; US

Standard Risk Screening and Assessment Tools Used to Prevent Harm to Older
People in Hospitals (Abstract no. 1324)
Bernice Redley; AU
Assessing the Pillars of Life Quality for Long-Term Care Clients in Residential andCommunity Contexts (Abstract no. 2364)
Tracey Therese Anne McDonald; AU
Effectiveness of Infection Control for Preventing Catheter-Associated
Bloodstream Infection (Abstract no. 2831)
Phan Thi Hang, T.T.T. Hang, H.T.N. Hanh; VN
Integration of Quality Control Circle and PHS Win-Win Concept to Promote theMedical Quality of Hematopoietic Malignancies (Abstract no. 2082)
Qian-Li jiang, W.-Y. Li, H.-S. Wu, P.-L. Hu; CNWhat Are Junior Medical Doctors in Ethiopia Actually Doing: Using Evidence
Generated from Task Analysis Study to Strengthen Medical Practice, Education
and Regulation (Abstract no. 1513)
Daniel Dejene, T. Yigzaw, S. Megistu, A. Hiruy; ET

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17 OCTOBER 2016 MONDAY

MONDAYLUNCHTIME

17 October 2016
12:00 – 13:45 LUNCH AND POSTER 		VIEWING
12:45 - 13:30
12:45 – 13:30

SHORT ORALS AND 			
LUNCHTIME SESSION

Publish or Perish? How to Get Your Research
Accepted in a High Quality Journal
Level 7, Room D7
Speakers: Yu-Chuan (Jack) Li; TW, Anthony Staines; CH,David Greenfield and Jeffrey Braithwaite; AU

The goal of this research seminar is to help potential authors to publish high quality
research in the field of healthcare quality and patient safety. To achieve this goal
necessitates the development of rigorous well planned, executed and disseminatedstudies. This seminar is an opportunity to review the principles and approach to
conducting high quality research studies, and the publication of their findings, inhigh quality journals.
The session is truly interdisciplinary. We welcome audience participation fromthe disciplines of health services research, health care evaluation, policy, healtheconomics, quality improvement, management, and clinical research focusedon the quality and safety of care. We believe that this seminar will help anyone
who wants to improve their scientific writing. It will support participants in theirendeavor to publish in high quality journals such as International Journal for Quality
in Health Care (IJQHC).
Objectives:
By the end of the session, participants will have learned about a range of matters
including:1.

An introduction to the official ISQua journal - International Journal for Quality in
Health Care (IJQHC)

2.

The annual best papers

3.

Scientific paper writing#ISQua2016

19

MONDAY 17 OCTOBER 2016

12:45 – 13:30

Introduction to Japan ObstetricCompensation System for Cerebral Palsy
Level 4, Hall C

Speaker: Hideaki Suzuki; JP

Industry Sponsored Session, see Sponsors page formore details.
“Cerebral palsy” means disturbance of motor function or posture of infants that isoften caused by hypoxic conditions or other causes. The prevalence is around 2.0
per 1000 births.
The Japan Obstetric Compensation System for Cerebral Palsy was launched in2009 by Japan Council for Quality Health Care (JQ) as a no-fault compensation
system.
Aims of the system include not only monetary compensation for patients fundedby allowance for births from health care insurers, but also improvement of quality
in obstetric care by analyzing individual cases medically and collective cases
epidemiologically, and providing feed-back reports.
According to those characteristics of this system, JQ has well managed the system
so far in collaboration with health care insurers, indemnity insurance firms, medical
academic societies, lawyers, etc.
This seminar introduces how the Japan Obstetric Compensation System has
started, what is the structure of it, how the system works, and what impact it may
have.
Objectives:
This session provides the audience with the whole picture of this compensation
system to share this unique experience.

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17 OCTOBER 2016 MONDAY

12:45 – 13:30 SHORT ORAL LUNCHTIMESESSIONS AP1 – AP6
AP1

Cost of Quality at the System Level– 5 minutes each
Level 5, Room G510

Chair: Elizabeth Pringle; AU

An Innovative Strategy to Improve Hand Hygiene Compliance: Use of EvidenceBased Hand Hygiene Bundled Interventions (Abstract no. 2191)
Chui Wing Lam, S.L. Yuen, M.K. Kwong, S.Y. Lee; HK
Factors Influencing the Costs of Laboratory and Radiologic Tests in SurgicalPatients: Results of an Eight Hospital Study (Abstract no. 2108)
Gerhard Halmerbauer, N. Kamptner, T. Königswieser, R. Haslinger; AT
Reducing No Show in Outpatient Clinics – Improving Efficiency and Saving Cost
(Abstract no.3156)
Huma Naz; PK
Cost of In-Hospital Adverse Events in Taiwan: Analysed by Using a National
Reporting System (Abstract no. 2376)
Kuan-Yu Hung, H.-F. Huang, J.-S. Jerng, H.-Y. Yu; TW
The Contribution of a Financial/Administrative Decision on Pharmacy Operations
to Improvement on Patient Experience (Abstract no. 2648)
Yudai Shirota, S. Kobayashi, G. Gondo, T. Aoki, H. Chubachi; JP
The Financial Protection in Indonesia’s National Health Security Program:
Hospital Patients’ Out-Of-Pocket Expenditure (Abstract no. 2947)
Novianti BR Gultom, M. Harno, C. Jaya, W.A. Baros; ID

AP2Improvement Science for Quality and Safety– 5 minutes each
Level 4, Room G409

Chair: Claudia Travassos; BR

An Exploration of Nurses’ Clinical Working Time Management on Patient
Handover (Abstract no. 3125)
Mingyi Hsu; CNDaily Morning Brief, Effective to Handle the Situation and Incidents at a Regional
Hospital (Abstract no. 2449)
Lawrence Lai, Q. Leung, A. Wong, D. Yeung, HK#ISQua201621

MONDAY 17 OCTOBER 2016

Automation Nurses’ Daily Report to Improve Nursing Administrative Efficiency(Abstract no. 2280)
Min Chang, C.Y. Lee, C.J. Hsu, S.C. Chen; TW
Understanding the Nature of Quality and Safety Improvement in an Emergency
Department (Abstract no. 2510)
Jonathan Back, J. Anderson, M. Duncan, A. Ross; UK
Is There a Psychological Limit for Workload in Healthcare? (Abstract no. 3016)
Holger Pfaff, S. Zeike; DE
Can Hospital Volunteers Help Improve Patient Safety? (Abstract no. 2684)
Jane K. O’Hara, G.E. Louch, M.A. Mohammed; UK
Tribes or Teams? The Relationship Between Interprofessional Collaboration,
Employee Engagement and Supervisor Support on Patient Safety Climate(Abstract no. 2921)
Susan Jane Brandis, S. Schleimer; AU

AP3

Improvement Science for Quality and Safety– 5 minutes each
Level 1, Room D1

Chair: Sang- IL Lee; KR

A Risk Management Framework in Introducing New Procedures, Devices andServices (Abstract no. 2892)
Diana Ramos Santos, S. Mujumdar, S. Ang, S.C. Quek; SG
Evaluating the Quality of Community Pharmacy Services Around the World(Abstract no. 2868)
David Rhys Axon; US, M. Watson; UK, T. Warholak; US
A Model to Enhance the Secondary Use of Data for Improving Medication Safetyin Hospitals (Abstract no. 1224)
Navila Talib Chaudhry, B.D. Franklin, J. Benn; UK
Strengthening Medication Reconciliation Practices: A Patient Safety Initiative at a
Tertiary Care Hospital at Karachi Pakistan (Abstract no. 2954)
Nazia Khuwaja, S. Jaffer, R. Roshan; PKInteractive Pharmacological Service Implementation to Reduce Adverse-Drug
Reaction (ADR) Events (Abstract no. 1636)
Po-Jen Shih, Y.-W. Lin, F.-C. Ko, N.-P. Yang; TW
One Piece Flow Concept Applied in a Casemix Unit and Outpatient Pharmacy to
Reduce Waiting Time (Abstract no. 2913)
Astari Mayang Anggarani, F.D. Rachmat, R.I. Wardani, W.B. Utomo; ID

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AP4External Evaluation Systems – 5 minutes each
Level 5, Room B5 (2)Chair: Margaret Banks; AU

Enhancing Surveyor Education to Improve Accreditation (Abstract no. 2529)
Christopher Dean, J. Peters, S. Lachapelle, S. Larocque; CA
ICUS Quality Status in the General Hospitals in South Korea (Abstract no. 2715)
Kana Park; KR
Level of Compliance of Haemodialysis Centres in the MSQH Chronic Dialysis
Treatment Accreditation Program 2013 - 2015 (Abstract no. 3031)
Noramiza Md. Nasir, K. Marikar; MY
Consumer Awareness on Healthcare Accreditation in Republic of Korea(Abstract no. 2627)
Seungyeon Do, Y. Jung, I. Park, S. Suk; KR
Using Patient Focus Methodology in Hospital Accreditation and Clinical Auditingin Taiwan (Abstract no. 3133)
Hung-Jung Lin, H.-J. Lay; TW
Pilot Testing to Evaluate Readiness of the National Healthcare Facilities Licensing
and Accreditation Program (Abstract no. 2293)
Merlyn Patricia Dsouza, A.A. Al Aali, M. Lessing Turner, A.R.A. Al Mashaan; QA

AP5Quality Improvements by Staff and Service Users– 5 minutes each
Level 5, Room D5

Chair: Carolina Moreno; BR

A Critical Approach to Improve Patient Engagement (Abstract no. 2281)
Tung Wen Ko, F.-C. Wai, S.-H. Hung, P.-C. Wang; TW
An Exploration of Patients’ Experience of Point-Of-Care Health Information
Technology in Acute Care
(Abstract no. 2573)
Leigh McNicol, A. Hutchinson, M. Botti, B. Redley; AU
The Effect of Inbound Medicine on Quality in Health Care and the Roles of Third
Party Facilitators (Abstract no. 2934)
Hideomi Yamada, T. Ishii, D. Koide, S. Tamura; JP
Applying the High-Fidelity Simulation-Based Team Training to Enhance thePatient Safety Culture (Abstract no. 1780)
Sheng Hui Hung, Y.-L. Wu, T.-W. Ko, P.C. Wang; TW#ISQua2016

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MONDAY 17 OCTOBER 2016

Development of a Toolkit to Measure User Experiences of the Health Visiting
Service in England (Abstract no. 1647)
Amy Tallett, A. Attwood, T. van Doorn; UK
The Hybrid Quality Improvement Methods Can Improve Ambulance Prehospital
Electrocardiogram Implantation Rate- A 5-Year City Based Multicentre Trail(Abstract no. 1948)
Wei-Chun Huang, C.-C. Hung, G.-Y. Ma, C.-P. Liu; TW

AP6Care Across the Continuum – 5 minutes each
Level 5, Room B5 (1)Chair: Shams Syed; WHO

Integration of Health and Social Care in England Requires a New Concept of
Safety (Abstract no. 2341)
Jason Scott, Y. Birks, F. Aspinal, J. Waring; UK
Readmissions Among Patients with Chronic Obstructive Pulmonary Disease:
All-Cause or Potentially Preventable? (Abstract no. 2706)
Kaiser Lim, J.M. Naessens, M. Dulohery, S. Peterson; US
Cancer Trajectories in a French Disadvantaged Area (Abstract no. 1817)
Laurent Visier, G. Zoia; FR
Using Segmentation Analysis to Understand Utilisation Across the Care
Continuum in the High-Risk Population (Abstract no. 2080)
Sabine Ingrid Vuik, E. Mayer, A. Darzi; UK
An Exploratory Study of Healthcare Employee Resilience in Taiwan: A Case Studyof a Teaching Hospital in Taiwan (Abstract no. 3101)
Yii-Ching Lee, W.-L. Hsieh, S. Chen; TW

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17 OCTOBER 2016 MONDAY

MONDAYAFTERNOON

17 October 2016
13:45 – 15:15
A9

CONCURRENTSESSIONS A9 - A16

Cost of Quality at the System Level – 15 minutes each
Level 1, Room D1

Chair: Eric de Roodenbeke; CH

Healthcare Services Utilization Following Admission for Hip Fracture in Patients
Older Than 65 Years (Abstract no. 1960)
Jacob Dreiher, E. Fliss, O. Weinstein, M. Sherf; IL
Hip Fracture Mortality by Teaching Status of Treating Hospital (Abstract no. 1366)
Katie Sheehan, B. Sobolev, P. Guy; CA
The Association Between Weekend/Weekday In-Hospital Mortality andCentralisation of Stroke Services (Abstract no. 2703)
Violeta Balinskaite, A. Bottle, P. Aylin; UK
What Would It Take for Accreditation to be Cost-Effective? A Threshold Analysis
Case Study (Abstract no. 2548)
Virginia Mumford, D. Greenfield, B. Parkinson, J. Braithwaite; AU
The Effect of Dementia on Medical Care in Middle-Aged and Elderly Patients with
Diabetes Mellitus in Taiwan (Abstract no. 1655)
Yi-Chien Yao, Y.-C. Li; CN#ISQua201625

MONDAY 17 OCTOBER 2016

A10

Improvement Science for Quality and Safety– 45 minutes each
Level 5, Room D5

Chair: Anthony Staines; CH

Session 1: Anticipating the Future Disruption in Healthcare
Speaker: Chris Cornue; US
Hospitals, health systems, governments and individuals are faced with an evolving
healthcare environment that is complicated further (both in positive and negativeways) by disruption that is occurring each and every day. Disruption in healthcare
can take on many forms, including advanced technology, improved approaches
to delivery, new market entrants, different ways of looking at patient outcomes,
collaboratives, and many others. It may be simple or complex, but it will happen.
Christopher Cornue will help the participants understand the disruption thatis occurring within the industry and consider different ways to address it byproviding current facts and trends, highlighting some examples of the disruptions
and encourage everyone to embrace the change facing them and become thedisrupters instead of being disrupted.
Session 2: Developing a Quality Improvement Framework and improvement
capacity in Ireland
Speakers: Philip Crowley; HSE, Peter Lachman; ISQua and RCPI
This interactive session will demonstrate how to:1.

Develop a National Quality Improvement Framework

2.

Build the capacity in a country to deliver quality improvement and patient safety

3.

Initiate a network for improvement

A11

External Evaluations Systems – 45 minutes each
Level 4, Hall C

Chair: Agnès Buzin; FR

Session 1: Collaboration re the ACCREDIT Research Program Aged Care AGPAL
and ACHS
Speakers: David Greenfield, Virginia Mumford; AU
The session will report the findings from the Australian ACCREDIT (Accreditation
Collaborative for the Conduct of Research, Evaluation and Designated
Investigations through Teamwork) project, conducted between 2010-2015.
ACCREDIT has shed light on the challenges facing accreditation agencies and theirstakeholders in their efforts to advance the sustainability and credibility of theiraccreditation programs.
The program of research applied a cutting edge design, using a multi-method
approach to its investigations. ACCREDIT brought together researchers at
Macquerie University, and staff of the Australian General Practice Accreditation
Limited, Australian Council on Healthcare Standards, Australian Aged Care Quality
Agency, the Australian Commission on Safety and Quality in Health Care, and the
New South Wales Clinical Excellence Commission. The study findings, discussed
here, have wide application across accreditation, surveying and standards setting
activities in low, middle income and developed countries.

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Objectives:
The session will present participants with the opportunity to: discuss the researchfindings, in context of the broader empirical literature; and identify issues
and appropriate methodologies for future research. At the end of the session
participants will be able to:1.

List and discuss the key findings from contemporary research into
accreditation.

2.

Develop ways to apply the findings in their own setting and work.

Session 2: Reducing the Burden of Multiple Accreditation Systems; Lessons froma Collaborative Approach by Two Accreditation Agencies
Speakers: Lena Low, Christine Dennis, Christina Bolger; AU, Triona Fortune; ISQua
Over the past decade the healthcare system in Australia has been progressively
implementing strong regulatory frameworks in the acute, aged care and primary
health care sectors.
The burden of accreditation has been of particular concern to health services
that provide a mix of acute care and aged care services. These organisations are
currently subject to accreditation against the Australian Commission for Safety andQuality in Health Care (ACSQHC), National Health Service Standards and the Aged
Care Accreditation Standards as detailed in the Quality of Care Principles 2014. This
concern expands beyond Australia with ISQua encouraging its accreditation clients
to consider alternative models.
This session will explore the opportunities and lessons from implementing acollaborative accreditation survey process for two health services in Victoria,
Australia. The collaboration will require an international accreditation provide
for predominantly acute health service organisations (the Australian Council on
Healthcare Standards) and the Aged Care Quality Agency to deliver a single
accreditation survey against two sets of standards concurrently.
The key driver is reducing the burden of effort associated with reported duplication
and, organisational workload to comply with approaches to accreditation surveys
that are perceived to benefit the accreditation providers more so than the healthcare organisation.
The accreditation agencies and the health care providers in this study remaincommitted to the intent of standards and to the continuum of compliance throughto organisational excellence.
Objectives:
1.

Understand the concept and benefits of accreditation.

2.

Understand how different systems can come together for the benefit of bothpatients and staff.

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MONDAY 17 OCTOBER 2016

A12

Using Education to Support Quality Improvement –15 minutes each
Level 5, Room B5 (2)Chair: BK Rana; IN

Evaluation of Team Training Impact on Surgical Outcomes: A Cluster Randomized
Trial (Abstract no. 1195)
Antoine Duclos, J.-L. Peix, V. Piriou, C. Colin; FR
Analysis of Patient Safety Incidents in Brazilian Accredited Hospitals – The Safety
Sentinel Project (Abstract no. 2853)
F. Folco, Taissa Sotto Mayor, J. Cherubim, M. Machado; BR
Resilience and Depression Synergically Affect Self-Care Maintenance of Heart
Failure (Abstract no. 1476)
Pei-Shan Tsai; CN
Forethought on the End of Life: Using Simulation to Improve Communication Skills
with End-Of-Life Patients and Their Families in Hospitals of Clalit Health Services(Abstract no. 2772)
R. Yahalom, Henia Perry-Mezare, M. Leonenko, M. Brezis; IL
Implications from Case Studies and Updating Programs in the Teamstepps
Trainings in Japan (Abstract no. 2258)
Yumi Arai, K. Yudo, K. Taneda, M. Yamagishi; JPA13

Person Centred Care – 15 minutes each
Level 4, Room G409

Chair: Ronen Rozenblum; US

Family and Caregivers are an Integral Part of Home Care Safety(Abstract no. 2418)
Ariella Lang, M. Macdonald, W. Nicklin, J. Mitchell; CA
Streaming Quiet Time to Ensure Adequate Rest for Patients (Abstract no. 2352)
Elizabeth Joseph, P. Rindani, P. Cruz, V. Tribhuvan; IN
Person- and Family Centred Crisis Assessment and Home Treatment Services in
Mental Health Care (Abstract no. 2096)
Kristen Kistrup, A. Hertz; DK
The Impact of an Innovative Patient-Centred Care Model on Patient and Family
Experience in Acute Care (Abstract no. 3180)
Ronen Rozenblum, C. Morrison, P. Gazarian, K. Silva, J. Donzé; US
The Effect of a Patient Centred Care Bundle Intervention on Pressure Ulcer
Incidences (Intact) (Abstract no. 2368)
Wendy Chaboyer, T. Bucknall, E. McInnes, M. Wallis; AU

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A14

Health Information Technology – 45 minutes each
Level 5, Room G510

Chair: James Robblee; CA

Session 1: Learning Healthcare System and Learning Machines: How Should We
Adopt Emerging Information Technologies in Healthcare?
Speaker: Tomohiro Sawa; JP
Over the last several years, information technologies made another big progress.
Artificial intelligence has caught the third wave and has been surpassing humanbeings in board games such as Go and Shogi. The implementations of IoT are
prevailed and various machines including drones have gained autotomy with avariety of sensors and cloud technologies. Translational bioinformatics has gained
the power of next generation sequencers and big data technologies. Large-scaleclinical case registries and databases have been emerging around the world.
Wearable technologies have made consumer health informatics in action.
In this session, the concepts of newly developed information technologies are
introduced and the progress of artificial intelligence is explained. Applications ofthese technologies in healthcare will be discussed. We will explore possibilities
to connect translational bioinformatics, clinical informatics and consumer healthinformatics.
Objectives:
Understand the recent advances in artificial intelligence, IoT, and cloud technologies.
Understand the recent progress of translational bioinformatics, large scale clinicaldatabases and consumer health informatics.
Discuss the possibilities to adopt the emerging information technologies into
healthcare.
Session 2: Web Improvement Support for Healthcare (WISH): A Web-Based Tool
Supporting Quality Improvement
Speakers: Vasa Curcin, Thomas Woodcock; UK
The Web Improvement Support for Healthcare (WISH) software is a toolkit
supporting multidisciplinary improvement teams to implement research into
practice. Continuous data collection and analysis are essential to achieving
improvement in healthcare. However, data for local improvement initiatives are often
not readily available from hospital systems. WISH allows project teams to design thedesired process model, define quantitative improvement measures, automaticallygenerate a web application for team members to enter measurement data at regularintervals, and monitor progress in real-time. Based on the team’s specification, datacollection pages and live reports for team members are automatically generated
to track the improvement project progress. The reports provide statistical processcontrol analysis and allow the integration with qualitative data in the form of PDSA
cycles, comments, and novel sustainability and long term success tools. WISH
belongs to a larger methodology supporting quality improvement projects which
will also be briefly introduced as context.

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Objectives:
1.

Understand the need for continuous data collection and analysis during
healthcare improvement projects.

2.

Recognise the need for bespoke data collections and tailored measurement tosupport improvements.

3.

Understand key facilitators and barriers to measurement in an improvement
project.

4. Appreciate how measurement fits into and supports a broader quality
improvement approach throughout the project’s completion.

A15

Care Across the Continuum – 15 minutes each
Level 5, Room B5 (1)Chair: Michael Counte; US

Care Across the Continuum: Supporting Women Concerned About Breast Cancer
in Genetics and Oncology Settings (Abstract no. 2496)
Frances Rapport, P. Shih, K. Churruca; AU
Predicting Pediatric Readmissions (Abstract no. 1722)
James M. Naessens, E. Knoebel, M. Johnson, M. Branda; US
Coordinating Care Across the Continuum by Managing Post Discharge Transitionsat Home (Abstract no. 3152)
Rozina Khimani, S. Akbar, H. Naz, K. Sohani; PK
Longitudinal Adherence to a National Screening Program for Early Detection ofColorectal Cancer in Israel (Abstract no. 1531)
O. Paltiel, D.H. Jaffe, O. Manor; IL
Got Pills? A Pharmacist’s Impact on Chronic Disease and Older Adults inTransitions of Care (Abstract no. 2242)
Mae Centeno, C. Fullerton; US

A16

Quality Care in Developing Countries and for
Vulnerable Populations – 45 minutes each
Level 7, Room D7

Chair: Charles Shaw; UK

Session 1: A Framework Toward Improved Health and Wellbeing Outcomes for
Members of the LGBTI Community
Speaker: Stephen Clark; AU
On 25 September 2014, United Nations Secretary-General Ban Ki-moon spoke ofhis strong support for equal rights for the Lesbian, Gay, Bisexual, Transgender andIntersex (LGBTI) community worldwide and voiced concern over the widespreadharassment of its members.
Abolishing homophobia and transphobia is “a great human cause,” Ban Ki-moon
said, adding that the fight against discrimination “lies at the core of the mission of
the United Nations.”

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The research demonstrates LGBTI people have poorer health outcomes than thegeneral population because of the discrimination that they experience. The actualor perceived discrimination by services also means LGBTI people are more likely
to avoid or delay seeking care. Consequently, any LGBTI health consumers want toknow that they can access services where their sexual orientation or gender identity
will be valued and where service providers understand their needs.
Recognising the challenges many LGBTI people face, Quality Innovation
Performance (QIP), have worked collaboratively to improve the delivery of inclusive
service provision and health care within Australia by developing the Rainbow Tick.
The Rainbow Tick Standards and accreditation program is a voluntary program
which aims to address the health inequalities for LGBTI people by assisting healthand human services to understand and respond to the needs of their LGBTI healthconsumers. It is expected that the health and wellbeing of LGBTI consumers will
improve as a result of services understanding their needs.
Session 2: Enhancing the Evidence for Medication Safety in Low and Middle
Income Countries
Speakers: Ezequiel García Elorrio; AR, Terri Warholak, Ana L. Hincapie; US
There are extensive evidence-based strategies proven to prevent medication errors
and increase patient safety. However, the overwhelming majority of evidence
has been generated in high-income countries, which represents an obstacle forsuccessful dissemination and implementation of research-tested interventions
into adaptable programs in low and middle-income countries (LMICs). To bring
into practice interventions that are proven to be effective, high quality evidence
produced in settings with diverse systems capacities is needed. This session will:
1) describe the burden on medication errors incidence in LMICs; 2) discuss thecontext in which reported interventions yielded positive outcomes; and 3) identify
the research gaps in the field of medication error prevention in LMICs. Finallythroughout case examples, this session will provide participants with practical bestpractice applications that address common challenges producing research andquality improvement reports on medication safety from LMICs, with emphasis inmethods amenable to settings with limited resources.
Objectives:
By the end of this session participants should be able to:1.

List the most common barriers of conducting medication safety research in low
and middle income countries.

2.

Describe innovative ways to contribute to medication safety evidence in low andmiddle income countries.

15:15-15:45#ISQua2016

AFTERNOON BREAK

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MONDAY 17 OCTOBER 2016

15:45 – 16:45

AFTERNOON PLENARY
AND AWARD

PLENARY AND AWARD
Level 4, Hall C

Chair: David Bates; ISQuaJohn Ware and Alvin Tarlov Career Achievement (15 minutes)
Afternoon Plenary: Hospital Experiences: Health, Spirituality, and Life: A Patient’s
Point of View (45 minutes)
Speaker: Yushi Nomura; JP
From his experiences of being a patient, Yushi Nomura will speak about the coreof hospital care as health, spirituality, and life. The words health, heal, whole,and holy share the same source. Healthy or being healed means to regain one’s
wholeness. How does holiness come into it? It is related to the spiritual aspect ofour being. The WHO at its 50th anniversary proposed adding “spiritual well-being”
to its constitutional definition of health as physical, mental and social well-being.
Our spiritual dimension reveals the sacred nature of our life. Life after all is the
final concern of medical and health care. What is life really though? The Chinesecharacter for mei, which means life, also means command. It is ten-mei, or theheavenly command for us to live. This resonates with the Judeo-Christian ideaof life as God’s gift for us to live fully. In Greek, life could be either bios or zoe.
Although bios with its prefix bio-, such as in biology, biotechnology and bioethics,
is most familiar to us today, the Bible seems hardly interested in bios, but rather
draws our attention to zoe. While bios is dealing with biological life-and-deathmatters, zoe points to something beyond. With zoe, the meaning of end-of-lifecare deepens, benefiting patients as well as the people surrounding them: families,
friends, caregivers and medical professionals. A new zoe-ethics may hint at a newparadigm of life and better hospitable healthcare quality.

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17:00 – 17:45

ISQua AGM,
Level 1, Room D1
Members Only

19:00 – 21:00

Networking Reception
Venue: The Happo-en which means“The Garden of Eight Views”#ISQua2016

TUESDAYMORNING

18 October 2016
07:30 – 08:30 ISQUA MEMBERS, FELLOWS AND EXPERTS 		EXCLUSIVE BREAKFAST SESSION
How Digital Health can Improve Patient Safety
Level 5, Room B5 (1)Chair: Martin Kelly; IE

Each quarter HealthXL hosts meetings for the leaders and investors in digital healthto explore topics where technology can empower and transform health access anddelivery. Our interactive session will focus on the opportunity to improve patient
safety via digital health.
Objectives: To develop a global challenge on how digital health can dramatically
improve patient safety.

08:00 – 08:45 WELCOME COFFEE WITH THE TRADE EXHIBITORS
08:45 – 10:00 TUESDAY MORNING PLENARY AND AWARDSPLENARY AND AWARDS
Level 4, Hall C

Chair: BK Rana; INJapan’s Quality Improvement Body–Its Achievement And Future Role In Public
Healthcare Service As Private Sector Entity (55 minutes)
Speaker: Shin Ushiro; JP
Private healthcare facilities have brought a great deal of medicine, to public
services in Japan. Not only healthcare provision but quality improvement has also
been attributed to the private sector. Japan Council for Quality Health Care (JQ)
was launched in 1995 by various healthcare-related entities within the private
sector with the aim of quality improvement. As decades passed, JQ’s quality
improvement projects have grown to be more diverse and unique, including anadverse event (AE) reporting system, no-fault compensation/investigation andprevention system on cerebral palsy and so on. The AE reporting system has
become an influential tool to convey prophylactic measures not only to medical
institutions but to pharmaceutical manufactures. Both of whom have relinquishedsound-alike brand names and altered packages for patient safety in response to thedisclosed cases and knowledge gained from the system.
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TUESDAY 18 OCTOBER 2016

The obstetric compensation system has witnessed a steady decrease of lawsuit
cases which was credited as one of the major causes of shortage of obstetricians
not only in Japan but in many states with advanced economies. Recent fatal
accidents within JQ’s accredited University Hospitals motivates JQ for further
involvement of accreditation in patient safety in advanced hospitals. JQ’sachievements and future perspective of JQ’s role will be presented.
Life Time Achievement, Presidential Citation and Distinguished Service Award(20 minutes)

10:00 - 10:30

MORNING BREAK

10:30 – 12:00 TUESDAY CONCURRENTSESSIONS B1 - B8
B1

Cost of Quality at the System Level – 15 minutes each
Level 5, Room B5 (2)Chair: John Ovretveit; SE

What Can Be Learned from the Implementation of a Pay for Performance
Programme? (Abstract no. 3191)
Adrien Dozol, A. Fouchard, B. Lalloué, X. Poulain, C. Grenier; FR
Is Readmission Policy Penalising Hospitals for Keeping People Alive?
(Abstract no. 1142)
Mauro Laudicella, D. Patel; UK
The Impact of New Payment Models on Care Delivery: Reductions in Emergency
Care Use Among Beneficiaries in a Medicare Pioneer ACO (Abstract no. 2413)
John Hsu, M. Price, C. Vogeli, M. Chernew, T. Ferris; US
Improving Efficiency in Hematology Laboratory (Abstract no. 2008)
Mashhooda Rasool Hashmi, B. Moiz, S.A. Baloch, I.A. Ansari; PK
The Cost of Quality to Patients: The Impact of Surgical Complications on
Wellbeing (Abstract no. 1936)
Stephanie Archer, S. Vuik, A. Pinto, A. Darzi; UK

B2

Improvement Science for Quality and Safety– 90 minutes
Level 7, Room D7

Chair: John Helfrick; US

Evaluation of Quality Improvement Interventions – How to Get Started
Speakers: Helen Crisp, Donna Buxton; UK
The session will be workshop style, with a mix of presentation, discussion
and exercises, exploring the challenges of evaluation of quality improvement
interventions in health care, with a focus on methodological and practicalconsiderations.
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Presentations will cover:
MONDAYMORNING 10:30 – 12:00
1. Why do an evaluation?
CONCURRENTSESSIONS
2.

Different types of evaluation;

3.

Design and commissioning considerations;4. Practical issues such as stakeholder involvement, roles and responsibilities andtiming for an evaluation;
5.

Reporting and sharing evaluation findings;

6. The content will draw on case studies with real life findings and issues arisingfrom evaluation studies that the Health Foundation has undertaken.
During the session participants will complete a pre-evaluation questionnaire
to take away, that will help planning evaluation activities for a current quality
improvement intervention that they are involved with, to initiate planning or
identify improvements for the evaluation.
Objectives:
1.

Understand why evaluation is an essential part of quality improvement,
enabling learning about what works (or doesn’t work) and why, to acceleratespread of successful approaches

2.

Understand a range of different evaluation methods, how to apply these andthe design and measurement considerations for each approach.

3.

Consider and assess the practical issues that may affect the evaluation,
including the concept of developing a concordat between the evaluators andthe health care teams undertaking the improvement intervention.

Complete a ‘pre-evaluation’ questionnaire based on a current project, allowing
attendees to apply learning to a relevant quality improvement intervention andtake action on return to their workplace.

B3

External Evaluations Systems – 90 minutes
Level 5, Room D5

Chair: Michio Hashimoto, Tomonori Hasegawa; JP

Effective Use of Accreditation from the Experience of Three Countries
Speakers: Michio Hashimoto, Tomonori Hasegawa; JP, Leslee Thompson; CA andCliff Hughes; AU
Accreditation can encourage hospitals to improve quality of care but hospitals
may feel difficulty in using accreditation effectively to improve quality of care.
Accreditation bodies are expected to support hospitals in implementing activities
aiming to improve quality. By comparing the accreditation system and related
activities to support hospitals in three countries, we can share the experience andforesee the conditions where accreditation can be used effectively in hospitals.
Objectives:
1.

Share the experience about the effective use of accreditation in hospitals.

2.

Identify contributing factors and barriers in utilizing accreditation to improve
quality in health care.

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TUESDAY 18 OCTOBER 2016

Session Outlines for MONDAY 5 OCTOBER 2015 continued

B4

Using Education to Support Quality Improvement– 15 minutes each
Level 1, Room D1

Chair: Pierre Chopard; CH

Improving the Quality and Safety of the Consultation and Referral Process: It’s
More Than Professionalism and Collegiality (Abstract no. 2683)
David G. Moores, M. Sargious, B. Fisher, J. Glassford; CA
Feasibility of Post Discharge Follow-Up Call to Urology Patients at a Private
Tertiary Care Hospital in Karachi (Abstract no. 2946)
Sajidi Salman Chagani, S.S. Khan, W.A. Aziz, N.F. Faruqui; PK
Exploring Latent Teaching Stress and Coping Profiles Among Clinical Teachers andExamining Associations (Abstract no. 1658)
Shih-Kuang Chiang; TW
The Brazilian Patient Safety Program – Building a Network to Help Brazilian
Hospitals to Improve Quality of Care Offered to the Population (Abstract no. 2875)
Taissa Sotto Mayor, F. Folco, M. Damasceno, M. Machado; BR
Educating Physicians from the Classroom to the Clinic (Abstract no. 2520)
Yosef Dlugacz, R. Silverman, M. Grissom, K. Masick; US

B5

Person Centred Care – 90 minutes
Level 4, Hall C

Chair: Susan Frampton; US

Implementation and Outcomes of Involvement of Patient-Family Advisors in
Quality Improvement in Three Countries
Speakers: Türkan Özilhan; TR, Malek Almoosa; SA, Lisa Allen; US
Today, partnerships with patients and family are at the forefront of healthcare
quality improvement efforts. Accrediting bodies are incorporating standards on howorganizations partner with healthcare consumers. Legislation has been enacted insome countries, requiring hospitals to have patient and family advisory councils(PFACs). Established institutions like the Institute of Medicine and the Australian
Clinical Excellence Commission have embraced partnerships with patients as coreto their improvement agendas. Healthcare organizations worldwide are beginning
to use PFACs as a foundational structure to engage patients and family members
as partners in quality and process improvement, strategic planning, hiring andevaluation, and staff training to promote community building and align the hospital’s
strategic priorities with what matters most to patients. This panel will present
practical examples from hospitals in several countries, including John Hopkins in
the USA and Almoosa in KSA in order to build our knowledge of how PFACs can be
successfully organized and involved in quality work.
Objectives:

36

1.

Participants will understand how to organize Patient-Family Advisory Councils at
the hospital and healthcare system levels.

2.

Participants will be able to identify 2-3 specific quality assurance andimprovement projects in which PFACs can be valuable partners with clinical staff.
#ISQua2016

18 OCTOBER 2016 TUESDAY

B6

Health Information Technology – 15 minutes each
Level 5, Room G510

Chair: Eyal Zimlichman; IL

Are Statistical Natural Language Processing Models for Pneumonia Surveillance
Generalizable Across Acute Care Hospitals? (Abstract no. 1878)
Christian M. Rochefort, A.D. Verma, D.L. Buckeridge, A. Forster; CN
A Mixed Methods Investigation of the Efficacy of Organisational Level Feedback
from Incident Reporting (Abstract no. 2575)
D. D’lima, A. Bottle, Jonathan Benn; UK
Automated Identification of Triggers from the Global Trigger Tool in Electronic
Health Records (Abstract no. 1575)
Kjersti Mevik, T.E. Hansen, A. Ringdal, B. Vonen; NO
Utilizing Electronic Health Record Documentation to Measure Value for Prostate
Cancer Clinical Care (Abstract no. 1363)
Tina Hernandez-Boussard; US
Using Routinely Collected Administrative Data to Further Examine Variation in
Obstetric Outcomes by Day of the Week (Abstract no. 1955)
Paul Aylin, W. Palmer; UK

B7

Care Across the Continuum – See timings below
Level 4, Room G409

Chair: Jose Noronha; BR

Patient Feedback About Safety: Can it Improve Safety and How Do Ward Staff
Engage With This Feedback? Results From a Randomised Controlled Trial andFindings of a Qualitative Process Evaluation of the Patient Reporting and Action
for a Safe Environment (PRASE) Intervention (Abstract no. 2578) 45 minutes
Laura Sheard; UKChildren’s Care Pathway and Parental Experiences Following Use of NHS 111,
A Non-Emergency Medical Helpline in England (Abstract no. 2682) 15 minutes
Sarah-Ann Burger, A. Tallett, I. Maconochie, K. Pall; UK
Impact of Age and Renal Function on Incidence of Adverse Drug Event:
The Jade Study (Abstract no. 1524) 15 minutes
Yuri Takashi, M. Sakuma, T. Morimoto; JP#ISQua2016

37

TUESDAY 18 OCTOBER 2016

B8

Quality Care in Developing Countries and for
Vulnerable Populations – 15 minutes each
Level 5, Room B5 (1)Chair: Ezequiel Garcia Elorrio; AR

Practice-Driven Research in Aged Care Nursing (Abstract no. 2322)
Tracey McDonald; AU
Our Journey Towards Excellence: An Analysis of Efforts Made to Ensure
Continuous Care by Providing Medical Records (Abstract no. 2069)
Aienullah Beg, S. Malik, E. Awan, I. Khan; PK
Evolution of the Quality of Care: An Investigation into Hospital Performance andthe Role of Accreditation in South Africa (Abstract no. 3013)
Chloé Van Biljon, C. Adams, J. Bloch, A. Smith; ZA
Hospital Health Service Quality and Universal Health Care in Indonesia(Abstract no. 3178)
Edward Broughton, K. Latief; US
Narrowing the Gap: Hospital Accreditation and Inequality in South Africa(Abstract no. 2820)
Shivani Ramjee, K.D. Hauck, R. Burger, J. Stewart; ZA

38#ISQua2016

18 OCTOBER 2016 TUESDAYTUESDAYLUNCHTIME

18 October 2016
12:00 – 13:45 LUNCH AND POSTER 		VIEWING
12:45 – 13:30 SHORT ORAL 		SESSIONS BP1 – BP6
BP1

Improvement Science for Quality and Safety– 5 minutes each
Level 5, Room B5 (1)Chair: Ulfat Shaikh; US

Selecting the Optimal Tool to Assess Fall Risk in Children (Abstract no. 2272)
Henia Perry-Mazare, J. Dreiher, A. Peles-Bortz, L. Perelman; IL
The Use of 3% Hyper Tonic Saline (HTS) In the Emergency Department (ED) withPediatric Patients with Severe Blunt Traumatic Head Injury (Abstract no. 1334)
Feroza Perveen, A. Latif Sheikh, E. Uddin, S. Ahsan; PK
Attributes Associated with Birth-Related Injury Events in Taiwan HealthOrganisations (Abstract no. 1712)
Hsin Hui Huang, H. Shuang Kao, H. Peng Wang, C. Feng Chiang; TW
Do Children with Non-IMCI Presenting Complaints Receive Optimal Quality
Screening? (Abstract no. 2270)
Anbrasi Edward, M. Venkataramani, P. Ickx, D.H. Peters; US
Use of Mucolytic Agents for Cystic Fibrosis (CF) in a Tertiary Centre, In Two
Cohorts Before and After the Implementation of an Annual Review Process(Abstract no. 1896)
Raffaela Armiento, J. Harrison; AU
Driving Sustainable Improvements in Quality of Care: National Clinical Guidelines
for Qatar (Abstract no. 2989)
Huda Al-Katheeri, R. Al Huneiti, I. Siddiq, M. Jaran; QA#ISQua2016

39

TUESDAY 18 OCTOBER 2016

BP2

Improvement Science for Quality and Safety– 5 minutes each
Level 5, Room B5 (2)Chair: Alex Bottle; UK

Structuring Strategic Collaboration: Lessons from a Longitudinal Social Network
Analysis of a Translational Research Network (Abstract no. 2241)
Janet Cameron Long, P. Hibbert, J. Braithwaite; AU
Selection, Implementation and Monitoring of Safe Clinical Practices in Healthcare
Organisations from Different EU Countries (Abstract no. 2583)
Pascal Garel; BE
Throughput Initiatives Focused on Optimizing Hospital Capacity(Abstract no. 2685)
Allison Glasser, H. Brannon, V. LoPachin; US
Whether the Nationwide Regional Cooperation Project in Quality Improvement
Really Improve the Quality of Care? An Evaluation in Taiwan (Abstract no. 1690)
Chieh Yu Sun, T. Hsien Yu, K. Piao Chung, H. Hsiang Liao; TW
Exploring the Safety Culture in the Virgin Land of Quality Management – A Cross
Sectional Study from the National Hospital of the Faroe Islands(Abstract no. 1925)
Kristensen Solveijg, N. Túgvustein, P. Bartels, J. Mainz; DK
Postoperative Adverse Events Inconsistently Improved by Surgical Safety
Checklist; A Systematic Literature Review of 25 Studies (Abstract no. 2285)
Elzerie Catharina De Jager, R. Gunnarsson, L. Bartlett, Y.H. Ho; AU
The Effect of Patient and Hospital Characteristics in the Rate of Adverse Events in
Acute Hospitals (Abstract no. 3143)
Paulo Sousa, A. Sousa Uva, F. Serranheira, C. Nunes; PT

BP3Using Education to Support Quality Improvement– 5 minutes each
Level 5, Room D5

Chair: Yosef Dlugacz; US

Developing Emerging Leaders Through New Zealand’s National Patient Safety
Campaign (Abstract no. 2032)
Deon York, L. Price, I. Stolarek, G. Bohm; NZ
Nurses’ Roles and Responsibilities in Healthcare Quality – Measuring the Impactof Specialty Education (Abstract no. 1090)
Elizabeth Oldland, M. Botti, B. Redley, A. Hutchinson; AU
The Patient Safety Summit (PSS); Improving Patient Safety Through Continued
Learning (Abstract no. 2524)
Nadeem Moghal, C. Smith, H. Campbell, A. Corbett-Nolan; UK
40#ISQua2016

18 OCTOBER 2016 TUESDAY

Medication Administration E-Learning for Nurses: Towards a Better Educational
Paradigm (Abstract no. 2388)
Yaffa Raz, M. Panchek, L. Yariv, D. Weiess; IL
Effects of an Educational Video on the Knowledge, Satisfaction andPostoperative Outcomes of Patients with Gastric Cancer (Abstract no. 1640)
Wei Zhang, J. Yang, K. Li; CN
Enhancement Program for Acute Pain Management (Abstract no. 1830)
Lee Mei Hing, N. Lai Kwan, N. Mei Ling, C. Miu Kuen; HK

BP4

Person Centred Care – 5 minutes each
Level 7, Room D7

Chair: Kadar Marikar; MY“It’s Always About the Eating Disorder”: Losing the Person in the Treatment of
Bulimia (Abstract no. 2710)
Kate Churruca, F. Rapport; AU
What Do Patients See That Staff Don’t? Exploring the Experience of Patients as
Observers Within an Experience Based Co-Design Project (Abstract no. 3046)
Liz Thorpe, P. Gardner, R. Lawton, J. O’Hara; UK
Understanding The ‘Black Box’ of Shared Decision Making (Abstract no. 2695)
Lynne Stobbart, S. Hrisos, J. Scott, R. Thomson; UK
Measuring Health Literacy in Hospital Patients – How Do Four Commonly Used
Instruments Measure Up? (Abstract no. 2167)
Rebecca Leigh Jessup, A. Beauchamp, R. Buchbinder, R.H. Osborne; AU
The Implication Of Medical Care Collaboration To Reduce Tube Thoracostomy
Complications In Thoracic Surgical Patients (Abstract no. 1667)
Lee Ming-Ching; TW
Review of Health Information Infrastructure in Supported Accommodation
Settings: Providing an Integrated Model of Disability Health Informatics for
People with I/DD (Abstract no. 2598)
Maria R. Dahm, A. Georgiou, B. Hemsley; AU

BP5

Health Information Technology – 5 minutes each
Level 1, Room D1

Chair: Fabio Leite Gastal; BR‘Big Bang’ Digital Hospital Implementation: Ensuring Patient Safety Amid theTransformation (Abstract no. 1267)
C. Sullivan, A. Staib, Michael Daly, R. Collins; AU
Big Data Exploration for Drugs and Cancer Risk: Online Tool for Massive
Observational Studies with Controls (Abstract no. 1388)
Usman Iqbal, W.-S. Jian, P.-A. Nguyen, Y.-C.(J) Li; TW#ISQua2016

41

TUESDAY 18 OCTOBER 2016

Integration of Hospital Data for Resilience Engineering (Abstract no. 3055)
Alastair Ross, J. Anderson, P. Snell, T. Kirby, P. Jaye; UK
French Website for Public Reporting on Quality in Hospitals: News Indicators andNew Design (Abstract no. 2357)
Sabine Cohen, C. Grenier; FR“FS-SYSTEMET” CVDNOR: A System for Data Collection of Cardiovascular
Diseases in Norway (Abstract no. 1569)
Tomislav Dimoski; NO
Key to VTE Risk Assessment Unlocked (Abstract no. 3139)
Harpreet Kaur, A. Bajaj; IN

BP6

Quality Care in Developing Countries and for
Vulnerable Populations – 5 minutes each
Level 4, Room G409

Chair: Edward Broughton; US

Cutting Deeper: Alternative Approaches to the Measurement of the Quality of
Health Care in Primary Health Care Facilities in South Africa (Abstract no. 2668)
Anja Smith, R. Burger, S. Ramjee, L. Rossouw; SA
Quality and Safety in Developing Countries (Abstract no. 2446)
Adel Salman Oleik; LB
A Longitudinal Study Using Quality Improvement Methods to Reduce Antenatal
Clinic Waiting Times in Six Healthcare Facilities in Lagos State, Nigeria(Abstract no. 2298)
Ayodele Uche Adiat, M. Shodimu, T. Olatunji-Bello, T. Adaramewa; NG
Improved Chronic Disease Care Through the Establishment of a Disease
Management Program in Kazakhstan (Abstract no. 2997)
Benjamin Chan, C. Rauscher; CA, D. Kuzembaeva; KZ, C. Davis; CA
Taking the Changes and Lessons from the Partnership for HIV-Free Survival to
Scale in Northern Uganda (Abstract no. 2149)
Judith Aloyo, T. Nsubuga Nyombi, E. Karamagi, M. Rahimzai; UG
Research Proposal on Managing Feeding Difficulties for Older Adults with
Dementia in Residential Care Homes (Abstract no. 1514)
Yuet-Ying Wong; HK

42#ISQua2016

18 OCTOBER 2016 TUESDAYTUESDAY
AFTERNOON

18 October 2016
13:45 – 15:15
B9

TUESDAY CONCURRENTSESSIONS B9 - B16

Cost of Quality at the System Level– 45 minutes each
Level 5, Room D5

Chair: Shin Ushiro; JP

Session 1: Pay for Performance and Value Based Payment to Accelerate
Improvement
Speakers: John Øvretveit; SE and Michael Counte; US
Quality improvement is increasingly being driven by new payment systems.
Evidence shows some can improve quality and some can damage quality andimprovement activities. The purpose of this session is give improvers, leaders andresearchers new to the subject an understanding of the different systems and theirstrengths and weaknesses in the countries for which there is evidence, and of thedangers when mis-applied or inappropriately transferred to another country orcontext.
Objectives:
1.

Describe the main pay for performance and value-based payment systems forphysicians and healthcare organisations, the evidence of their effectiveness andtheir strengths and weaknesses,

2.

Assess the implications for your service, including how quality and performance
will be assessed,

3.

Use tools and guidance to prepare for and influence their adoption and to carryout research#ISQua2016

43

TUESDAY 18 OCTOBER 2016

Session 2: No-fault Based Compensation/Peer Review System for Quality/Safety
Improvement and Conflict Resolution
Speakers: Takashi Okai and Tsuyomu Ikenoue; JP
It is imperative to investigate and study adverse events for the prevention of similarcases. No-fault based compensation of profound cerebral palsy has been operated
by Japan Council for Quality Health Care (JQ) in response to the shortage ofobstetrician and growing number of conflict in Japan. Additionally, a new peerreview system on accidental death was launched in 2015 in close cooperation withJapan Surgical Association (JSA), Japan Medical Association (JMA), etc. JSA has
operated a nation-wide scale database on surgical operations which has recently
made a great contribution to the promotion on patient safety. Various international
peer-review systems on adverse events will be presented and the effect on conflict
resolution by no-fault compensation will be reviewed in the session.
Objectives:
The session is aimed at studying various international peer-review systems on
adverse events will be presented and the effect on conflict resolution by no-fault
compensation system.

B10

Improvement Science for Quality and Safety– 15 minutes each
Level 1, Room D1

Chair: David Ballard; US

Measuring Patient Safety Using Clinical Registries – Opportunities and Areas for
Improvement (Abstract no. 3135)
Anne-Marie Hansen, P. Bartels; DK
The Hospital at Night Team Nursing Model of Care (Abstract no. 2255)
Janet Weir-Phyland, M. Keogh, M. Fossum, T. Bucknall; AU
How Patients-As-Partners Can Help Increase Patient Safety at the Bedside(Abstract no. 2464)
Marie-Pascale Pomey, N. Clavel, M. Chiu-Neveu; CA
How to Achieve Safety Excellence on Elderly Medical Wards: A Positive DevianceApproach (Abstract no. 1646)
Ruth Baxter, N. Taylor, I. Kellar, R.J. Lawton; UK“Beyond Projects” – A Systemic Approach to Improving Quality, Patient-Focussed
Care (Abstract no. 2904)
Karen Luxford, S. Newell, V. Armour; AU

44#ISQua2016

18 OCTOBER 2016 TUESDAY

B11

External Evaluations Systems – 15 minutes each
Level 5, Room B5 (2)Chair: Steve Clark; AU

Hospital Assessment and Total Quality Management in China
Chen Wang; CN
Improvements Identified, But Future Sustainability is Not Assured: Stakeholders’Views on Accreditation in Australian General Practices (Abstract no. 3062)
D. Debono, D. Greenfield, Virginia Mumford, J. Braithwaite; AU
The Accreditation Canada Program: Facilitating Integration Across a Health
System and the Continuum of Care (Abstract no. 2674)
T. Yan, Catherine Gaulton, J. Mitchell; CA
The Differences of Strengths Between Subgroups of Acute Care Hospitals in
Accreditation Survey Result in Japan (Abstract no. 1278)
Tomoko Yamano, R. Yokoyama, H. Sugawara, Y. Imanaka; JP
Patient Safety’s Missing Link: Using Clinical Expertise to Recognize, Respond to
and Reduce Risks at a Population Level (Abstract no. 2335)
Peter Hibbert; AU, F. Healey, T. Lamont; UK, W. Runciman; AU

B12

Using Education to Support Quality Improvement– 90 minutes
Level 5, Room G510

Chair: Naohito Yamaguchi; JP

Integrated Evidence-Based Approaches to Healthcare Quality and Safety
Improvement
Speakers: Holger Schunemann; CA, Rintaro Mori; JP, Francois Cluzeau; UK, Yuichi
Imanaka; JP
Evidence supporting the healthcare quality and safety is emerging rapidly, andsystematic methods to disseminate and implement the best clinical practice basedon such evidence are evolving worldwide. In this session, the local and global
activities of evidence-based approaches, such as clinical practice guidelines andCochrane Collaboration, are highlighted in an attempt to facilitate the integrationof such activities with other hospital-based activities, such as accreditation andquality and safety management systems. The session covers the current state-ofthe-art of evidence-based approaches from evidence synthesis to implementationof clinical practice guidelines in healthcare settings, and how such evidence-based
approaches could be incorporated into healthcare quality and safety management
systems.
Objectives:
1.

To learn how the evidence is synthesized by systematic methods into
implementable forms such as clinical practice guidelines

2.

To learn how clinical practice guidelines can be incorporated into healthcare
quality and safety management systems in hospitals.

#ISQua2016

45

TUESDAY 18 OCTOBER 2016

B13

Person Centred Care – 15 minutes each
Level 5, Room B5 (1)Chair: Kees Van Dun; NL

French On-Line Initiative to Measure Patient’s Experience for Improvement of the
Quality of Care (Abstract no. 2589)
Brigitte Le Cossec, M. Gloanec, F. Capuano, C. Grenier; FR
Documentation of Patient Communication in Hospital Medical Records: A
Protection or a Threat to Patient Safety for Adults with Communication Disability(Abstract no. 1897)
Bronwyn Hemsley, A. Georgiou, S. Hill, S. Balandin; AU
Developing a Patient-Led Electronic Feedback System for Quality and Safety
Within an Existing Electronic Health Record (Abstract no. 1444)
C. Reynolds, Sally Giles, G. Armitage, J. Heyhoe; UK
Randomized Trial of a Personalized Multi-Condition Risk Assessment in Primary
Care (Abstract no. 2483)
Jennifer Haas; US
Willingness to Use Internet-Based Channels to Communicate with Doctors Among
Citizens in Spain (Abstract no. 2662)
Víctor Reyes-Alcázar, M. Herrera-Usagre, J.A. Valverde, A. Torres-Olivera; ES

B14

Linking Science to Quality Improvement– 45 minutes each
Level 7, Room D7

Chair: Jeffrey Braithwaite; AU

Session 1: eHealth and Universal Health Coverage: Access to Information, Accessto Services, and Better Decision-Making
Speakers: Russell Gruen, Josip Car; SG, Yu Chuan (Jack Li); TW, David Bates; US
Sustainable Development Goal 3 includes a target to “achieve universal healthcoverage (UHC), including financial risk protection, access to quality essential
health care services, and access to safe, effective, quality, and affordable essential
medicines and vaccines for all.” Electronic processes and communication technology(eHealth) has much to offer UHC through access to health-related information,access to healthcare services, and better healthcare decision making, both byclinicians and by consumers.
This session will examine the current situation and what the eHealth community can
do to enhance the value to UHC of mobile devices, electronic records, big data, anddecision support systems.

46#ISQua2016

18 OCTOBER 2016 TUESDAY

Session 2: How Researchers Can Help Improvers; A Case Study Using the
Researcher-in-Residence Model in Care Homes in England
Speaker: Martin Marshall; UK
Improvers and researchers too often operate in parallel worlds. Improvers fail tomake use of research evidence and as a result repeat past mistakes; researchers ask
the wrong questions and hide their scientifically robust work in obscure journals.
There is enormous benefit in the two groups working together for patient benefit
but this benefit is rarely realised. In this session Martin Marshall will describe an
innovative safety improvement project carried out in English care homes in which
an experienced health services researcher was embedded in an improvement team.
Using a participatory methodology in the form of the emerging Researcher-inResidence model, the researcher both mobilised established research knowledge
and created new knowledge from a process evaluation, all the time negotiating theirinsights with the improvers, practitioners and service users.
In this interactive session attendees will have an opportunity to hear how a complex,
often messy, improvement initiative benefited from researcher input, to discuss thechallenges of carrying out participatory research, to share their experiences and to
consider the implications for their own work.

B15

Care Across the Continuum – 15 minutes each
Level 4, Room G409

Chair: David Greenfield; AU

Improving Access and Outcomes in Community Psychological Therapies(Abstract no. 1136)
Alan J. Poots, F. Amati, G. Greenfield, J. Green; UK
Care Pathways’ Assessment for Improvement: The French Experience on
Myocardial Infarction with St Elevation (STEMI) (Abstract no. 1576)
L. Banaei-Bouchareb, F. Capuano, J.-F Thébaut, Catherine Grenier; FR
Care in the Ether – Developing a Robust Clinical Review Method for Telehealth(Abstract no. 2493)
M.E. Robinson, Mary Byrne, R. McKenzie; AU
Israel’s Elderly Population: Do They Receive High Quality Care?
(Abstract no. 2502)
Vered Kaufman-Shriqui, R. Podell, R. Calderon-Margalit, A. Ben-Yehuda; IL
Patient-Provider Disconnect: A Qualitative Exploration of Understanding andPerceptions to Care Integration in Singapore (Abstract no. 1201)
Yi Feng Lai, A. Lum, E. Ho, Y.W. Lim; SG#ISQua2016

47

TUESDAY 18 OCTOBER 2016

B16

Quality Care in Developing Countries and for
Vulnerable Populations – 90 minutes
Level 4, Hall C

Chair: Sir Liam Donaldson; WHO

WHO: Health Systems and Security: Building Resilient Public Health, Infection
Prevention and Community Health Systems Through Quality UHC
Speaker: Sheila Leatherman; US, Benedetta Allegranzi, Shams Syed; WHO
Quality UHC is a key driver towards resilient health systems and health security.
In early 2016, WHO convened experts from the three Ebola affected countries
alongside Japanese experts in Kobe. The rich technical exchange identified
actionable work steams to achieve resilient health systems.
The WHO Global Learning Laboratory on Quality UHC is being launched to engage
health stakeholders to share knowledge, experiences and ideas across the globe.
The learning laboratory will co-develop resources for action on quality UHC.
Country experience highlights action required at the global, regional, national andsub-national levels to strengthen governance for quality. The drive for quality UHC
provides an opportunity for countries to develop and refine national quality policy
and strategy with a focus on implementation informed approaches. Details of the
WHO work in this area in collaboration with ISQua are shared.
At facility level, WHO and partners implemented the Surgical Unit-based Safety
Programme (SUSP) into five African hospitals between January 2014 and December
2015. Overall, the intervention led to approximately 44% reduction in surgical site
infections (SSI) risk and improvement at follow-up compared to baseline. Qualitative
findings revealed the value of the adaptation of SUSP to limited-resource settings
and to the local culture.

15:15-15:45

48

AFTERNOON BREAK#ISQua2016

18 OCTOBER 2016 TUESDAY

15:45 – 16:45

AFTERNOON PLENARY
AND AWARDSPLENARY AND AWARDS
Level 4, Hall C

Chair: Peter Lachman; ISQua

An International Campaign to Reduce Unnecessary and Harmful Care (45 minutes)
Speaker: Wendy Levinson; CA
Waste in healthcare is a major problem with estimates that up to 30% of medicalcare is wasteful and does not add value for patients. Overuse of unneeded carecompromises quality and can lead to patient harm. Choosing wisely is a campaign
to engage physicians and patients in conversations about the use of unnecessary
tests, treatments, and procedures in order to help patients make informed choices.
The campaign is led by physicians and includes the development of “Do not dolists” based on best evidence. It also includes patient education on when test andtreatments are needed and when they are not necessary or even harmful. Choosing
wisely started in the US in 2012, in Canada in 2014 and is now being adapted in
17 countries around the world. The Organization for Economic Cooperation andDevelopment is collaborating to measure indicators of overuse across the OECD
countries. This presentation will explain the key elements that have led to the wide
adoption of the campaign and present evidence of the impact.
ISQua Fellowship Awards (15 minutes)
Clifford Hughes; ISQua

17:00 – 18:30#ISQua2016

Poster Reception
Venue: Poster Hall, B7, Level 7

49

TUESDAY 18 OCTOBER 2016

NOTES:

50#ISQua2016

WEDNESDAYMORNING

19 October 2016
08:00 – 08:45

WELCOME COFFEE WITH 				THE TRADE EXHIBITORS

08:45 – 10:00

PLENARY AND AWARDSPLENARY AND AWARDS
Level 4, Hall C

Chair: Wendy Nicklin; ISQua

Welcome to London 2017 (15 minutes)
International Frontiers in Tracking Variation in Health Care (45 minutes)
Speaker: David Goodman; US
The emergence of population-based measurement of health care through small
area analysis in the 1970s led to the identification of striking unwarranted variationin health care delivery and outcomes. Since then, research and policy application of“variation studies” has grown rapidly in the U.S., the U.K, and Canada, but less so inother countries. In most nations, the lack of available data and inadequate funding
has left an information vacuum on the differences in health system performance.
In this talk, I will discuss the disparate global development of variation analysis
and the remarkable interest and activity that has occurred in the past decade.
Recent research and public reporting in Europe, Asia, and Latin America is nearing
a critical mass of theory and quantitative inquiry. In many countries, these efforts
have become linked to public policy and clinical improvement activities. Still, there
are persistent barriers to both the surveillance of health care, and research into thecauses, consequences, and remedies of variation.
International Accreditation Awards (15 minutes)

10:00 - 10:30#ISQua2016

MORNING BREAK

51

WEDNESDAY 19 OCTOBER 2016

10:30 – 12:00 WEDNESDAY CONCURRENTSESSIONS C1 - C8
C1

Cost of Quality at the System Level – 90 minutes
Level 4, Hall C

Chair: Yuichi Imanaka; JP

Reconstructing National/Regional Healthcare Systems in Countries with Active
Aging
Speakers: Jeffrey Braithwaite; AU, Akira Morita; JP, Yuichi Imanaka; JP, Gert
Westert; NL
The pressures on costs are increasing world-wide, along with ongoing resource
limitations; these forces may threaten the sustainability of health systems andimpair the quality and equitable distribution of health care.
For policy makers, and also for quality and organizational managers in health care,
it is essential and important to understand the social pressure and policy in trend in
health care systems resulting from these forces.
Ambitious examples of new social designs and policies in several countries arepresented and discussed.
Objectives:
1.

To discuss the trend of health and social security policies emanating from costand resource pressures, which are the basis for health care quality.

2.

To appreciate how the aging of societies affects health care and its quality.

3.

To understand how we can act and be prepared for aged and super-agedsocieties to sustain and improve healthcare quality.

C2

Improvement Science for Quality and Safety– 15 minutes each
Level 5, Room B5 (2)Chair: Karen Luxford; AU

Improving Seven-Day Post-Operative Follow-Up Rate at Iganga Islamic Medical
Center in Uganda (Abstract no. 1718)
Albert Twinomugisha, J. Byabagambi, E. Karamagi, M. Rahimzai; UG
Computer Aided Quality Assurance in the Planning of the Surgical Pathway(Abstract no. 2984)
John J van den Dobbelsteen, A.C.P. Guedon, F.C. Meeuwsen, J. Dankelman; NL
Quality and Safety in the Older Person’s Unit: A Resilience Engineering Approach(Abstract no. 2509)
M. Duncan, J. Anderson, J. Back, Alastair Ross; UK

52#ISQua2016

19 OCTOBER 2016 WEDNESDAYAn Integrated ToolMORNING
for Evaluating the French
Mandatory
Indicators Used
MONDAY
10:30–Quality
12:00
for Hospital Improvement, Public Disclosure and Regulation (Abstract no. 2572)

CONCURRENTSESSIONS
P. Michel, L. Fraticelli, Catherine
Grenier, M. Eliaszewicz; FRAn Observation Audit Tool for Nurse-To-Nurse Bedside Clinical Handover(Abstract no. 1697)
Rachael Dorothy Waugh, B. Redley; AU

C3External Evaluations Systems – 15 minutes each
Level 5, Room B5 (1)Chair: Jacqui Stewart; ZA

Patient Empowerment Through Healthcare Unit Accreditation Process(Abstract no. 2645)
Ana Rodríguez-Benavente, Á. Palop-Río, L. González-Gaggero, M CastellanoZurera; ES
Speaking Up for Patient Safety Survey (Abstract no. 2321)
Fiona Herco, K. Thitchener; AU
The Effect of Community Psychiatric Rehabilitation Institution Accreditation in
Taiwan (Abstract no. 1699)
G.W. Chen, Y.W. Sun, P.Y. Chen, C.F. Chiang; TW
A Tale of Two Evaluations: The Quality Account and the Accreditation Survey(Abstract no. 1995)
M-L. Barbotin, Bruno Lucet, G. Georg; FR

C4Using Education to Support Quality Improvement– 15 minutes each
Level 4, Room G409

Chair: Bernice Redley; AU

Experiences of Implementing Occupational Health Services Driven Intervention
Methods for Sustainable Leadership in Health Care (Abstract no. 2687)
Andrea Eriksson, M. Strömgren, L. Dellve; SE
Mentoring and Education to Improve Confidence of Staff Caring for People with
Dementia in Acute Hospitals (Abstract no. 1963)
Colleen Doyle, D. Jackson; AU
Undergraduate Students Perceptions and Satisfaction with the Quality of theIntegrated Medical Curriculum (Abstract no. 3009)
Somanath Mohapatra, A.M. Sebiany, C.C. Jones Nazar; SA#ISQua2016

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WEDNESDAY 19 OCTOBER 2016

Session Outlines for MONDAY 5 OCTOBER 2015 continued
Effectiveness of Implementing the Smoke-Free Hospitals Program in Improving
Quality (Abstract no. 2622)
Wei Leng Chin, W.C. Hung, C.K. Sun, C.W. Lin; TW
Patients’ Stories: Can This Insider View Be Used to Support Medication
Adherence in Kidney Transplantation? (Abstract no. 2887)
Jac Kee Low, A. Williams, E. Manias, K. Crawford; AU

C5

Person Centred Care – 45 minutes each
Level 7, Room D7

Chair: Villis Marshall; AU

Session 1: Demonstrating the Business Case for Patient Safety
Speakers: Eyal Zimlichman; IL
With current cost sensitive reality health care providers need to balance any
potential benefits with financial implications. While traditionally health care
executives have been focused on generating revenues and less on cost savings,
recent financial burden as well as new payment policies has pushed attention to
the potential of cost savings. This represents an opportunity for enabling moreinvestment in patient safety but also requires that health care researchers andpolicy makers demonstrate the evidence for the potential savings as well as
determine the return on investment (ROI) for safety interventions. This new reality
requires patient safety and quality professionals to understand and be able todemonstrate financial implications which include pointing to potential cost savings
as well as advocate through estimating return on investment. In this session I will
provide two case studies – one for an information technology order entry solution
and one for monitoring patients on general wards.
Objectives:54

1.

Understand the importance of demonstrating return on investment to promotepatient safety interventions.

2.

Be familiar with some of the evidence for such patient safety interventions as
continuous monitoring on general floors, CPOE systems and avoiding healthcare associated infections.

3.

Understand how to establish estimated cost savings and what is needed forassessing ROI.

#ISQua2016

19 OCTOBER 2016 WEDNESDAY

Session 2: Developing Relational and Reflective Practice to Enhance Engagementwith Quality Improvement
Speakers: Sophie Bulmer, Liz Wiggins, Brian Marshall; UK
There is much research into the technical aspects of QI and much research into
the importance of relational and reflective practice to the development of change
leaders. Yet the two disciplines rarely meet. The Health Foundation and Ashridge
Business School have pioneered GenerationQ, a Masters programme in Quality
Improvement Leadership, which teaches relational skills alongside the technicalso leaders are better able to improve patient quality in practice. In this highly
participative session, we offer delegates the opportunity to experience a littleof the programme and to enhance their own relational and reflective skills; wewill share the evaluation from the first four cohorts of the programme; lastly wewill invite discussion into the topic of what more could, or should, be done tointegrate technical leadership with its focus on tools and techniques and relational
leadership, with its focus on self-awareness and an ability to engage others.
Objectives:
After the session attendees will be able to:1.

Experience the highly interactive, Adult-Adult learning style and content of theGenerationQ programme.

2.

Personally have the opportunity to enhance their own relational and reflective
skills.

3.

Connect with others to share experiences and hear and learn from their stories.

4. Learn about the impact of the first four cohorts of the GenerationQ
programme.

C6

Health Information Technology – 90 minutes
Level 5, Room D5

Chair: Shing Liao; TW

Smart Ways to Create Worry-Free Continuous Care
Speakers: Hung-Jung Lin, Min-Huei (Marc) Hsu, Ying-Wei Wang; TW
With advances in medical technology, life expectancy is extended. However,
medical resources consumption of the elderly and intensive care population ishigher than before. The continuous care becomes more important than ever
especially after patients discharge from hospital.
The development of mobile based application may provide solutions to current
limitation to deliver a continuing care after inpatient treatment.
The session will introduce how to utilize information technology to build a safe,
high-quality, and smart healthcare for receiving medical care and going home withno worry. The topics will cover home-based and communization care for chronic
diseases and hospice; continuous care from pregnancy, childbirth to child care,and finally to improve medication reconciliation by using national medication use
records to share the medication information among doctors.
Objectives:
1.

Learn how to use IT solutions to improve continuous care.

2.

Work smart by integrating and sharing individual medication record throughcloud management system.

#ISQua2016

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WEDNESDAY 19 OCTOBER 2016

C7

Care Across the Continuum – 45 minutes each
Level 5, Room G510

Chair: Paul Bartels; DK, Toshiro Kumakawa; JP

Session 1: National Clinical Registries: 20 Years of Experience of Improving Quality
in Denmark
Speakers: Paul Bartels, Jan Mainz, Søren Paaske Johnsen, Jens Winther Jensen; DKDocumentation of health care performance and outcomes is an essential componentof well-functioning and efficient health care systems in order to identify quality
problems and variations, and to make informed priorities. Data on the quality of careis essential for accountability and transparency in health care. Most countries lacka system of health care surveillance that could identify what problems occur andwhere, and that could monitor progress towards health care improvement. Denmark
has a long tradition for working with clinical registries and therefore have extensive
experience with both the strengths and limitations of the registries. In this session wereport on the 15 years Danish experiences with using clinical registries covering 80
diseases, as a central pillar in the national strategy for improving quality of care. Data
documenting significant improvements in different disease areas will be presented.
Objectives:
1.

How to establish and organize evidence based performance and outcome
measurement on national, regional and hospital level2.

How to obtain quality improvement using national clinical registries.

Session 2: Social Prescription and Patient-Doctor Partnership
Speakers: Toshiro Kumakawa; JP, Susan Frampton; US, Nittita Prasopa-Plaizier; WHO
Social and Community prescription is a process through which a healthcare
professional and a patient can identify together the type of activities that will be of
benefit, with the professional writing a ‘prescription’ directly to a service or referring
the patient to an intermediary, such as a link worker or navigator, with whom apackage of services can be constructed.
It is very important to utilize Social and Community Prescription strategically toachieve good performance in community-level comprehensive care system whichaims to support living at home by skillfully combining five constituent elements:
the professional services of prevention, medical care, and nursing care and thepreconditions for these services, that is, housing and living support/welfare services.
This approach has a great potential to improve the quality of care and of health byintegrating medical/social care and community resources.

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19 OCTOBER 2016 WEDNESDAY

C8Quality Care in Developing Countries and for
Vulnerable Populations – 15 minutes each
Level 1, Room D1

Chair: James Naessens; US

Effectiveness of Three Intervention Programs Designed to Implement WHO Safe
Childbirth Checklist in Colombia (Abstract no. 3132)
Ana Carolina Amaya Arias, M.L. Cortés Díaz, L.M. Gómez, J.H. Eslava-Schmalbach; COGovernance Standards for Aboriginal Health Services – A Collaborative Journey(Abstract no. 2526)
Danielle Dorschner, J. McVeety, T. King, H. Tasse; CA
Improving the Safety and Quality of Health Care for Aboriginal and Torres Strait
Islander People Using the Australian National Safety and Quality Health Service
Standards (Abstract no. 2476)
Margaret Banks; AU
Quality and Predictors of Diabetes Care Among Patients with Schizophrenia(Abstract no. 1522)
Mette Jørgensen, J. Mainz, S. Paaske Johnsen; DK#ISQua2016

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WEDNESDAY 19 OCTOBER 2016

WEDNESDAY
LUNCHTIME

19 October 2016
12:00 – 13:45 LUNCH AND POSTER 		VIEWING
12:45 – 13:30 SHORT ORAL LUNCHTIMESESSIONS CP1 – CP6
CP1

Improvement Science for Quality and Safety– 5 minutes each
Level 7, Room D7

Chair: Terri Warholak; US

Hospital-Wide Multidisciplinary Efforts and Quality Measure Management
Increased the Rate of Prompt Interpretation of Outpatient Imaging Studies(Abstract no. 2607)
Jiyeon Kim, H. Kim, J. Choi, S. Lee; KR
An Investigation into Variation in the Volume and Repeat Test Patterns of
Hospital Pathology Requesting (Abstract no. 2544)
Andrew Georgiou, L. Li, E. Vecellio, J.I. Westbrook; AU
Estimation of Adverse Events Using Global Trigger Tool and Validation of ICD-10
Codes Used at Patient Discharge in a Norwegian Cohort – A Protocol (Abstract
no. 2669)
Anette Storesund, A. Steinar Haugen, H. Flaatten, E. Søfteland; NO
Evaluation of a Contact Free Monitoring Technology for Screening of Moderate
and Severe Sleep Apnea Patients (Abstract no. 2338)
Asher Tal, Z. Shinar, M.I. Davidovich, D. Argaman; IL

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19 OCTOBER 2016 WEDNESDAY

Correlation Between Emergency Department Staff Burnout and Patient Safety
Culture in Taiwan (Abstract no. 1670)
C.F. Huang, T.Y. Wu, Y.L. You, H.H. Liao; TW
Team Training in the Perioperative Arena: A Methodology for Implementation and
Auditing Behaviour (Abstract no. 2433)
Amanda J Rhee, V. LoPachin; USCP2Improvement Science for Quality and Safety– 5 minutes each
Level 5, Room D5

Chair: Johanna Westbrook; AU

Proposing a Method for Finding Indicators of Success: A Case Study of Early
Detection of Sepsis (Abstract no. 1638)
Ditte Caroline Raben, E. Hollnagel, J. Hounsgaard; DK
Acceptance of Influenza Vaccine in Healthcare Workers in New Territories East
Cluster Using a Health Belief Model (Abstract no. 2612)
Alice Ho, M. Ni; HK
Improvements in Clostridium Difficile Infection in England and Comparative
Epidemiology with the US (Abstract no. 1946)
A. King, B.H. Mullish, H.R.T. Williams, Paul Aylin; UK
Improving Compliance of Surgical Hand Washing Through the Eye of the Lens
(Abstract no. 1952)
Ambreen Khan, S. Nausheen, S. Kaghazwala, M. Shah; PK
Application of Care Bundle Intervention to Reduce Invasive Catheter-AssociatedInfection in High Risk Units – A Pilot Study of Multi-Center of Taiwan (2013 –2014) (Abstract no. 2197)
Chun-Ming Lee, H.-T. Chiang, L.-J. Chien, S.-H. Tseng; TW
Antimicrobial Prescribing in an Australian Rural Hospital Emergency Department(Abstract no. 2412)
Girish Swaminathan; AU#ISQua2016

59

WEDNESDAY 19 OCTOBER 2016

CP3

Improvement Science for Quality and Safety– 5 minutes each
Level 5, Room B5 (1)Chair: Edward Anbrasi; US

Improving Patient Care and Reducing Hospital Length of Stay with A Respiratory
Recovery Clinical Pathway (Abstract no. 2480)
Vicki LoPachin, J. Goachee, K.M. Banoff, A. Leibowitz; US
The Institutional Response to Mortality Alerts: An Evaluative Framework(Abstract no. 3072)
Jonathan Benn, D. D’Lima, P. Dawson, S. Burnett; UK
Integrating Individual Patterns of Cancer Screening Among Women to Identify
Common Predictors: Data from a Large HMO in Israel over 15 Years(Abstract no. 3170)
Noya Galai, S. Vered, A. Porat, E. Elran; IL
Developing and Testing Patient Safety Icons for Providing Tailored Patient Care in
Inpatient Settings: Electronic Patient Safety Dashboard (Abstract no. 1242)
Kumiko O Schnock, E. Mlaver, W. Leung, P.C. Dykes; US
Co-Designing Interventions to Overcome Key Barriers to Referral of Colorectal
Cancer Patients with a High Risk of Hereditary Cancer to Genetics Counselling
Services (Abstract no. 2931)
Natalie Taylor, D. Debono, J.C. Long, R. Williams; AU
Applied Delivery Science: Dissemination of the ABCDE Bundle Across an
Integrated Healthcare System (Abstract no. 2972)
Andrew Masica; US
Evaluation of Patient Safety Walk Round from the Participants’ Perspective(Abstract no. 1685)
Wing Yee Wu, S.F.F. Wong, C.Y. Mak, T.T. Pang; HK

CP4External Evaluation Systems – 5 minutes each
Level 5, Room B5 (2)Chair: Peter Hibbert; AU

The Results of a Project for Accreditation Program Dissemination in Small Clinics
in São Paulo - Brazil (Abstract no. 2862)
Maria Carolina Moreno, A.R. Kelian, K. Dias, R. Caroccini; BR
Preventing Violence and Promoting Workplace Safety in Canadian HealthOrganizations (Abstract no. 2531)
Viktoria Roman, Q. Hasanaj, J. Mitchell, H. Sabourin; CA

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19 OCTOBER 2016 WEDNESDAY

Building the Monitor and Evaluation Framework for the National Health Insurancein Taiwan (Abstract no. 1930)
Kuo-Piao Chung, T.-H. Yu, Y.-C. Tung; TW
Developing an Instrument to Measure the Reporting Quality of the Quality
Improvement(QI) Six Sigma Projects in Healthcare (Abstract no. 2025)
Anselmo Chung, W.-H. Lee, H.-J. Jeong; US

CP5Using Education to Support Quality Improvement– 5 minutes each
Level 4, Room G409

Chair: Usman Iqbal; TW

Creating a Culture of Safety: A Roadmap of an International Healthcare
Organization Journey to Building Effective Teams Within and Across Disciplines(Abstract no. 1564)
Vanessa Buchannon; QA
Leveraging the Capabilities of MSQH Electronic Assessment Tool to Implement
the Measurement of Performance Indicators (Abstract no. 2535)
Rozana Osman, R. John, K. Marikar; MY
Implementation Project of a Health Technology Cluster in the Southern Brazil(Abstract no. 2729)
Fábio Leite Gastal, M.L. Gastal, T. Zobel; BR
Implementing an Organisation-Wide Electronic Mortality Tool in an Australian
Tertiary Hospital (Abstract no. 1587)
Amanda Charles, A. Dwyer; AU
Perioperative Performance of Surgical Signatures in Electrosurgery(Abstract no. 3006)
Frederique C Meeuwsen, A.C.P. Guedon, J. Dankelman, J.J. van den Dobbelsteen; NL
A Novel Model for Evaluating Performance Using a Laparoscopic Simulator Using
an Automatic Software Program (Abstract no. 1954)
Ronnie R Tepper, Y. Atzmon, N. Shvalb, B. Ben-Moshe; IL
Transforming Health with Quality Improvement Capability (Abstract no. 2319)
Jorge Tristan Vasquez; AU#ISQua2016

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WEDNESDAY 19 OCTOBER 2016

CP6

Health Information Technology – 5 minutes each
Level 1, Room D1

Chair: Jennifer Zelmer; CA

Assisting Healthcare Providers to Achieve Accreditation Using Global Standards(Abstract no. 3082)
Tania Michelle Snioch, U. Kreysa; BE
Evaluation of Effectiveness of Web-Based Mobile Application to Management
and Continuous Control of Length of Stay of Patients in a Large Hospital(Abstract no. 1530)
Hermano Alexandre Lima Rocha, M.C. Façanha, A.C. de Castro Alcantara,
J. Cremonin; BR
Between the ‘Electronic’ Flags – Developing an Electronic Track and Trigger
Observation Chart for Use in NSW Public Hospitals (Abstract no. 2362)
Malcolm Green, P. Hudson, H. Lander, T. Azzam; AU
Application of Electric Health Record Data to Quality Indicator (QI); Trial andValidation for Design and Development of the Standardized Automatic Modules(Abstract no. 1211)
Ray Yokoyama, H. Sugawara, Y. Imanaka; JP
The Effect of Mobile Application on Health Management of Diabetic Patients(Abstract no. 2993)
Sunhee Ahn, C. Park, S. Park, K. Lee; KR

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19 OCTOBER 2016 WEDNESDAYWEDNESDAY
AFTERNOON

19 October 2016
13:45 – 14:45 WEDNESDAY CONCURRENTSESSIONS C9 - C16
C9

Cost of Quality at the System Level – 15 minutes each
Level 5, Room G510

Chair: Virginia Mumford; AU

The Comprehensive Cost of Illness of Fracture in Japan (Abstract no. 2943)
Kanako Seto, K. Matsumoto, T. Hasegawa; JP
Sometimes Less Is More! Managing Wisely Laboratory Tests Among Hospitalized
Patients (Abstract no. 2769)
Mira Maram, E. Weiss, G. Rashid; IL
Undertaking Large-Scale Research in Australia: Encountering the Complex Web
of Ethics and Governance in Hospitals and Health Services (Abstract no. 2861)
R. Clay-Williams, Natalie Taylor, E. Hogden, J. Braithwaite; AU
The Implications of Variation in Risk Adjusted Cost of Care of Hospitalized
Patients on Complications, Cost, Length of Stay, and Readmission Within 30 Days
(Abstract no. 3153)
Samuel F. Hohmann; US#ISQua2016

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WEDNESDAY 19 OCTOBER 2016

C10

Improvement Science for Quality and Safety– 60 minutes
Level 4, Hall C

Chair: Sir Liam Donaldson; WHO

Measuring Quality of Health Services in the Context of Sustainable Development
Goals
Speakers: Sheila Leatherman; US, Cliff Hughes; AU, Shin Ushiro; JP
An increasing number of countries are moving towards universal health coverage(UHC) - a target under the Sustainable Development Goal for health. UHC goals
are laudable - ensuring that more people have access to broader health services
without financial ruin. But, with more people accessing services, it is more
important than ever to ensure that the services delivered are high quality and safe,
lest we expand access to poor quality.
To adequately track the progress towards effective universal health coverage,
countries need to ensure regular mechanisms for monitoring UHC, including qualityof care. Measuring health-care quality is challenging, particularly in settings without
strong routine health information systems and in the absence of globally validated
metrics. OECD has been expanding the availability of internationally comparable
quality indicators for almost 15 years through their Health Care Quality Indicators
project. The World Bank is developing new “service delivery” indicators in healthcare and education. WHO is working with both organizations and other partners
through the Health Data Collaborative and Primary Health Care Performance
Initiative to develop indicators of quality relevant to and feasible to collect invarious income settings.
To provide policy-makers with a global picture on quality of care and its
importance to achieve public health goals, WHO in collaboration with the OECDand the World Bank, are producing the first ever global report on the quality ofhealth care services. The report describes the foundations of quality and identifies
key issues and action points to improve quality of health care globally.

C11

External Evaluations Systems – 60 minutes
Level 5, Room B5 (2)Chair: Carsten Engel; DK

From Evaluation to Action – The Improvement of Quality in Health System
Speakers: Kaja Põlluste, Margus Lember, Mari Mathiesen; EE
During the session we will discuss the role of formal evaluation performed by thegroup of scientists, policymakers and practitioners for the further improvement ofhealth care (HC) quality. Using Estonia as an example we describe the evaluation
methodology and process, implementation of recommended strategy, and theoutcomes measured after 10 years. This evaluation was initiated in 2004 by the
Ministry of Social Affairs in collaboration with the WHO Regional Office for Europe
with the purpose of mapping the quality situation in the Estonian HC system andto present suggestions for planning the national strategy. A re-evaluation in 2015
demonstrated a remarkable progress in implementation of formal and voluntaryresources in HC quality improvement. This session offers an opportunity for
professionals with different background – scientists, policy makers, managers, andclinicians – to discuss about the methodology used for evaluation as well about
applicability of the results in their own countries.
64#ISQua2016

19 OCTOBER 2016 WEDNESDAY

Objectives:
Delegates should expect to receive:
1.

Information about the methodology used for the evaluation of national healthcare quality system;

2.

Understanding about the roles of different stakeholders in evaluation process,policy formulation and implementation of changes;

3.

Information about the development of a health care quality system in a country
which has experienced very rapid changes during the relatively short period.

C12

Using Education to Support Quality Improvement– 60 minutes
Level 5, Room B5 (1)Chair: WC Lee; ISQua

Anticipating the Future Disruption in Healthcare
Speakers: Ulfat Shaikh; US, Yuichi Imanaka; JP, Yulianna Susla; ISQua
There is a significant gap between recommended best practice and actual clinicalcare. Educational interventions, such as distribution of printed materials, lectures,conferences, academic detailing, online courses, and webinars are frequently partof quality improvement interventions. But how frequently do they change clinicalpractice and improve patient outcomes?
This presentation summarizes commonly utilized educational strategies inhealthcare quality improvement. Examples from the published literature areprovided to illustrate how and why some strategies are more successful thanothers, and the impact of organizational culture. Presenters will share theirexperiences at the University of California Davis Health System, University ofSydney, Kyoto University Graduate School of Medicine, Japan Council for Quality
Health Care, and the International Society for Quality in Health Care. The audience
will be engaged in a large group discussion using question prompts about
successful strategies in their own settings, and will also participate in a Twitter chatduring the conference.
Objectives:
1.

Learn about educational strategies used in quality improvement initiatives inhealthcare

2.

Evaluate the pros and cons and effectiveness of various educational strategies
in changing clinical practice and improving patient outcomes

3.

Assess how to select the most suitable strategy for specific situations inhealthcare settings#ISQua2016

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WEDNESDAY 19 OCTOBER 2016

C13

Person Centred Care – 15 minutes each
Level 4, Room G409

Chair: Bruce Agins; US

Improving Care and Choice as Motor Neuron Disease Progresses(Abstract no. 2690)
Amanda Attwood, B. Hopwood, V. Gaulter-Carter, K. Pearce; UK
National Guidelines for Spiritual Care in Aged Care (Abstract no. 1369)
Elizabeth Pringle, C. Doyle, D. Jackson; AU
Patient-Centred Measurement of Experiences and Outcomes of Care in British
Columbia, Canada: Statistics Without the Tears Wiped Off (Abstract no. 1473)
Lena Neubieser Cuthbertson, L. Parsons; CA
Using a New Patient Feedback Survey to Explore Experiences of Living with Sickle
Cell Disease in The UK (Abstract no. 1920)
Subarna Chakravorty, A. Tallett, G. Sathyamoorthy, J. James; UK

C14

Health Information Technology – 15 minutes each
Level 1, Room D1

Chair: Christopher Cornue; USA Mobile Data-Driven Safety and Quality System for Voluntary Medical Male
Circumcision (VMMC) In Mozambique (Abstract no. 1862)
Edgar Necochea; US, L. Nhambi, M. Mahomed, D. Bossemeyer; MZ
How Nations Compare: Benchmarking Use of Information Technology to Improve
Care (Abstract no. 2431)
Jennifer Zelmer, J. Adler-Milstein; US
Hospital Information Technology Infrastructure Affects Quality of Care
(Abstract no. 1665)
Noriko Sasaki, A. Okumura, N. Yamaguchi, Y. Imanaka; JP
Health Information Exchange Systems and Length of Stay in Readmissions to a
Different Hospital (Abstract no. 3059)
Ran Balicer, N. Flaks-Manov, E. Shadmi, M. Hoshen; IL

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19 OCTOBER 2016 WEDNESDAY

C15

Care Across the Continuum – 15 minutes each
Level 5, Room D5

Chair: Yaniv Sherer; IL

Joining Up the Continuum from Cancer Services to Family Practice ThroughImproved Communication (Abstract no. 1279)
Andrew Knight, G. Delaney, A. Girgis, S.T. Liaw; AU
Geodemographic Aspects of Primary Care Access: The Czech Republic(Abstract no. 1953)
Hana Konecna, L. Sidlo, B. Burcin, P. Stych; CZ
The Post-Discharge Long-Term Mortality and Care Burden Among Elective SurgicalPatients with Postoperative Sepsis (Abstract no. 2889)
Jack Chen, L. Ou, K. Hillman, A. Flabouris; AU
Digital Information and Communication Technology in Healthcare:
Sociodemographic Aspects on Quality and Safety of Care (Abstract no. 2381)
Martin Holderried, F. Holderried, A. Hoeper, C. Ernst; DE

C16

Quality Care in Developing Countries and for
Vulnerable Populations – 60 minutes
Level 7, Room D7

Chair: Rashad Massoud; US

Keeping HIV-Positive Mothers and Their Exposed Infants Alive and In Care
Speakers: Amy Stern, Anisa Ismail; US, Judith Aloyo; UG
Outline: The Partnership for HIV-Free Survival (PHFS) supports the goal ofeliminating new HIV infections among children by 1) keeping HIV-positive motherson treatment and in care and 2) providing continued routine care and nutrition
support for mother-baby pairs. Using quality improvement methods, USAIDASSIST demonstrated results from changes made across the care pathway in four
countries (Uganda, Tanzania, Kenya, Lesotho), showing large positive effects ofimprovement. For example, Uganda’s 22 PHFS demonstration sites decreased
vertical transmission of HIV to exposed infants from an average of 20% in the first
6 months of PHFS activities to an average of 2.2% in the most recent 6 months
with data. This result is within the 5% level set by WHO towards elimination of newpediatric HIV infections in breastfeeding populations.
This session will describe key interventions that were tested and found successful in
PHFS demonstration sites that are subsequently being packaged for scale-up.
Objectives:
1.

By the end of the session, participants will be able to describe improvement
principles used in healthcare delivery.

2.

By the end of the session, participants will be able to list interventions appliedin PHFS sites to keep HIV-positive mothers and their exposed infants alive andin care, with the infants remaining HIV-free.

3.

By the end of the session, participants will be able to describe the process toharvest learning and package proven interventions for scale-up.

#ISQua2016

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WEDNESDAY 19 OCTOBER 2016

14:45 – 16:00

AFTERNOON PLENARY
AND AWARDSAWARDS AND PLENARY
Level 4, Hall C

Chair: Helen Crisp; UK

ISQua Awards: Poster and Reizenstein Awards (15 minutes)
Safer Healthcare: Strategies for the Real World (55 minutes)
Closing Plenary Speakers: Rene Amalberti; FR and Charles Vincent; UK
There have been many advances in patient safety but we now need a new andbroader vision that encompasses care throughout the patient’s journey. We suggestthat we need to see safety through the patient’s eyes, to consider how safety is
managed in different contexts and to develop a wider strategic and practical visionin which patient safety is recast as the management of risk over time. Most safetyimprovement strategies aim to improve reliability and move closer toward optimalcare. However, healthcare will always be under pressure and we also require waysof managing safety when conditions are difficult. We need to make more use of
strategies concerned with detecting, controlling, managing and responding to risk.
Strategies for managing safety in highly standardised and controlled environments
are necessarily different from those in which clinicians constantly have to adapt
and respond to changing circumstances.
Presidents Closing Remarks (5 minutes)
Clifford Hughes; ISQua

68#ISQua2016

ISQua’s 33rd International Conference - TokyoTOKYO 2016

Posters selected for display
COST OF QUALITY AT THE
SYSTEM LEVEL
1159

Study of Influencing Factors On
the Utilization of Non-Urgent
Medical Resources in Emergency
Department in Taiwan
Sue Wenchi, Kuang Hua Huang;
TW

1384

1758

Applying Lean Thinking toReduce Discharge Time forPatients from Department ofMedicine
Yi Ching Chen, Yang-Cheng Lee,
Chao-Jung Lee, Yi Ling Tai; TW

1807

1866

Effectiveness of Pay-ForPerformance Incentive Designs
On Diabetes Care
Herng-Chia Chiu, Hui-Min Hsieh,
Shu-Ling Tsai; TW

1965

Discussion On Failure from Full
Sanitary Equipment Construction
Remodeling of Hospital Wards
Chen Kun Chih, Wu Yu-Lung, Tao
Yu-Hui, Wu Chao-Yen; TW

Enhance Operational Efficiency
of Central Supply Room in
Hospital
Shieh-Chieh Chen, Shu–Ching Chi,
Ya-Fang Wang, Tsui-Ying Liao; TW

The Analysis of “InterProfessional Bar Code Integrate
System” In Return Remaining
Medication Process
Tsai Pei-Shan, Wang Ping-Yu, Wu
Lu-Hsuan; TW

Reducing The Incidence Rate of
Vacuum Pump Malfunctions
Yen-Chih Tseng, Yaw-Huei Huang,
Chin-Chung Li, Yu-Hsin Chen; TW

1499

1840

2616

Physician Geographic
Distribution in Japan: Is It
Improving or Worsening When
Healthcare Demand Is Adjusted?
Koji Hara, Yuichi Imanaka; JP

2727

Economic and Clinical Burdenof Antimicrobial-ResistantInfections in Japanese
Inpatients.
Hironori Uematsu, Susumu
Kunisawa, Kazuto Yamashita,
Yuichi Imanaka; JP

The Effects of Insomnia On
Health Care Utilization andMedical Care Outcome
Chao Mei Wang, Ying Chun Li; TW

3051
1835

Impact of Anemia On HealthCare Outcomes and Utilizationsin Patients with Chronic
Obstructive Pulmonary Disease
Wei Ling Huang, Ying Chun Li,
Jong Rung Tsai; TW#ISQua2016

Exploring The Related Factor
of Patient Revisited Emergence
Department Within 72 Hours at a
Teaching Hospital in Taiwan
Mei-Jung Wu, Yih-Giun Cherng,
Lung Chan; TW

69

ISQua’s 33rd International Conference - Tokyo

IMPROVEMENT SCIENCEFOR QUALITY AND SAFETY
1078

Utilizing Multiple Innovative
Strategies to Enhance Surgery
Safety of a Medical Center in
TaiwanYu-Hui Hung, Hui Chen, Shun-Yi
Zheng, Pei-Ling Huang; TW

1099

1198

Lee Kian-Guan, Michelle Li-Choo
Ng, Wenxiang Yeon, Lina Hui-Lin
Choong; SG

1252

Applying HFMEA to Build a
Safer System for Proton andRadiation Therapy Center

Patient Safety Pinpoint:
Handover-Polished Health Care
Quality

1260

Chiung-Ying Tseng, Pin-Chun
Wang, Mei-Li Chen; TW

1164

Improved Safety with Using the
CPOEs in Traditional Chinese
Pharmacy Process
Yen Chang Tsai, Shyh Shyan
Janu, Chiu Lin Tsai, Zi Rong Yen;
TW

1172

1182

Exploring The Predictor
Variables Associated with Risk
Factors for Fall Injuries Among
Hospitalized Patients

The Analysis of Transfusion
Error Events in a Metropolitan
HospitalJung-Hsuan Chu, Shu-Ju Huang,
Ching-Hsiao Lee, Chi-Ching
Chen; TW

1263

Assessing Adverse Drug
Events Using Modified Naranjo
Algorithm: The Jade Study
Hiroki Murayama, Mio Sakuma,
Takeshi Morimoto; JP

Measuring Regional Variationsin Inpatient Care and Outcome
for Acute Ischemic Stroke:
Applications of Japan’s
National Claims Database
Tetsuya Otsubo, Susumu
Kunisawa, Noriko Sasaki, Yuichi
Imanaka; JP

Chia Hui Cheng; TW

1155

Quality Improvement
Initiative to Reduce Tunneled
Catheter-Related Infections
in Hemodialysis Patients in a
Tertiary Hospital

Promoting Early Mobilization
to Shorten the Duration of
Mechanical Ventilator for
Patients with Acute Respiratory
Failure in The Intensive Care
Unit in Taiwan
Chin-Ming Chen, Willy Chou; TW

1275

Using The Hospice Workshop to
Enhance Nurses’ Competencies
and Knowledge of Hospice
Palliative Care in The
Emergency Department
Ya-Chun Yang; TW

Chen Yichun; TW

70#ISQua2016

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1281

Pharmacist-MediatedEstablishment of a Risk
Avoidance System Aimed at
Promoting the Appropriate Useof Drugs On Wards
Masayuki Nishihara, Atsushi
Utsumi, Hitomi Kawamoto,Nobuyoshi Okuhira; JP

1289

1294

1383

1409

Nan-Han Lu, Wang-Chun Chen,
Ching-Yi Wu, Ming-Sheng Tsai;TW#ISQua2016

Improving The Care for
Disabled Home Care Patients
Able to Intake Food Orally
Lih Jen Perng, Yu-Ling Liu, HuiWen Yu; TW

1423

The Project of Improvement on
the Incidence of Inpatient Falls

Reducing Radiation Dose andOptimizing Image Quality to
The Patients for 64-MDCT
Coronary Angiography

Introduction of The WHO
Surgical Safety Checklist
Improves Perioperative NonTechnical Skills of Surgeons
Ayako Kadowaki,, Yuki Kawano,
Naomi Hamaguchi-Itoh,Toshihiro Kaneko; JP

Delivering Safe and Effective
Test Result Communication,
Management and Follow Up: An
Australian Research StudyDavid Greenfield, Robert
Linderman, Prashan
Malalasekera, Andrew Georgiou;
AU

Hui Ju Cheng, Mei Luan Huang;
TW

1343

Establishing Local Diagnostic
Reference Levels in
Angiography in Taiwan
I-Chin Cheng, Yi-Chun Huang,
Ying-Chi Tseng,
Chi-Jen Chen; TW

Nipped: Nurse Initiated Pain
Protocol in The Emergency
Department
Paul Weng Wan, Shashi S/OChandra Segaram, Norizan Bte
Jaafar, Shao Hui Koh; SG

1322

1368

Proactive Approach to Enhance
Nurse-Relative Relationship: A
Bedside Communication Tool
Wing Yi Wong, Lai Kuen Yvonne
Chan, Sim Heung Yeung, Yin Yuk
Chan; HK

Factors Associated with
Hospitalization of Elderly
People Receiving Home Care
Nursing
Shu Fen Pai, Hong Jer Chang;TW

Validation of The Safe
Discharge from Icu (SD-ICU)
Score. A Risk Assessment Toolof Unplanned Icu Readmission.
Widlani Sousa Montenegro,
José Raimundo Araujo Azevedo,
Monique Silva Rocha, Thalita
Pereira Veiga; BR

1291

1345

1432

Reducing Waiting Time for
Emergency Operation andPatient Mortality Using Team
Resource-Based Intervention
Strategy
Shu Ching Chang, Wen Hsin
Chang, Cheuk Kwan Sun, Po
Chin Yu; TW71

ISQua’s 33rd International Conference - Tokyo

1448

Understanding Serious Adverse
Events: A Process to Improve
Organizational Culture

1539

Bonnie Portnoy, Marc Napp,
Rebecca Anderson, Vicki
Lopachin; US

1477

Towards A Never Event – A
Quality and Safety Journey
into Throat Pack Incidents in A
Specialist Paediatric Hospital

Chia Hui Cheng, Li-Yueh Huang,
Chiao-Wen Wu,
Yen-Ting Wang; TW

1547

Sui An Lie, Yew Nam Siow,
Sharon Yuan Kwan Wan, Suan
Ling Lim; SG

1496

A Proactively Approach
to Reduce Sharps Injuries:
Promoting 3V Safe Sharps

1506

1558

1561

Heart Rehabilitation Can
Improve the Effectiveness of
Medical Care in Patients with
Chronic Heart Failure

1584

1523

Trends in Clinically Significant
Pain Prevalence Among
Hospitalized Cancer Patients at
an Academic Hospital in Taiwan:
A Retrospective Cohort Study

How to Select Adequate
Interventions to Improve
Outcomes in Health Care – The
Case of Aortic Valve Disease
Nina Zipfel, Stef Groenewoud,Paul Bastiaan Van Der Nat, Gert
P Westert; NL

Compliance with The Surgical
Safety Checklist: A Prospective
Audit
Reshma Ambulkar, Priya
Ranganathan, Sukhada Savarkar,
Kirti Salunke; IN

Nutrition Screening Compliance– The First Step for Early
Intervention of Malnutrition in A
Rehabilitation Hospital in HongKong
Pik Lai Erica Ho, Mimy Woo, Tsui
Sim Chow, Yuk Sim Chau; HK

Gau Jia-Ying, Huang Jing-Long;
TW

1518

Use of HFMEA in The
Improvement of Operational
Integrity of Inhalational Nitric
Oxide System for Neonates
Hsinhua Lee; TW

Behaviour for Operating
TheatreOi Shan Tang, Miu Nga Wong,
Kin Ying Wong, Ying Hon Wong;HK

Innovative Smart Management
System to Enhance the Safetyof Pathology Specimen in The
Exam Rooms

The Activities for Improving
Accuracy On Issuing
Certificates
Donggyo Shin, Yoonseon Park,
Sanghee Ryu, Hwayeon Kim; KR

1589

The Effectiveness of Taiwan’s
Center Catheter Bundle Care
Quality Promotion Program
Implementation Results from2013 To 2014
Yuhan Wang, Julia Hsu, Shing
Liao; TW

Wei-Yun Wang, Shung-Tai Ho,
Chi-Ming Chu, Kwua-Yun Wang;
TW
72#ISQua2016

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1605

Identifying Important Error
Trends Through the Use of a
Structured Incident Taxonomy

1642

Catarina Lam; CA

1606

1610

Set Up of a Cardiopulmonary
Resuscitation Team and The
Survival Outcome in a Hong
Kong Private Hospital

Use Me! I’m Clean! To Achieve
90% Cleanliness of Commode
Chairs in Ward 64 Within The
Next 9 Months.

Dave Dongelmans, Marjon
Borgert, Astrid Goossens,
Alexander Vlaar; NL

1654

1662

Using Therapeutic Play in
Reduction of Preschooler’s
Pain Under the Venipucture: A
Strategy for Pain Reduction

Using Root Cause Analysis andTeam Resource Management
to Prevent Malpractice of
Stereotactic Radiosurgery:
A Combined Multimodality
Quality-Improving Project
Wen Hsing Chiang, Hon Yi Lin,
Shih Kai Hung, Po Hao Lin; TW

The Nurses’ Decision Making inProtocol Based Care Framework
Monica Vázquez-Calatayud,
María Jesús Pumar-Méndez,
Cristina Oroviogoicoechea; ES

Changes in The Practice ofCoronary Revascularization in
The Republic of Korea

Su Fan, Tsai Mei; TW

1635

1649

The Implementation of aTransfusion Bundle Significantly
Reduces the Number of
Inappropriate Red Blood Cell
Transfusions in an Intensive
Care Setting.

Yoon Jung Choi, Youn Song
Choi, Eugene Lee, Yu Jin Yun; KR

1634

Cécile Payet, Muriel Rabilloud,Jean-Christophe Lifante, Antoine
Duclos; FR

Wing Yee Wu, Chui Fan Kung,
Siu Fong Fanny Wong, Tak Ting
Pang; HK

Eliz Michael Acedo Pelayo, Kue
Bien Molly How, Vasuki S. Pillay,
Wei Feng Doris Lim; SG

1624

Methodological Quality ofSurgical Mortality Studies Using
Large Hospital Databases: A
Systematic Review

The Issue of Using Clinical
Practice Guidelines as Evidence
in Medical Malpractice Lawsuitsin Japan
Noriko Kojimahara, Naohito
Yamaguchi, Hiroaki Igarashi,
Hiromichi Kuwabara; JP

1688

A Risk Factor Analysis of Fall
Injury Among Inpatients in aSouthern Local Community
Hospital
Li Jung Lin, Yu-Cheng Chen; TW

1695

A Program to Improve the
Accuracy of Pediatric Nurses
for The Barcode Medication
Administration System
Li Yi-Rong, Lyu Ji-Yan, Su HuiChun, Cheng Ya-Chun; TW#ISQua201673

ISQua’s 33rd International Conference - Tokyo

1700

Underlying Influence ofManagement Trust On Critical
Dimensions of Safety Climate
for Patient Safety Study of the
Attitudes and Behaviors
Wu Chieh-Liang, Gau Jia-Ying,
Weng Shao-Jen, Kim SeungHwan; KR

1710

Safer Teams in The Pediatricor? –A 5 Year Evaluation of
the Effects of Implementing
Crew Resource Management on
Technical Skills, Non-Technical
Skills and Safety Culture

1769

Z. Y. Hung, Y. T. Lo, Y. L. Chen,
H. H. Liao; TW

1772

Association Between Physical
Therapists’ Years of Work
Experience and Incidence andIncident Level of Patient Falls
in Japan

1779

1784

The Use of Healthcare Failure
Mode and Effect Analysis(HFMEA) in The Prevention of
Medication Errors

1847

C. J. Yang, H. C. Su, H. C. Chung,
C.I. Huang; TW

1768

Using TRM (Team Resource
Management) Method to
Develop Strategies for ViolencePrevention in The Departmentof Emergency
Chi-Feng Lin; TW

74

Improving Quality in
Healthcare Requires Analysis
of All Death Cases in a Hospital
Organization
Yasuko Mizutani-Hori, Yumi
Etoh, Ayako Kadowaki, Toshihiro
Kaneko; JP

Shu Mei Liao; TW

Use Quantitative Indicators to
Improve the Teaching Qualityof Teaching Hospitals Perform“Two-Years Medical Staffs
Training Program” in Taiwan

The Project for Reducing theIncidence Rate of Patients Falls
in Emergency Room
Li-Ching Lin, Meei-Liang Lin, YuYi Liu, Yueh-Mien Wang; TW

1810

1760

Improvements of Patient Safety
Culture and Outcomes in the
Intensive Care Unit Using
Teamwork Skills
Fang-Tsu Lai, Deng-Wei Chou,
Hua-Yin Hsu, Chiu-Hui Li; TW

Nobuyuki Takeuchi, Taiga Fuju,
Masanao Matsumoto; JP

1732

Methods That Improve
Prevention of Medication Errors
Jung Soon Dong, Choi KyungIm; KR

Kiku Pukk Härenstam, Andrew F
Gaffney, Carl Savage; SE

1731

Promote Patient Engagement
and Communication Between
Clinician and Patient by Videoin Taiwan

Efficacy of Reducing theIncidence Rate of Burnsfrom the Traditional Chinese
Medicine Therapy ofMoxibustion
Lu Nai Chen, Ho Tsung-Jung; TW

1863

Prediction of In-Hospital Fall
Via Machine Learning Approach– A Preliminary Study
Ying-Chih Lo, Li-Yin Chang,
Hung-Wei Cheng, Jung-Chen
Chen; TW

#ISQua2016

ISQua’s 33rd International Conference - Tokyo

1865

The Use of Re-Engineeringof Operating Procedures toEnhance Completion Rate of
Shift Change

1901

Ya-Ting Tang, Yu-Fen Chiu, PiTuan Chan; TW

1869

Prevention of Catheter
Associated Urinary Tract
Infection (CAUTI) In A
Singapore Tertiary Hospital

Shigeru Fujita, Shuhei Iida,
Tomonori Hasegawa; JP

1915

Introducing Sbar into Home
Visit Report Writing in
Community Psychiatric Service

1933

Wing Sum Yee, Acca Sau Ling
Wong; HK

1888

Using Comprehensive Unit
Based Safety Program (CUSP)As A Tool to Improve Safety
Culture in an Outpatient
Oncology Clinic

Understanding and Overcoming
Barriers to Timely Morning
Discharge from Pediatric Units
Amira Mustafa, Samar Mahgoub;
QA

Woei Kian Ng, Brenda Zhuang, Jj
Goh, Jai Rao; SG1886

An Estimation of the Number
of Patient Deaths Caused byAdverse Events in Hospitals in
Japan

The Measures for Reducing
Emergency Patient’s Chest
Drainage Bottle Tubing
Mistakes
Bey-Jing Yang, Jiann-Fu Lin; TW

1945

Quality Data and Clinical
Decision Proof of Effectivenessfor Benchmarking the Quality
Performance of Clinics
Klaus Hubatka, Gerhard
Halmerbauer, Silvia Türk; AU

Hisam Alahdab, Isil Yerlikaya; TY

1891

Detecting Adverse Events withA Retrospective Medical Record
Review Using the Global Trigger
Tool: Preliminary Findings fromTaichung Veterans General
Hospital, Taiwan
Wang Chia-Hui, Wu Chieh-Liang,
Chen Cheng-Hsu, Chao WenCheng; TW

1900

1959

Faisal Khan, Robert Conway,
Robert Jones, Ruraidh
Macdonagh; UK

1981

Cost of Illness of Liver Cirrhosis
in Japan - A Time Trend andFuture Projections
Takefumi Kitazawa, Kunichika
Matsumoto, Tomohiro Hirao,
Tomonori Hasegawa; JP

A Landscape Survey of Patient
Safety Professionals in Central
TaiwanMingi Chan Liao, Hsin Wen Hung,
Jung-Chen Chen, An-Na Pong;TW

Future Trend in Urology;
Nurse Led Stone Service. Is It
Effective & Economical?

1984

Using Historical Data to
Improve Efficiency of
Scheduling for Operating
Rooms.
Long Chung Chang, Alan Ronald
Talbot; TW#ISQua201675

ISQua’s 33rd International Conference - Tokyo1987

HFMEA to Improve the Safe Useof Intravenous Infusion Pump

2061

Yu Hsin Tseng, Shu Chin Yeh, Yun
Ching Chen, Ya Wen Lin; TW

1997

The Effectiveness of
Hospital Medical Adverse
Events Reporting and Risk
Management System

Sandhya Mujumdar, Swee Chye
Quek, Michael Caleb; SG

2063

Reduce Incidence of Patient
Falls at Medical Center in North
Taiwan2089

Chiu Kuel Li, Shun Yi Cheng, Yan
Shian Chen, Hsiu Wen Yeh; TW

2007

The Experience for Reduce
Physical Restraint Rate in The
Medical Center

Implementation of PatientCentered Pharmacloud
System to Reduce Medication
Duplication

2119

The Comprehensive Cost of
Illness for Three Major Diseases
in Japan
Kunichika Matsumoto, Shimpei
Hanaoka, Tomonori Hasegawa;
JP

2052

Reducing Incidence ofConjunctivitis of Neonates
Using Respiratory Therapy
Devices in Neonatal Intensive
Care Unit

The Effect of Bundle Care On
Catheter- Associated Urinary
Tract Infection
Hong Lin-Zin, Lai Wen-Chen,
Chen Pao-Ju, Chien Yi-Chen; TW

2121

Wu Ying-Cheng, Huang YingChih, Lu Tzu-Hsuan; TW

2047

Assessment of The Quality
and Contents of “Undesirable
Outcomes” In Clinical Practice
Guidelines Developed by Using
the Grade Approach.
Yoshihito Goto, Junji Kaneyama,
Yoshimitsu Takahashi, Takeo
Nakayama; JP

Yu Chun Lin, Yen Ting Wang, Yu
Ling Hsieh, Yi Fang Lai; TW

2028

Feasibility of Usability Test in
Human Error Prone Infusion
Device – A Pilot Study
Foon Yee Chan, David Tf Sun,
Calvin Kl Or, Hing Yu So; HK

Wei-Lun Liu, Chia-Jung Chen,
Pei-Ting Chen, Tzu-Ying She; TW

2004

Helping Hospital Staff in
Dealing with Abusive Patients

Reducing The Time from
Referral to Treatment for Lung
CancerPeter Sigerseth Grøn, Peder Jest,
Kim Brixen; DK

2147

Reducing Unscheduled
Return (UR) To Emergency
Department (ED) Within 72
Hours by Implementing ‘Pain
Management Protocol’
Jui-Teng Chien, Hung-Lung Lin,
Min-Nan Lin, Cheng-Yung Lee;TW

Ying-Chen Chang, Jui-Hsing
Chang; TW
76#ISQua2016

ISQua’s 33rd International Conference - Tokyo

2151

Construction of Safe
Communication Channel fromPrescription to Medication for
Anticancer

2209

Li-Wen Hung, Yu-Cheng Chen,
Tung-Jung Huang; TW

Jounghee Kim, Kyung Im Choi;
KR

2164

Explore The Factors Affecting
Privacy Protective Behavior
Intention of the Electronic
Medical Record: A Community
Hospital Study

2211

Shu-Hui Chuang, Cheng-Jung
Wu; TW

2174

Improvement Activity to
Prevent Falls in The Hospital
H. K. Lee,, H.J. Kang, M.K. Ju,
M.S. Kwak; KR

2175

Patient Safety Culture Survey in
A Local Community Hospital inSouthern Taiwan

Never Events in General
Practice: A Focus Group Study
Exploring the Concept of
Never Events and Enablers andBarriers to The Implementationof Preventative Initiatives
Rebecca Morris, Aneez Esmail,Paul Bowie, Stephen Campbell;
UK

2228

Improvement of Work
Efficiency Through Transferring
Process Reformation

Incorporated A Clinical Alert
System into DepartmentSpecific Information System: A
Preliminary Result from Quality
Control Cycle
Hon-Yi Lin, Shih-Kai Hung, MoonSing Lee, Feng-Chun Hsu; TW

Minhyun Park, Eun Hee Boo; KR

2193

A New Approach for Negative
Symptoms of Schizophrenia:
Nurse Led Music Group with
The Concept of Recovery Model

2230

Chiu Jung Chiang, Pen Ting
Chen, Chun Sung Lee; TW

Mun Yee Chan; HK

2199

Quality of Care In-Patients with
Hypopharyngeal Cancer and
The Relationships with Volume
and Long-Term Outcome in
TaiwanHsin-Yun Tsai, Hung-Chi Chen,
Kuo-Piao Chung; TW

2207

Positive Outcome from
Implementation of Patient
Safety Round by Frontline Staff
in Surgical Department – A Five
Years’ Experience

Using Root Cause Analysis toPrevent Hospital Kitchen Fire: A
Single Institution Experience

2250

Establish A Systematic Model of
Quality and Safety Managementin Medical Disputes
Yi Lee, I-Fang Liu, Yow Tzann
Hwang, Soon-Hian Teh; TW

2265

The Case Management Needs inPatient with Cardiac Surgery a
Study from a Northern Medical
Center in Taiwan
Yi-Chen Kuo, Huei-Ling Huang,
Jiun-Yi Li, Ling-Chin Hung; TW

Alex Hoi Fan She, Siu Yin Fung,
Wai Lok Hon, Wai Fan Ho; HK#ISQua2016

77

ISQua’s 33rd International Conference - Tokyo

2269

Predictors for Experiencing
More Adverse Events After
Treatment of Acute Myocardial
Infarction.

2360

Danielle C Eindhoven, Jan
Willem Borleffs, Martin J Schalij,
Martine C De Bruijne; NL

2276

A Longitudinal Study Using
Quality Improvement Methods
to Improve Early Initiation ofBreastfeeding Among Four
Healthcare Facilities in Imo
State, Nigeria

Paulo Jorge Sousa, Antonio
Sousa Uva, Florentino
Serranheira, Nunes Carla ; PT

2363

Chinonyerem Unachukwu,
Uchenna Gwacham, Linda
Ugalahi, Geoffrey Anyaegbu; NG

2292

Shorten Turn-Around Time
by Improve Cytology Test
Diagnostic Input Process

2317

The Effects of the Numberof Ambulance Request Calls
to Hospitals On Ambulance
Transportation Times

2366

The Comprehensive Cost of
Illness of the Dementia in Japan– A Time Trend Analysis Based
On Japanese Governmental
Statistics.
Shimpei Hanaoka, Kunichika
Matsumoto, Tomonori Hasegawa;
JP

2399

Nao Hanaki, Kazuto Yamashita,
Susumu Kunisawa, Yuichi
Imanaka; JP

A Nationwide Survey On
Clinical Pharmacist Activity
in Infection Control Team at
Hospitals Allowed Implement
Preferential Medical Fee for
Infection Prevention in JapanAre French Primary Care
Practitioners Aware of Patient
Safety?

Nobuhiro Nishimura, Masahiro
Hirose, Kohji Naora, Yuichi
Imanaka; JP

Leila Moret, Stephanie Magnin,
Yves Lequeux, Thomas Hérault;
FR

2350

Validating Lace Index
of Predicting 30-Days
Readmission and Death Risks,
And Preliminary Results ofCombining 8p Screening Tool
Among a Tertiary Hospital in
Taiwan.
Cheng-Kuo Chang, Chi-Jung
Chiang, Ying-Ying Wu, Maw-Soan
Soon; TW

Eun Kyung Choi, Seok Jeong
Lee, Hyo Jin Park, Jin Haeng
Chung; KR

2305

Measuring Adverse Eventsin Portuguese Hospitals: A
Contribution to Improving
Quality and Patient Safety

Enhance Procedure Rate Within
65 Year-Old Patients with Hip(Femoral Neck) Fracture in 48
Hours After Admission

2402

A Decade’s Experience in
Implementing Patient Safety in
TaiwanTsung-Hsi Wang, Chung-Yueh
Lee, Kuei-Ching Chang, Min-Ling
Huang; TW

Feng-Chun Lee, Wen-Yen Huang,
Chen-Chung Ma, Chiu-Hui
Huang; TW
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2411

How to Use Knowledge from
Reported Adverse Events
to Make Improvements in
Clinical Practice - A Study from
Denmark

2517

Dorthe Døhl Poulsen, Anita
Petersen, Katrine Lund Kragbak;
DK

2426

A Systematic Review andMeta-Analysis of Community
Pharmacy Error Rates in The
United States: 1993 To 2015
Patrick J Campbell, Mira Patel,
Jennifer Martin, Ana L Hincapie;
US

2475

2482

Björn Nilsson, Agnieszka Maria
State, Alexander Svanhagen; SE

2540

2550

2552

Creating A Strong Patient
Safety-Net System – Keeping
Our Patients Safe

Process of Using HFMEA to
Improve Nurses Needlestick
Incidence

2556

Considerations and Satisfaction
Affect People Towards Hospitalor Community Pharmacy in
TaiwanYen Lin Chang, Shuw Chuan
Wang, Ming Fen Wu, Wen
Shyong Liou; TW

The Effectiveness of the
Application of Barcode
Laboratory System for Patient
Safety and Quality
Shu-Chen Chiu, Hsin-I Chiang;TW

The Effectiveness of Using
Team Resource Management
Skill to Improve Medical
Radiation Waste from Nuclear
Medicine Patient
Hui O Huang, Chia Hao Chang,
Chiang Hsuan Lee, Chih Shun
Wu; TW

Tsai Yu Mei; TW

2504

Impact of Haemolysis On
Repeat Pathology Testing andPatients’ Length of Stays in
Emergency Departments
Ling Li, Elia Vecellio, Andrew
Georgiou, Johanna Westbrook;
AU

Paul Hudson, Harvey Lander,
Malcolm Green, Mary Fullick; AU2489

5 Senses Project - Regina
Hospital Representative
Ana Carolina Sales Neves, Alexia
Mandolese Costa; BR

Quality and Safety: An
Evaluation Study On the
Result of Infection Prevention
Protocols Application.
Jaqueline Freitas, Camilla Vieira,
Lucas Silva, Tatyele Miranda; BR

National Target Levels as
A Complement Method in
Knowledge Management inOrder to Increase Adherence
to National Guidelines
Recommendations.

2557

Improving The Reporting Rateof Incidents
Mei Luan Huang, Hui Ju Cheng;
TW#ISQua2016

79

ISQua’s 33rd International Conference - Tokyo

2561

Implementing “Stop The Line”
To Reach Superior Quality andReduce Patient Risk in Zealand
University Hospital

2624

Heidi Frogne; DK

2569

Lowering The Rate of NonOrder for Specified Types ofInpatient Diet
Hui-Ning Wang, Tze-Hong Wong,
Hsi-Yu Yu, Kuan-Yu Hung; TW

2577

Mei-Chu Chen, Shu-Chen Chang
Chang; TW

2630

Implications of Lean On
Employee Outcomes in A
Hospital Environment

Patient Safety Culture in
Nursing Homes in South Korea

2632

Nam-Ju Lee, Haena Jang,
Sungjae Kim; KR

2588

2592

2644

Evaluation of Triguer Tool’s
Method for Measuring Adverse
Events in A South American
Neonatal Intensive Care Unit.
María Eugenia Kenny, Nora
Dackiewicz, Gustavo Goldsmit,
Diana Fariña; AR

2618

Risk Factors for Musculoskeletal
Discomfort Among Nurses
Yu-Shan Ou; TW

Cooperation Between HealthProfessionals - 5 Years ofDelegation of Care Activities inFrance2663

Sylvie Laot, Pierre Liot; FR

2594

When Health Care Professionals
Become Second Victims After
Involvement in an Adverse
Event - A Danish Study
Kristin Filisia Nilausen, Dorthe
Døhl Poulsen, Anita Pedersen;
DK

Patient Safety Situational
Analysis in Ghana
Elom Otchi, Cynthia Bannerman,
Edith Andrews, Stella Lartey; GH

Establishing A “Clinical Alarm
System” To Decrease Sudden
Cardiopulmonary Resuscitation
Cases
Wen-Lin Fan, Chia-Wen Hsu,
Chen-We Lee, Mia-Wen Chen;TW

Waqar Ulhassan; SE

2582

The Healthcare is Importantin Nursing Team. This May Be
Achieved by Changing and
Re-Designing of Healthcare
Support Services Workflow
with Innovative It Integrated
Systems.

Applying Lean Methodology
to Improve the Blood Products
Delivery System
Ji Yan Lyu, Hui Chun Chung,
Ming Wei Chen, Li Chih Yu; TW

2680

A Systematic Approach to
Improving Hand Hygiene
ComplianceRebecca Anderson, Hajere
Gatollari, Vicki Lopachin; US

Designs by Medical
Professionals in Creating a
Humanized Intensive Care Unit
Yaling Shih; TW

80#ISQua2016

ISQua’s 33rd International Conference - Tokyo

2702

Implementing Mews (Modified
Early Warning Score) Scale asan Early Warning Instrumentof Clinical Deterioration ofPatients in Hospitalization Units
Sandra Silva, Jacob Sessin
Filho, Renata Oliveira, Daniella
Krokoscz; BR

2708

2744

Shu-Wen Huang, Chia-Ling Hus,
Yu Ling Hsieh, Ping-Yen Chen;
TW

2745

The Integration of Team
Resources Management in
Health Information System (HIS)Can Improve or Efficiency and
Minimize Unnecessary Delays
for Emergency Operations

Do Transformational Leadership
Style and Patient Safety
Culture Matter to Nurses’ Task
Performance in Hospital?

2771

Doresses Liu, Kuo-Feng Wu; TW

2725

Improvement Project On Safe
Application of Mechanical
Ventilator Standby Mode

An Audit of the Utility of an
Electronic Clinical Handover
System in A Surgical
Department

2789

The Effectiveness of Multiple
Strategies On Improving Fall
Incidence with Stroke Patients
Yen Ting Wang, Fang Ling Lin,Hui Ping Wang, Chun Mei Chen;TW#ISQua2016

Establishing Medical Adverse
Event Reporting System in
Purpose of Learning and
Improving
Wan-Chen She, Yie-Ping Lea,
Jiun-Yi Li; TW

2797

Rachel Loh, Han Boon Oh,
Lynette Loo, Ridzuan Farouk; SG

2741

Associations Between Minimum
Serum Albumin Count During
Hospitalization Period andMortality in Elderly Inpatientswith Low Nutritional Status.
Seiji Bito; JP

Kam Shing Lau, On Kei Angela
Lee, Yuk Lan Leung, Kam Kuen
Kwong; HK

2730

Venous Thromboembolism
After Gynecological Malignancy
Surgery: Changes of The Fibrin
Monomer Complex and D-Dimer
Level During the Perioperative
Period.
Takashi Terada, Tsuyoki
Kugimiya, Kazuhiko Takiguchi,
Tsuneyoshi Yakuwa, Morito
Morita; JP

Chuan-Fang Li, Mei-Ling Kuo, Mel
Shiuann-Shen Lee, Shao-Chun
Wu; TW

2714

Modify Waiting Bed in Hospital
Form to Reduces Incidence ofPsychiatric Patient Falls

Implementation of The Careof CVC Maintenance Bundles
to Reduce the Central Line
Associated Bloodstream
Infections
Jen Yu Chi, Chia Chen Wu; TW

2812

Application of Standardized
and Innovative Strategies to
Reduce Bloodstream Infection
Chun Jung Chiu, Tsung Xian Lu,
Shih Hua Lin, Chi Wen Kao; TW

81

ISQua’s 33rd International Conference - Tokyo

2814

Thailand Hospital Indicator
Project: An Effective Platform
for Performance Benchmarking
to Compliment the National
Accreditation Program

2871

Ulrica Von Thiele Schwarz, Mikael
Kakeeto, Robert Lundmark,Henna Hasson; SE

Jiruth Sriratanaban, Piyawan
Limpanyalert; TH

2826

Change and Sustainability in
Healthcare Quality: Predicting
Delay Factors of Bar-CodingSpecimen

2873

Bi-Lian Chen; TW

2827

Impact of Quality Control
Circle Activities On Integrity of
Education for Febrile PediatricPatients

Applying AHRQ ClinicalClassifications Software in
Administrative Claims Model for
Comparing Hospital Mortality
Rates Among Patients with
Pneumonia or Stroke
Raymond Nienchen Kuo, Yu
Chen, Hsun-Hsiang Liao, KuoPiao Chung; TW

2844

2883

2864

Systematic Review of Value
Stream Mapping in Care
Facilities – An Evidence-Based
Intervention of Organizational
Development?

Whether Extending
Repositioning Time Increases
the Incidence of Pressure Sorefor Severe Bedridden Patients
Ming-Shiuan Huang, Yun-Yu Wu,
Chun-Ching Chen, Hsin-Chih
Chung; TW

2890

Malpractice Litigation Over
Accidental Choking in the
Elderly in Japan
Tomoko Hamasaki, Akihito
Hagihara; JP

2900

Improving Patient Safety
Culture in A Medical City in
Saudi Arabia (2012 - 2015):
Trending, Improvement andBenchmark Analysis
Khalid Alswat, Rawia Ahmed
Abdalla, Maher Abduaraheem
Titi, Fadi El-Jardali; LB

Implementation of A Screening
Protocol for Patients withPotential Sepsis in an Urban
Emergency Department
Imad Khojah, Aleksandra Smith,
Ivy Benjenk, Griffin Davis; US

Qing Qing Chen, Yi Bin Zhang, Ci
Pine Ting, Lai Yin Tsai; TW

2830

Improving Quality by Adheringto National Guidelines, or by
Adapting Them? Results from A
Survey with Health Care Staff

An Evaluation of the Predictive
Accuracy and Usability of a
Rehabilitation-Specific Falls
Assessment Tool.
Natalyia Shkuratova, Eirene
Blatsis, Mari Botti, Ana
Hutchinson; AU

2902

Refining The Quality
Measurement of Diabetes Care
Using a Modified Diabetes
Bundle in Singapore
Matthias Paul Han Sim Toh, Lin
Jen Lee, Yin Min Thaung, Linus
Tham; SGMarina Nowak, Ute Karbach,Holger Pfaff; DE
82#ISQua2016

ISQua’s 33rd International Conference - Tokyo

2952

Analysis of The Tendency
About Accidents or Incidents
Based On Patients’ Different
Attributes Utilizing Text Mining.

3145

Yasuyo Kasahara, Yumiko
Takubo, Kanako Murata, Mayumi
Matsui; JP

2965

Small Changes for
Big Improvements: A
Comprehensive Approach
Towards Enhancing Patient
Satisfaction Through Small
Initiatives
Muhammad Akbar Khan, Rehan
Baig, Wasif Siddiqui; PK

3011

3017

Ricardo Alcoforado Maranhão
Sá, Walter Vieira Mendes; BR

3147

Prioritizing Patient Safety:
Improving The Hands-Off
Process in Endoscopy Suiteof a Tertiary Care Hospital in
Karachi, Pakistan
Saba Akbar, Saima Allauddin,
Rozina Khimani; PK

3177

The Clinical Services Excellence
Team: Improving Patient
Outcomes at Every Level of the
Hospital Service

Lethal Adverse Event
Investigation System - Problems
and Necessary Supports for The
Investigation of Unexpected
Patient’s Death Due to Medical
Service in Japan

Kim Gehrke, Michelle Winning,
Amy Barnett; AU

Tomonori Hasegawa, Shigeru
Fujita, Shuhei Iida; JP

Outcomes of Implementing
Sharps Injury Risk Reduction
Strategies in The Operating
Room in One Tertiary Hospitalin Taiwan
Ling-Yu Lin, Hung-Ju Tsai, ChiaLan Chen, Cheng-Kuo Chang;
TW

3063

The Assessment of Adverse
Events Related to MRI
Equipment - A Case Study ofMaude Database

Evaluation of Quality
Improvement Activities Using
Patient Satisfaction Survey

3185

Research Progress of Hospital
Acquired Conditions in China
Jiao Jianjun, He Ying, Wang
Yanyan; CN3189

Analysis of Usage Patterns andUsability Problems of Infusion
Pumps in A Tertiary Hospital ofSouth Korea
Taezoon Park, Sang Ill Lee,
Euyoung Choi, Minji Park; KR

Tumurbat Byamba, Ouynchimeg
A; MN

3129

Improving The Reporting
Rate of Incidents by Nurse
Practitioners Thru TRM
Miao-Ching Wang; TW#ISQua201683

ISQua’s 33rd International Conference - Tokyo

EXTERNAL EVALUATIONSYSTEMS
1014

1567

A Comparison of GraphicalRepresentations Applied to
Hospital Patient Safety Surveys

Danish Saleem Lalani, Michael
Saldanha, Aienullah Beg,
Mohamed Irfan Khan; PK

Shouyung Huang, Tsair Wei
Chien; TW

1598
1320

Current Issues Surrounding
Immunity for Health Care
Providers Regarding Advance
Directive Laws in The US States

Using Video Technology as an
Alternative for Evaluation inHigh Risk Countries

1763

Mary Fialkowski, Paul Chang; US

1545

Acute Coronary Syndrome
Patient Treatment in Taiwan-A
Six-Year Tendency inEmergency Medical Service
SystemThe Trends of Acute Ischemic
Stroke Patients Treatment
in Taiwan Hospitals, Who
Participate in Emergency
Medical Service System
Nai Hua Chen, Chia-Hui Cheng,
Yao-Ta Wu, Ching-Feng Chiang;
TW

Core Surveyor System: An
Innovative Mechanism Brings
Better Quality of Hospital
Accreditation in Taiwan
Penny Ping, S. W. Lin, H. C. Lin,C. I. Huang; TW

2033

Patient Opinions of a Pharmacy
Rating Model in The UnitedStatesMira Patel, Terri Warholak,
Meagen Rosenthal, Ana L
Hincape; US

Chia-Hui Cheng, Nai-Hua Chen,
Huei-Peng Wang, Ching-Feng
Chiang; TW

1550

The Effect of Institutional
Review Board/ Ethics
Committee Survey Program in
TaiwanY.W. Sun, H.Y. Chang, P.Y. Chen,
C.F. Chiang; TW

Miho Tanaka, Shoich Maeda; JP

1361

Strategic Evolution of Health
Information Management
Services (Hims): The Essenceof a Competent Evaluation
System2045

New Trends in Continuing
Professional Development
Certification and Licensure
Mindi K. Mckenna, Mark L. Staz;
US

2239

The Regulatory Role in
Addressing Physician Burnout
and Wellness: Emerging
Initiatives in The United StatesMark Staz, Humayun J.
Chaudhry, Arthur S. Hengerer;
US

84#ISQua2016

ISQua’s 33rd International Conference - Tokyo

2681

Benefits of Accreditation: The
Voice of the Client

1422

Kieran Jordan, Anne BrassetLatulippe, Helene Sabourin,David Greenfield; AU

2961

Experience in Specialist
Outpatient Clinics from Patient
Perspective

Health Literacy, SelfManagement, Quality of Life,And Disease Control of Patientswith Chronic Kidney Disease: A
Long-Term Follow-Up
Minhua Tang, Chou Ping Chiou,
Wen Chin Lee; TW

1438

Eliza Lai Yi Wong, Siu Fai Lui,
Annie Wai Ling Cheung, Eng
Kiong Yeoh; HK

The Effectiveness of Different
Health Education Strategies
for The Health Outcomes inPatients with Type II Diabetes
Hsiao-Mei Wang, Kwua-Yun
Wang; TW

USING EDUCATION TO
SUPPORT QUALITY
IMPROVEMENT
1174

1440

Kidney Sticker Book: A
Nutritional Guide to Renal
FailureSan See Wong, Rachel Marie
Towle, Chen Na Lee, Zhiying
Lim; SGI Chin Fang; TW

1200

Antibiotic Stewardship On
Perioperative Antimicrobial
Prophylaxis: Its Impacts On a
Big Italian Teaching Hospital
Antonio Giulio De Belvis, Maria
Tanzariello, Stefano Marventano,
Rita Murri, Sabina Bucci andSpes Group; IT

1257

1349

1443

Reduction of Days of Ventilator
Dependence Among Patientsin ICUs
Through Physical Therapy as
Invention

Assessment of Knowledge
and Attitude About Quality of
Health Care Among Nurses in
Ain Shams University
Samar Mohamed El Awady, Sally
Adel Hakim; EG

1469

Literature Review ofTeamstepps Studies Measuring
Quantitative Outcomes
Manaho Yamagishi, Minako
Sasaki, Yukie Takemura, Keiko
Kunie; JP

To Enhance Medication
Adherence Rate Among
Patients with Chronic Disease
Post Discharge from an Acute
Hospital.

Using Mobile Learning Modelto Enhance Patient Satisfaction
with Nursing Care
Ju Hsiu Jen, Jane Chiung Wu,
Hui Shu Yang; TW

1492

Developing Assessment forRadiological Technologists
Core Competency Training in
TaiwanY.F. Chen, H.C. Su, H.C. Chun, C.I.
Huang; TW

Hui-Chun Chao, Chiu-Yin Yeh; TW#ISQua2016

85

ISQua’s 33rd International Conference - Tokyo

1588

The Study of Self-EvaluatedClinical Care Competencies
Among the Traditional Chinese
Medicine Nurses

1725

Miau Ju Chang, Li Ling Hsu, Suh
Ing Hsieh, Tzu Hsin Huang; TW

1592

Effectiveness of A Multimedia
Education On Complianceand Symptom Management in
Newly Diagnosed Lung Cancer
Patients Post-Treatment
Chi-Chin Huang, Yueh-E Lin,
Shu-Ling Yeh, Han-Pin Kuo; TW

1600

1645

Yang Siouru, Chao Liang Sun,
Chi Fang Tu, Shang Chi Liao; TW

1728

1752

1761

Anger Management Programfor Psychiatric Clients Under
the Care of Community
Psychiatric Service

Effect of A Bundle Care Model
On Catheter-Associated Urinary
Tract Infection (CAUTI) In A
Medical Intensive Care Unit
(MICU) In Northern Taiwan
Shu-Chien Liang, Wen-Chen
Yao, Yen-Ju Huang, Nan-Ping
Yang; TW

1724

Using Multiple Teaching
Intervention to Improve
Operating Room New Staff
Orthopedic Clinical Learning
ResultShih-Ping Chuang, Mei-Chuan
Yang; TW

86

Effectiveness of Endotracheal
Tube Skin Bundle Care Training
Program
Shu-Chen Wu, Chun-Lan Cheng,Huai-Lin Liao; TW

Utilizing Situational Simulationin Nursing Education to
Improve Nurses’ Self-Efficacy
of Communication Skills When
Communicated with Family
Caregivers of Patients
Hui-Fen Hsiang, Pei-Ling Wang,
Shu-Liu Guo, Shu-Tai Sheen
Hsiao; TW

Kar Bok Yeung, Chi Wah Leung,
Wai Chung Lung, Po Yee Ivy
Cheng; HK

1698

Explore of Newly EmployedNursing Staff Learning Needs A Qualitative Study
Yao Mei-Yu, Lu Chu-Yun; TW

Interprofessional Education
Program for The Two Years
Post-Graduate Pharmacists:
Nurse Shadowing
Hui-Wen Liu; TW

Effect of Conversation Map
Education Tools On Type 2
Diabetic Patients for Blood
Sugar Control

1770

Applying an Educational
Training Modal to Improve theUsage of Palliative Shared Care:The Effectiveness in Intensive
Care Units
Chia Wen Lin, Ching-Hua Tasi;
TW

1774

A Practical, Multi-Interaction
Approach to Improve Patient
Safety Awareness Among
Healthcare Professionals Using
Crew Resource Management
Christina Kw Chan, Siu Ha
Leung, Pik Kei Chan, Hang
Kwong So; HK#ISQua2016

ISQua’s 33rd International Conference - Tokyo

1778

Satisfaction Survey of Trainees
Engaged in 1-Year Postgraduate
Training Program

1883

K. C. Tsai, M.C. Lin, H.C. Chung,
C.I. Huang; TW

1801

A Study On Improvement of theCompletion Rate of Pain Care
Provided by Oncology Nurses
for Cancer Patients
Chiu Wan Ting, Yu Cheng Weng,
Lin Yu Ting; TW

1813

1838

1935

The Development of a Brief
Dietary Assessment Tool for
Japanese Type 2 Diabetic
Patients
Tatsuo Yanagawa, Hidetake
Tsunoda, Keiko Koyano, Shuhei
Iida; JP

1971

Reduction of Accidental Leaks
in Stomas of Inpatients byUsing Quality Control Circle
MethodChin-Chia Wu, Ying-Chun Liu,
Chin-Min Wang, Ching-Hsiang
Chen; TW

1875

Yi Hsin Huang, Chen Pei Lin, Yi
Ting Wu, Wen Chuan Lin, Ju Wei
Yeh; TW

Long-Term Effectiveness of the
Diabetes Conversation Map
Program: A Pre-Post Education
Intervention Study Among
Diabetic Patients in Taiwan
Jui-Yu Hung, Tzung-Yi Tsai; TW

The Validity of Completion
Rate of Pgy Trainee Satisfaction
Questionnaire Regarding
Community-Based Teaching
Program: A Southern Regional
Teaching Hospital as an
ExamplePromoting The Correct
Cognition Rate of Diet Care
Guidance for Children with
CancerHsiu Mei Liu, Yu Ying Huang, Shu
Li Lee; TW

1975

Experiences of Nurse
Preceptors Regarding Their
Training Programs

Staff Empowerment: Self
Scheduling of Nursing Roster inSurgical Ward
Mei Ling Ng, Sau Ming Szeto,
Monica Lai Kwan Ng, Mei Ki
Lau; HK

Chun-Mei Kang; TW

1990
1882

The Effect of Education
Program On Perception ofPatient Safety Culture Among
Nursing Staffs in A University
Hospital in Taiwan.
Te-An Chang, Huey-Wen Liang,
Jih-Shuin Jerng, Jui-Sheng Sun;TW

To Improve the Integrity of
Isolation Precautions for
Cleaning Staffs
Ting Chi Pine, Chen Qing Qing,
Tasi Lai Yin, Lin Li Chun; CN

2002

The Experience of Audit toEnhance the Effectivenessin The Hospital Quality
Improvement
Tzu Ching Chuang, Yu Ling
Hsieh, Yun Ching Chen, Fang
Yeh Chu; TW#ISQua2016

87

ISQua’s 33rd International Conference - Tokyo

2140

Improving Ophthalmologists
Adherence to Initial Workup
and Setting Treatment Target inPrimary Open Angle Glaucoma
Patients Through Education
Jonathan Ho, Christine Wu,
Simon Ko; HK

2247

2519

2610

Quality Improvement inPharmacy Externship Education
to Enhance MedicationCounseling for Acute Angina

The Effectiveness of ClinicalCompetency by Using MiniCex in A Southern Teaching
Hospital

Capacity Building for
Performance Management ina University Medical City in
RiyadhNada Moustafa Alhabib, Maram
Mohamed Bakhsh, Khalid Aida
Alswat, Yasser Sami Amer; SA

2467

Evaluation of Pretest andPosttest Knowledge After CPR
Revision Training Programme
Among Health Care Workers in
Rural Area in Guangdong China
Wing In Choi, Ping Fat Lau; HK

Harvesting Ideas Bottom Up,
To Harvest Better Operational
Efficiency by Practicing Lean
Management in Private Hospitalin Indonesia Adapting to
National Health Coverage Era
Fathema Djan Rachmat, Astari
Mayang Anggarani, Muhammad
Kartobi, Ading Rasidi; ID

2631

Initial Steps Towards a Safety
Culture Using The 5S Programfor Hospital-Wide Employee
Training
Wei-Chen Hsu, Alan Ronald
Talbot; TW

Shu-Hwa Chen, Yi-Hui Li, MingChu Chiang; TW

2445

An Innovative Partnershipto Promote Antimicrobial
Stewardship in Hospitals
Andrew Morris, Yoshi Nakamachi,
Danielle Doschner; CA

Tina Yun-Ting Pan, Yi-Zu Wang,
Mei-Ju Chien, Meng-Yu Chen;
TW

2391

Enhancement of PatientControlled Analgesia (PCA)
Safety with Ease Program
Hong Ping Liu, Yuk Kuen Sherry
Ng; HK

Participating at Taiwan Talent
Quality-Management System(TTQS) Lesion from at One
Regional Hospital in 2015
Yun-Ning Kao, Yi-Chun Shih, HuiTzu Lin, Hsiu-Ling Wang; TW

2315

2469

2637

A Hand Hygiene Compliance
Improvement Program for
Physicians
Myoung Jin Shin, Hyun-Ju Lee,
Yeon-Jeong Bae, Hong-Bin Kim;
KR

2738

Reducing The Injury Rate ofFalls Through Application of
Pluralistic Education.
Bao-Chin Lai, Ming-Yi Chen; TW

2822

The Beneficial Effects of the
Support Group On Nursing
StaffsPei Fang Chia, Huei Yin Chou; TW

88#ISQua2016

ISQua’s 33rd International Conference - Tokyo

2851

Attitudes of Residents
Towards Clinical Handover andPatient Safety in A Surgical
Department

2979

Han Boon Oh, Rachel Loh,
Lynette Loo, Ridzuan Farouk; SG

2881

Utilization of Medical Safety
Information in Medical
Institutions

Roy Tsui, Pauline Wong; HK

2985

Misa Sakaguchi, Hiromi Sakai,
Junko Inoue, Shin Ushiro; JP

2914

Medication Safety
Enhancement Workshop- Use of Infusion Pump in
Rehabilitation Hospital

Promotion of Mediation
Skills Training in Hospital
Authority for Effective Conflict
Resolution

Exploratory The Effects ofDiversified Teaching Strategies
in Pig-Tail Drainage Tube Careof Nursing Post Graduate Year
Two Students
Yin-Chen Chen, S.-C Kuo, S.-F
Chen, C.-H. Chang; TW

3028

Aileen So Fan Yang, Lai Ping
Cheng, Hoi Yee Tsang, Sim
Heung Yeung; HK

Preparing for The
Commencement of an
Allogeneic Stem Cell
Transplantation Service:
Building Capacity ThroughExperiential Learning
Emma Cohen; AU

2936

The Effects of Using TRM Skills
in CPCR Critical Simulation
Training Program

3042

Su-Yueh Lin, Chih-Jung Wang,
Sheng-Han Tsai, Hui-Fen Chen;
TW

2957

The Development of Teaching
Materials in Manga Style for
Self-Learning in Japan with
Which Students Can Learn toTransfer Patients into WheelChairs

Hh Lee; TW

3160

Rei Ushiro, Shiho Takayama,
Yoshikazu Asada, Masaru
Kawakami; JP2959

Protocol-Driven Respiratory
Rehabilitation Program in
Ventilator Difficult-To-Weaned
Patients: A Respiratory Care
Unit Experiences

The Factors Which May
Influence the Effectiveness of
Rapid Response Teams

Ethics Education Supporting
Patient Safety and Qualityof Care: Improving The
Process and Documentationof Informed Consent at an
All Male Urology Unit in The
Middle East
Manal Bouhaimed, Hossam
Elamir, Ahmad Alenezi; KW

3186

Analysis On the Effect ofTraining of Training of Quality
Management Tools for Hospital
Clinical Physicians
Chen Yuanyuan, Sun Rongrong;
CN

Chen Liang Tsai, Jing Yi Li, Pei
Hsun Wu, Chih Feng Chian; TW#ISQua201689

ISQua’s 33rd International Conference - TokyoPERSON CENTRED CARE
1012

1378

Improving The Quality of Carefor Bullous Pemphigoid Patientsby Multiple Nursing Strategies

Increasing Palliative Care Input
for Patients with Poor Prognosis
in Neurosurgical Intensive Care
Unit (NICU)
Yulin Wong, Choo Hwee Poi,
Huiling Tan; SG

Hsiao-Ling Chen; TW

1396
1064

The Effect of Ventilator
Weaning Program at The SubAcute Respiratory Care Ward

Li Jui-Hsuan, Hu Fang Chi,
Chang Yi Chen; TW

Chia Chen Wu, Hui Mei Tseng;
TW

1121

Effects of Music Listening On
Anxiety and Physiological
Response in Patient’s
Undergoing Awake Craniotomy
Pao-Yuan Wu, Mei-Lin Huang,
Chi Wang, Lun-Hui Ho, Whei-Mei
Shih; TW

1244

1314

Delirium Prevention for Older
Adults in A Medical Unit of an
Acute Care Hospital: A Quality
Improvement Project
Jasmine Sin Ee Kang, Serene K
K Goh; SG

1338

1402

1415

Safety Management of Diseases
in Patients Who Have Mental
Disorders as Co-Morbidity
Maya Takamoto, Tetsu Yano,
Yukio Hiroi; JP

1488

Multi-Disciplinary Team (MDT)
Patient-Centered Approach in
Treating Oesophageal Cancer A Single Centre 5-Years Review
Wong Ka Fai Kevin; HK

1509

Using Regular Patient
Satisfaction Questionnaires
and PDCA Cycle to Create a
Friendly Medical Environment
Feng-Chun Hsu, Shih-Kai Hung,
Yeuh-Ru Lin, Hon-Yi Lin; TW

A New Service Model to Handle
Long Stay Cases in Hong Kong
Acute Hospital
Yu Kan Shirley Hung, Wing Yee
Elaine Wong; HK

Futile Medical Care for End ofLife Critical Care Patients
Hsiao Lin Fang, Mei Fang Chen;TW

A Rise in Fall Incidence? Tackle
It Right Away!
Miu Kuen Chan, Lok Man Wong,
Choi Chung Leung, Mei Hing
Lee; HK

Reduce The Pain Index of
Preschool Children Receiving
Intravenous Injection in
Emergency Room

1526

Accident & Emergency
Attendances and Emergency
Hospital Admissions for CaseManaged Patients; A Single
Case Cross Sectional Study
Eloise Elaine Phillips, Sarahjane
Jones; UK

90#ISQua2016

ISQua’s 33rd International Conference - Tokyo

1528

Sustained Health Care
Quality and Bio-Psychosocial(BPS) Approach On CostEffectiveness of Cancer
Patient’s Treatment: Preliminary
Results of a Small Outpatient
ClinicJames Freitas Fleck, Luis
Fernando Venegas, Rosangela
Dambros, Alexia Costa; BR

1543

1767

Pei-Jung Hsu, Jih-Shuin Jerng,
Szu-Fen Huang, Jui-Sheng Sun;
TW

1771

Improving The Administrationof Oral Nutrition Supplements
to Malnourished Patients
According to Prescriptions
Yen Peng Lim, Meow Gek Lim,
Elysia Pei Chin Low; SG

1667

The Implication of Medical Care
Collaboration to Reduce Tube
Thoracostomy Complications inThoracic Surgical PatientsThe Illness Perception and SelfCare Behavior of Patients with
Heart Failure

1789

1745

Posttraumatic Stress Disorderand Resilience for Lung Cancer
Patients

1794

Systematized Follow-Up
Management of PCA (PatientControlled Analgesia)
Ym Choi, Aera Joo, Hh Ghil; KR

1799

Kuan-Yu Chu, Pi-Chu Lin; TW

When Team Conflicts Threaten
Quality of Care: A Qualitative
Study of Healthcare Providers’Experiences and Perceptions

Exploring Bowel Dysfunction,
Self-Care Needs and Depressionof Patients Following Colorectal
Surgery

Stéphane Cullati, Naïke
Bochatay, Pierre Chopard,
Mathieu Nendaz; CH

Shu-Hwa Tan, Pi-Chu Lin; TW

1746

Invigorating Registration ofHigh-Pass Card Service forPatients
Chae Dongkeun, Jeong
Youngkwon; KR

Wang Yen-Ting; TW

1740

A Qualitative Analysis of
the Concept of Successful
Aging Among the Oldest Old
in Japanese Society; ReExamining the Concept Throughthe Adaptation Process to
Aging
Michiko Sato-Komata, Akiko
Hoshino, Kanae Usui, Toshiki
Katsura; JP

Lee Ming-Ching, Gau Jia-Ying; TW

1713

Reduced The Unplanned
Cancellations of Surgical
Operations by Establishment
the Standardized Management
Process

Impact of Pharmacy Education
and Counselling Service On
Chemotherapy Patients
Hui Hung Yu, Wen Liang Lin,
Pheng Ying Yeh, Hui Jen Chang;TW#ISQua2016

1834

Person Centred Care:Management of AcutePostoperative Pain in
Arthroplasty Surgery
Paolo Orlando, Fernanda
Perdelli, Marialuisa Cristina; IT

91

ISQua’s 33rd International Conference - Tokyo1864

The Effectiveness of Post-Acute
Care Model on a Patient with
Acute Stroke

2046

Wu Li Ching; TW

1923

Language Support System
for People from Overseas in
National Center for Global
Health and Medicine Hospital

Ling Cheng, Shun-Yi Cheng, YenTing Wang, Mei-Hua Sun; TW

2055

Satoshi Fujie, Mikiko Arai, Yutaka
Seki, Kunihiro Mashiko; JP

1966

Reducing Cancer Patients’
Misconceptions of Opiate
Analgesics and Increasing
Satisfaction with Pain Control
Nien-Chin Sung, Chia-Fen Hsieh,
Hsiu-Ling Chou; TW

1970

1980

2020

Implementation of A DedicatedFast Track System Reduces
Antibiotics Door-To-Needle(DTN) Time in Suspected
Chemotherapy Induced Febrile
Neutropenia
Oscar Siu Hong Chan, Iris Wong,
Wai Man Ling, Rebecca Yeung; HK

2022

2078

Effectiveness of DietitianInterventions on Nutritional
Care Quality Status in Home
Health Care

Trends in Quality of Post-Stroke
Care at Primary Care Clinics
in Singapore: A 7-Year Review
Using The “Stroke Bundle”
Yin Min Thaung, Matthias Toh,
Lin Jen Lee; SG

2084

Patient Driven Goal Setting;
How Can We Do It Better?
Lisa Mary Somerville, Lisa Jane
Cameron, Natasha Anne Lannin,
Catherine E Naismith; AU

Promoting ‘Scrub The
Hub’ Bundled Strategies inPreventing Mrsa Bacteremia
in Patients Having Central
Venous Catheter Undergoing
Hemodialysis
Hau Sim Ho, Ching Kit Chan, Chi
Kwan Wong, Man Hung Fan; HK

Development Clinical Nutrition
Nursing Guidelines for Critical
Patients in Taiwan
Hui-Fang Tung, Yu-Chu Pai, HsiuChing Ko, Mei-Chuan Chen; TW

The Effectiveness of Shared
Decision Making Model On
Improving Decisional Conflictin A Patient with Recurrent
Aspiration Pneumonia Facing

Ethics Regarding Maximizing
the Benefits for End-Of-Life
Patients
Lee Huei Chin; TW

2085

Using “End-Of-Life Decision
Making Instruction Sheet” To
Guide the Communication
Process in Sicu
Wen-Pei Lo, Pi-Chun Lee, BaoHua Huang, Wen-Yin Wang; TW

2104

Arteriovenous Fistula (AVF)
Created Before Starting Dialysis
Minimized Hospitalization to
Improve Quality of Initiation
Cheng-Hsu Chen, Ming-Ju Wu,
Tzu-Mei Lin, Kuo-Hsiung Shu; TW

Wei Chieh Hung, Mei Yi Wu, Wei
Leng Chin, Chi Wei Lin; TW
92#ISQua2016

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2107

Building A Metropolitan
Service Model for Integrating
Health Care, Establishing A“Community Hospice TransDisciplinary Team”

2422

Paulo Marcio Yamaguti, Liana
Matheus, Luisa Figueiredo,
Luciana Silva; BR

Meng-Ping Wu; TW

2111

Add Value of Community
Services with Breast Imaging
and Pap Smear Test

2457

San-Kan Lee, Chen-Lai Ma, HuiJen Chen, Chen-Jung Yen; TW

2141

Nursing Experience of a
Hepatocellular Carcinoma
Patient Who First Time
Received Transcatheter Arterial
Chemoembolization

2487

2264

2295

2512

Addressing The Minority: The
Use of Hyperbaric Oxygen
Therapy in Pyneh

Implementation of thePharmacloud System in a
Pharmacist-Led Medication
Reconciliation Program in
Hospital Integrated Ambulatory
Care

Suk Yin Margaret Yuen, Lap Wa
Chan, Ping Fat Lau; HK

Yi-Yen Lin, Yen-Yu Huang, ChenHsu Lo; TW

Implementing and Facilitating
Person Centered Care in
Geriatric Setting

2528

Lai Man Ng, Pui Yu Li, Bik Ki
Peggy Lui; HK

2342

Dynamic Triage to Reduce
the Waiting Time in Patients
Visiting the Emergency
Department: Experience at a
University-Affiliated Medical
Center in Taiwan
Chia-Kuei Lin, Jih-Shuin Jerng,
Cheng-Chung Fang, Bey-Jing
Yang; TW

The Quality of Baby-FriendlyCare in A Regional Hospital in
Northern Taiwan
Pei Ying Chen, Xin Xu Jian, Ya
Wen Xue, Pi Tuan Chan; TW

Study of High Risk of Metabolic
Syndrome On Nurses’ Exercise
Behavior, The Stages of Change
Model, And Related Factors
Wen-Ping Lee, Whei-Mei Shih,Pao-Yuan Wu, Meng-Ying Lee; TW

Hsiang Mei Lan, Li-Hsueh Chi;
TW

2169

Care in Oncology: Integration
Between Education andAssistance in Physical Therapy
Activities

Three Years Evolution of Patient
Complaints in A European
Emergency Department
Mohammed Alsabri Alsabri,
Margeaux Seitz, Francois Jerome
Kerdiles, Abdelouahab Bellou; FR#ISQua2016

Person-Centred Decision
Support Tools for Terminal,
Progressive Neurological
Disease: A Study Protocol
Anne Hogden, David Greenfield,
Jashelle Caga, Xiongcai Cai; AU

2560

Nursing Experienceof Peripartum
Cardiomyopathy(PPCM) In
Patients.
Hsin-Chiao Chuang; TW
93

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2602

Disparities in Needs of Cancer
Care Among Cancer Patients,
Caregivers, And Healthcare
Providers

2801

Se-Yeon Park, Sang Min Park,
Hyun Hoon Chung; KR

2633

To Explore the Effectiveness ofConstructing Health Database
System in Physical Disease Careof Chronic Psychiatric Patients

Sharda Udassi, Vanessa
Buchannon, Jane Farrelly; QA

2854

I-Ling Li, Chin-Hua Chen, ChiChin Tsai; TW

2647

The Perspectives of Former
Recipients and Experts on
Stigmatization Related toElectroconvulsive Therapy inDenmark. A Focus Group Study.

Association Between Individual
Guideline-Recommended
Processes of Care and One
Year Mortality Among Patientswith Incident Heart Failure in
Denmark
Anne Nakano, Søren Paaske
Johnsen, Marie-Louise
Overgaard Svendsen, Kenneth
Egstrup; DK

2726

2876

Reducing Day-Of-Surgery
Elective Case Cancellations
Through Workflow ReDesign and Improved Patient
Communication
Eileen Lew, Soon-Noi Chia,
Darren Liu, Andrew Tan; SG

2932

Medical Care Overuse Among
Korean Patients with Low-Back
Pain: The Effect of Shared
Decision Making
Jina Jun, Namsoon Kim; KR

2962

An Exploration for Family
Members of Intensive Care Unit
Patients On Their Knowledge,
Attitude and Willingness ofOrgan Donation
Yu Chun Chen, Lee Jen Wu,
Suen; TW

Using Bundle Care Methods
to Reduce the CatheterAssociated UTI in Intensive
Care Unit
Chia-Pei Chen; TW

Maria Daniella Bergholt, Iben
Sylvia Kring, Julie Midtgaard; DK

2675

Interdisciplinary Personand Family Centered Care
Governance Structure Strategic
Planning in Greenfield Women’sand Children’s Tertiary Care
Hospital in Middle East

A Patient Information‘Smorgasboard’ – Working with
Consumers to Build a Patient
Information Framework That
Meets Their Individual Needs
and Preferences
Suzanne Wendy Corcoran, Janet
Weir-Phyland, Tim Chestney,
Ursula Mcginnes; AU

2963

Novel – 3 Stage Programfor Reducing the Hypnotics
Re-Prescribing Rate in Acute
Psychiatric Inpatient Wards
During Midnight
Tien Yu Chen, Yow Wen Liu,
Chieh Chang, Hsin An Chang;TW

94#ISQua2016

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3032

3039

Approaches for Target
Population Involvement inJapanese Clinical Practice
Guidelines

HEALTH INFORMATIONTECHNOLOGY

Akiko Okumura, Takeo
Nakayama, Masahiro Yoshida,
Naohito Yamaguchi; JP

1095

The Experience and Outcomesof Implementing ShockTreatment and Resuscitation
Team (START) In One Tertiary
Hospital in Taiwan

Thomas John Foley; UK

1210

Maw-Soan Soon, Ling-Yu Lin,
Ying-Ying Wu, Cheng-Kuo
Chang; TW3060

To Establish the Consensus ofStandard Disposal Processes
for Hemodialysis Patients withArteriovenous Fistula/Graft
Occlusion

1258

Culture of Psychiatric Care:
Change by Inspiration andExperience Study

Caring Behaviors of Indwelling
Catheter-Related Urinary Tract
Infection in Neurological Ward

1298

Living with A Stoma Evaluation of Patients’
Perceptions About Their Qualityof Daily Living.
Saba Akbar, Rozina Khimani,
Saima Allauddin, Yasmin Vellani;
PK#ISQua2016

Pharmacists Medication
Interventions - Closing The Loop
Shyamala Narayanaswamy, Huey
Min Kam, Jenny Ng; SG

1352

Feng Chi Wen, Ho Yi Han; TW

3164

Outcomes of Digitalization of an
Individualized Drug Counseling
System: A Single Center
Experience
Chia Chen Huang, Hsiu-Ling
Chang, Yi-Ping Hsiang, CheukKwan Sun; TW

Cheng Po Yee Ivy, Kan Chui
Kwan; HK

3127

Applying The Concept of theInternet of Things in iPads to
Improve Inpatient Consultation
Time Efficiency
Kuonan Liao, Hsueh Fang Yang,
Chih Chi Wang; TW

Hong-I Chen, Chih-Chien Sung,
Ye-Chang Lin, Shih-Hua Lin; TW

3071

The Potential of Combining
Health Information Technology,
Outcomes Measurement andBehaviour Change Techniques toTransform Healthcare

Reduction of Skin Necrosis ofPatients Caused by Peripheral
Venous Injection Extravasations.
Jung Chen Chen, Su Chen Pong,
Shiu Lan Ching, Shu Yun Huang;
TW

1373

Effect of Hyperbaric Oxygen
Therapy On Fatigue Metabolism
for High Intensity Athletes
Chen-Yu Chen, Wen-Yi Chou,
Re-Wen Wu, Yu-Man Chiang; TW

95

ISQua’s 33rd International Conference - Tokyo

1394

Using Team Resource
Management to Improve Quality
for Management of Contrast
Medium1734

Wen-Lu Kuo, Hsiu-Ling Chang,Hsiu-Jung Lin, Shu-Ching Chi; TW

1433

Development of a PatientCentred Mobile Personal Health
Record Application for Patientswith Chronic Diseases in a
Tertiary Hospital

Yasuto Sato, Yosuke Hatakeyama,
Masahiro Yoshida, Naohito
Yamaguchi; JP

1744

Experience with an Early
Warning System (EWS) to
Improve Patient Safety in
Hospital Wards with Many
Inpatient Beds and Limited Staff
Resources.
Hwang-Tzer Sheu, Alan Ronald
Talbot, Joseph Kwong-Leung
Yu; TW

1534

1672

Process Reengineering for a
Safer and Friendlier Blood
Transfusion System
Phoebe Wei-Chen Cheng, PeiFang Esther Chia, Jay Yong; TW

96

The Application of ATP
Bioluminescence Assay Improve
Final Cleaning Process for MDRO
Patients in a Regional HospitalFeng Chun Chiu, Yin Tzu Liu, Yi
Shang Lin, Chieh Tun Chen; TW

1890

Paperless Preparation for
Hospital Accreditation Using
Knowledge Management andAccreditation Management
Systems
Wu Wu, Lee San-Kan, Lin PeiYing, Chen Wei-Jen; TW

1892

Improving Patient Experienceand Staff Workflow Through Ha
Informed Consent Form (ICF)
System
T L Lee, Fion Lee, Connie Ho,Janet Lee; HK

1727

1803

Establishment of an Electronic
System for Improving theEffectiveness and Accuracy ofCollecting Healthcare QualityRelated Data
Ya Fang Wang, Heng Shao Hsu,
Jung Hu; TW

Early Warning System Improves
Cardiopulmonary Resuscitation
Event and Patient Survival
Meei Suh Hsu, Hui Tzu Yeh, Wen
Ray Lee, Yueh Hung Lin; TW

Jae-Ho Lee, Yu-Rang Park, JiYoung Kim, Jeong Hoon Kim; KR

1504

Development of A Web-Based
Tool to Support the Creation ofClinical Practice Guidelines inHigh Quality

A Study of the Use of Beds andRelated Factors in The Medical
Intensive Care Unit of a Medical
CenterTsai-Wen Liu, Yu-Ling Hsieh, TianYou Liao; TW

1893

Patterns of Internet Use for SelfHealth Management and Barrier
Among Adult Population in
Bangladesh: A Cross-Sectional
SurveyMd. Mohaimenul Islam, Suleman
Atique, Tahmina Nasrin Poly,
Yu-Chuan (Jack) Li, Syed Abdul
Shabbir; TW#ISQua2016

ISQua’s 33rd International Conference - Tokyo

2030

Moving Combined Treatment
Escalation and Cardio
Pulmonary Resuscitation Plans
into the 21st Century – A Digital
Development

2261

George Perrett, Katherine Adams,
Deblina Dasgupta, Martin Kuper;
UK

2054

Implementation of a National
Drug Viewing and Medication
Duplication Alerting System
Decreased the Duplications of
Outpatient Medications with
Other Providers
Sek-Kwong Poon, Shin-Che
Huang, Chief-Liang Wu, JungChen Chen; TW

2103

Development and Evaluation of
Support System for Outpatient
Pharmacist’s Service: The
Experience of Southern
Medicine Hospital
Chang, Hsiu-Ling, Lai Hui-Chuan,
Hsiang Yi-Ping, Su Mei-Chuan; TW

2374

Effectiveness of GenericVersus Branded Piperacillin/
Tazobactam for Treatment of
Infected Patients at a Hospital inSouthern Taiwan.
Cheng Chih Jen; TW

2470

The Project of Exerting
Information Technology
Blending with Port-A Care in a
Cancer Ward in Southern Taiwan

The Use of Short Message
Service (SMS) to Improve
Communication (CM) Between
the Administrative Board andDoctors at a Private Hospital (H)In Brazil.
F Braga, L Françolin, A Lopes, Pa
Palocci; BR

Chunmi Pan; TW

2153

The Effects of Patient-Centered
Pressure Ulcers Evidence-Based
Care Model for Patients in The
Intensive Care Units

2733

Nariman Mansur, Yaron Mushkat,
Lilly Perelman, Poriya Shahaf; IL

Li-Yin Chang, Su-Jen Pong, ShoHwa Yu; TW

2195

Implementing A Paperless
Medical Record System in
Taiwan2802

Comparing Smartphone Camera
Adapters in Imaging PostOperative Cataract PatientsThuss Sanguansak, Michael
Morley, Katharine Morley, Yosanan
Yospaiboon; US

Automated Clinical Decision
Support System for Preoperative
Risk Assessment
Hsin-Ju Lu, Hsiu-Ching Cheng,
Jin-Cherng Chen, Li-Chuan
Cheng; TW

In Chang, Wei W Chen, Chi L.
Wang, Yu H. Huang; TW

2256

Using A Reporting System“Tvuna” To Disclose Causesof Errors Within Medication
Process in 4 Hospitals

2824

Doctor Assistant - A Free EMR
Application Available On Google
Play Which Has Been Publishedin the WHO Compendium of
Innovative Health Technologies
for Low Resource Settings.
Leckraj Amal Bholah, Kemley
Beharee; MU#ISQua2016

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2840

Using Information Technology
to Simplify the Workflow of
Admission Nursing Assessment

3045

Chia-Fen Hsieh, Eve Lin; TW

Accountability, May Be Regard
as A New Element to Improve
the Outcome in an Antibiotic
Stewardship Program
Po-Pin Hung, Ya-Chi Cheng; TW

2925

The Effectiveness of an
Innovative System That
Dispatches and Tracks CriticallyAbnormal Examination Resultsat A Medical Center in Taiwan

3052

Hsiu Lungmr Fan, Kan Chiu Ping,
Hui Chuan Lai, Shih Hua Lin; TW

Kang-Ju Chou, Yu-Han Fang,
Hua-Chang Fang, Der-Pei Yang;
TW

2939

The Effect of Using
E-Prescription On Decreasing
Medication Errors

3115

The Development of SelfServices Business Intelligence
Decision System and Cloud
Computing Platform at Taiwan
Healthcare System
Lin Fu-Man, Mao Cheng-Hsien,
Hsieh Yu-Ling, Chang Wen-Hsin;
TW

2995

3021

3118

Development of an Android
Mobile Application Teaching
How to Use Metered-Dose
Inhaler (MDI) In Myanmar andEnglish (Me-Mdi App)

Hospital Staff Knowledge andTheir Competency Before
and After Training to Succeed
Telemedicine in Indonesia
Atik Heru Maryanti; ID

3144

The Effectiveness of Electronic
Differential Diagnoses (DDX)
Generators: A Systematic
Review and Meta-Analysis
Rahul Alam, Nicholas Riches,
Maria Panagioti, Sudeh CheraghiSohi; UK

An Automatic Medical Quality
Information System Makes
Quality Control More Convenient
Shih Hsien Yang, Li Feng Wang,
Chia Yi Su, Yung Yi Chen, Jiin
Chyr Hsu; TW

Ahmed Algamal; SA

2944

Application of Spokesman inTeam Resource Management
Successfully Improves
Preoperative Nursing

Lessons from The Field:
Successful Implementation ofIntegrated Risk Management(IRM) In Healthcare
Sara Chow, Joanna Noble, Kopiha
Nathan, Polly Stevens; CA

3190

Application of HealthTechnology Assessment (HTA)
To Reduce Medication Errors
Sanjeev Singh, Ajeena Paul, Shijo
Tm, Prem Nair, Bk Rana; IN

Kanokwan Chanto, Chanoknan
Thongthet, Suppachai Insuk; TH

98#ISQua2016

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CARE ACROSS THE
CONTINUUM
1128

A Program to Improve
Completeness of Nursing
Record in Post-Anesthesia Care
Unit
Pei-Yu Peng, Chiu-Tzu Cheng,
Ying-Chun Lee, Pao-Yuan Wu;
TW

1190

2161

Workplace Interpersonal
Conflicts Detected by The
Incident Report System of a
University-Affiliated Medical
CenterYutaka Seki, Keiko Suzuki, Takao
Ando, Kunihiro Mashiko; JP

2198

Transitions Between Hospitals
During the Course from
Diagnosis of Cancer Until Death:
A Population-Based Study
Using Cancer Registry Data

2354

Solutions to Increase theReferral Rate for Long-TermCare at A Medical Center in
Taiwan2369

Increased Frequency of Vital
Sign Monitoring in Patients
Discharged from Intensive
Care Units to General Wards
Decreases The 24-Hour
Unplanned Readmission Rate
Jiun-Nong Lin, Shu-Ching Chi,
Tsai-Yun Chiu, Chih-Hui Yang; TW#ISQua2016

Present Condition of Fall
Incidents in Tohoku University
Hospital, Japan.
Harumi Memezawa, Chiyo
Oikawa, Masao Tabata, Taku
Obara, Keisei Fujimori; JP

2416

Li Ling Chien, Yu-Ling Liu, YuTing Chang; TW

1554

Optimizing Quality
Measurement: Appropriate
Controller Therapy for Asthma
Michal Krieger, Shiri GuyAlfandary, Ehud Horowitz, Orly
Manor; IL

Toshitaka Morishima, Kayo
Nakata, Isao Miyashiro, Nariaki
Matsuura; JP

1414

Assessment of Intra-Hospital
Stroke Care Pathways in France
Using Healthcare Quality and
Safety Indicators
Benjamin Bouamra, Marie
Erbault, Melanie Couralet,Catherine Grenier; FR

Jih-Shuin Jerng, Li-Ching Chen,
Szu-Fen Huang, Hui-Wen Liang;
TW

1325

Hospital Based Ambulance
Accelerates “Cyclic Type
Medical Welfare System” and“Integrated Community Care
System”

Understanding The Access toSpecialty Care and HealthRelated Quality of Life Outcome
in Children and Adolescentswith Chronic Kidney Disease
You-Lin Tain, Chien-Ning Hsu;
TW

2525

Integrated GovernanceAnalysis – Aberdeen City Healthand Social Care Partnership(Scotland)
Christopher Smith, Donal Sutton,
Andrew Corbett-Nolan; UK

99

ISQua’s 33rd International Conference - Tokyo

2571

Designing and Evaluating
Integrated Care Across theContinuum of Care

3105

Milawaty Nurjono, SherminTan, Kah Mun Foo, Hubertus
Johannes Maria Vrijhoef; SG

2586

The Impact of Patient
Navigators Across the Care
Continuum

Alice Ho, Eric Chan, Rita Lau, Wn
Tang; HK

3182

Kok-Yong Fong, Elian Hui San
Chia, Julian Thumboo, Salimah
Bte Mohd Ayoob; SG2661

Waiting Time Management of
Initial Patients in OPD

To Push or Not to Push the
Panic Button Organization-Wide
Process to Manage Reporting
Critical Laboratory Values:
Identifying Problems andImproving Processes

3183

Inpatient Satisfaction Survey by
The Managerial Level as Tools
for Quality Improvement
Hsiu-Ching Cheng, Hsin-Ju Lu,
Chen-Jung Liu; TW

3036

Applications and Effects ofDoctor - Nurse Multidisciplinary
Collaborative Management
Model in The Managementof Enhanced Recovery After
Surgery
Wang Yuejian, Zhang Li, Huaqaei,
Lia Xujia, Mai Jiezhen; CN

3184

Gloria Rashid, Doron Weinstein,
Eli Weiss, Mira Maram; IL

2804

Satisfaction with Outpatients
Services of 36 Tertiary Hospitals
in China
Zhao Na; CN

Anjum Khamisani; PK

2793

Improving Patient Outcome
Using Discharge Bundle
Intervention for Chronic
Obstructive Pulmonary Disease
Patients in A Respiratory Ward

The Effects of Standardized
Strangers Evaluation Program(SSEP) On Nurses’ Care Attitude
Zhao Jing, Zhao Shujan, Wang
Hui; CN

3187

Discussion of InformationizedManagement in Hospital
Adverse Events
Wang Yuejian, Zeng Yong, Lia
Shan, Zhou Zhihao; CN

Integrated Health Regions in
Switzerland: Can They Improve
the Health of the Population,
Foster The Continuum of Careand Contain the Costs?
Oliver Kessler, Matthias Wächter;
CH

100#ISQua2016

ISQua’s 33rd International Conference - TokyoQUALITY CARE IN
DEVELOPING COUNTRIESAND FOR VULNERABLE
POPULATIONS

1625

1309

1628

Exploring The Relationships
Among Emotional Labor,
Compassion Fatigue andTurnover Intention of ClinicalNursesService Quality of Private
Hospitals; The Pakistani
Patients’ Perspective
Zahid Hussain, Muhammad Bilal
Maqsood; PK

Performance of Special Care
Nursery/Neonatal Intensive
Care Unit Standards in
Malaysian Accredited Hospitals
Yong Ting Poh, Kadar Marikar; MY

Chen-Yun Wu, Li Chuen Weng; TW

1631
1377

The Development of Korean
Rehabilitation Patient Group(KRPG) Version 1.0 As A CaseMix and Payment Tool for
Rehabilitation Inpatients

Chen Hui Hsieh, Chen Yi Lin, Hao
Chih Chao, Chih Hsien Tseng,
Ming Che Hsu; TW

Soojin Hwang, Jinhwi Kim,
Sunhye Moon, Younghye Ha; KR

1401

Medication Errors in Latin
America: A Systematic Review
of Epidemiology and Prevention
Strategies

1943

Chanadda Chinthammit, Vasduha
Gupta, Claudia Marcela Vargas
Peláez, Ana L Hincapie; US

1520

Translating International
Standards of Care in A Brazilian
Cancer Center: A Preliminary
Perspective

1944

Pohao Lin, Hon Yi Lin, Shih Kai
Hung; TW

#ISQua2016

Zero Preventable Deaths in
Developing Countries – The
Brazilian Patient Safety
Foundation
Aline Yuri Chibana, Enis Donizetti
Silva; BR

1982
1573

A Project for Utilizing
Multimedia Video to Improve
the Breastfeeding Knowledge
and Ability of the Hospitalized
Women
Yi Tseng Tsai, Tsai-Hua Hu, SuWei Chiang, Su-Wei Chiang, TW

Cristiane Decat Bergerot, Hakaru
Tadokoro, Alexia Mandolesi
Costa; BR

Using an On-Line AbnormalData Alert System Effectively
Improves Patient Safety During
Radiotherapy

The Exploration of Coping
Process of Illness for
Acute Exacerbation andRehospitalization Among thePatients with COPD

A Systematic Approach
Using Lean Six Sigma for
Implementing an Electronic
Modified Early Warning System(E-MEWS) In Ministry of
National Guard Health AffairsWr, Saudi Arabia
Jane Thomson, Shaymaa
Malibari, Maryam Khalil,
Abdulaziz Aljahdali; SA
101

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1999

Comparison of Mental Health
Status Between MigrantChildren and Local Children in
Guangzhou, China

2125

Jun Wang, Liming You, Ke Liu,
Jing Zheng; CN

2021

The Evidence of Distance
Effects On Opioid Harm
Reduction Drug Choice in
Taiwan: A Logistic Regression
Study

Rafael Fernando BrandãoCanineu, Ronaldo Kalaf, Renato
Restituti, Luciane Patricia
Amaral; BR

2318

Lien-Chung Wei, Kunhong Wu,
Jiaxiang Zhan, Sun-Yuan Chou;
TW

2048

Understanding Falls Among
Personal Alert Victoria Clients
Sze-Ee Soh, Anna Barker,
Catherine Thompson, Darshini
Ayton; AU

2070

2077

The Importance of Managing
Maintenance of Medical Devices
in The Promotion of Quality
in Health Care Case of Study:
Urology and Nephrology
Hospital - Abdelkader Chrayat
Hocine Abdelatif Boucherba,
Brahim Badaoui, Moahmed Tahar
Hammoud; DZ

2532

Socioeconomic Inequality inPatient Outcome Among Hip
Fracture Patients: The Role of
Quality of In-Hospital Care
Pia Kjær Kristensen, Theis
Muncholm Thillemann, Kjeld
Søballe, Søren Paaske Johnsen;
DK

The Experience of Manchester
Model Use Associated with Risk
Stratification Assistance in The
Classification of the Patient in
Hospital Emergency Service ofSanta Helena

The Use of Quality Improvement
Strategies to Improve
Partograph Utilisation at Lagos
State Health Facilities: A
Longitudinal Study
Temitope Adaramewa, Temitope
Olatunji-Bello, Ayodele Adiat,
Motunrayo Shodimu; NG

2657

Developing A Pediatric Patient
Experience Questionnaire, A
Pilot Study

Promotion of National
Colorectal Cancer Screening
Health Policy by Clinical Medical
Technologist
Wei-Chou Hung, Chien-HuiWeng, Yu-Ying Yang; TW

Chia-Yu Chou, Huey-Wen Liang,Frank Leigh Lu, I-Jung Tsai; TW

2743

The Effect of Available
Resources Distribution On
the Access to Public HospitalServices in Algeria
Mohamed Tahar Hammoud,
Badaoui Brahim, Boucherba
Abdelatif Hocine; DZ

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2757

Test Introducing Idea of
Joint Govt and Non-Govt
Collaboration for Coordinating
Quality of Care Activities in a
Developing Country

3057

Shayema Khorshed, Aminul
Hasan; BD2758

The Development of the Libyan
Health System to Improve theQuality of the Health Services

Ying-Ru Chen, Ling-Na Shih, JiinChyr Hsu, Min-Hsuan Chiang; TW

3106

Mohamed El Fallah; LY

2869“God Has No Hands but Ours”:
Why Faith-Based Organisations
Deliver Quality Care in Papua
New Guinea
Patti Shih, Frances Rapport: AU

2927

3035

Health Service Performance
Indicators and Agreements in
Qatar; Delineate Challenges
and Enhance Health System
Performance Initiative

The Relationships Between
Socio-Economic Status(SES)And Child-Rearing Feelings
Among Mothers with Infants in
Japan
Eri Ishikawa, Miyuki Hirata,
Shoichi Maeda; JP

3109

Applying Quality Improvement
to Integrate Nutrition
Assessment, Counselling andSupport (NACS) Services at HIV
Clinics in Zambia
Anisa Ismail, Robert Musopole;
ZM

Providing Healthy and Quality
Medical Training - A Case
Study of Taiwan International
Healthcare Training Center
Implement in Mongolian
Medical Improvement

A 15-Year Experience Of The
Oral Care Center For Inherited
Diseases, University Hospital Of
Brasilia, Brazil
Paulo Marcio Yamaguti, Ana
Carolina Apolinário, Lilian Marly
De Paula, Ana Carolina Acevedo;
BR

3173

Improving Compliance ofComprehensive Emergency
Obstetric and Newborn
Care (Cemonc) In Hospital
by External Monitoring and
Evaluating
Hanevi Djasri; ID

Nader Ahmed Badr, Rasha
Bushra Nusr, Noora Abdulla
Salem, Huda Amer Al-Katheeri;
QA

3043

Newborn Hearing Screening
Program in A University
HospitalPaulo Marcio Yamaguti, Lucieny
Serra, Daniela Medved, Anna
Santiago; BR#ISQua2016

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ISQua’s 33rd International Conference - TokyoNOTES:

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ISQua’s 33rd International Conference - Tokyo

GENERAL INFORMATIONTOKYO 2016
Registration and Information Desk
Located on the Hall C1 Lobby on Level 1
Sunday 16 October 2016

07:00 – 19:00

Monday 17 October 2016

07:00 – 18:00

Tuesday 18 October 2016

07:30 – 18:30

Wednesday 19 October 2016

07:30 – 16:00

Access for Those with Disabilities
The Tokyo International Forum (TIF) offers a full range of amenities to assist thosewith disabilities. For further information or assistance please go to the Conference
Information Desk Hall C1 Lobby on Level 1 or to the Congress Center Information Desk
located on the floor -1 of the Glass Building.

Emergency and Assistance on Site
In case of emergencies, or if you require any assistance, please contact the staff at theRegistration Desk or phone +41 22 33 99 589.

Name Badge
You will be issued with a name badge when you register. You must wear your badge
at all times. This will identify you to conference colleagues, door and catering staff.
Delegates who do not display the appropriate name badge will not be permitted toenter the TIF.

Catering Points
Lunch and coffee breaks will be served Monday to Wednesday in the Poster andExhibition area in B7, Level 7 and in B5 Lobby, Level 5 on Sunday. For break times,
please see daily programme schedules.

Cloakroom
A cloakroom service is available and located in Hall C1 Lobby on Level 1. Please makesure that no personal belongings are left after closing each day. All items are left at theowner’s risk. For opening times see conference registration above.

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ISQua’s 33rd International Conference - Tokyo

Useful Contacts
Emergency within the congress center+41 22 33 99 589

Ambulance/Fire

119

Airport Narita+81 476 34 8000

Airport Haneda+81 03 5757 8111

Registration Desk TIF+41 22 33 99 589

Social Events and Tours
Welcome Reception, Sunday 16 October 17:30 – 19:00
Venue: Exhibition Hall, B7, Level 7
Entrance is free for attendees registered for 2 days or more but tickets must be prebooked when registering. Extra tickets are available to be purchased onsite at theregistration desk, for 25 EUR.

Networking Reception, Monday 17 October 19:00 – 21:00
Venue: The Happo-en which means “The Garden of Eight Views”
It will be an opportunity for delegates to catch up with old friends and meet newones while enjoying the rich culture Japan has to offer surrounded by the magnificent
gardens of the Happo-en. A small number of tickets are still available to be purchased
at the registration desk, price 30 EUR. Limited transport will be provided.

Poster Reception, Tuesday 18 October 17:00 – 18:30
Venue: Poster Hall, B7, Level 7
You will have an opportunity to interact with the authors to discuss their research andto enjoy an informal lively networking experience. Light refreshments will be provided
and entrance is free for all registered attendees. Extra tickets are available to bepurchased onsite at the registration desk, for 20 EUR.

Tours and Cultural ProgrammesTokyo Convention & Visitors Bureau are offering delegates complimentary City
Tours and Cultural Programmes during the course of the conference. The Cultural
Programme includes Tea ceremonies, Kimono Dressing and Origami classes, which willtake place in Room G701, Level 7. The City Tours include trips to Tokyo Sky Tree, Meiji
JIngu Shrine, Asakusa Walking tour and Night tours.
For further information on Tokyo or to sign up for the Cultural Programmes and Tours,
please visit the Tokyo City Information Desk beside the registration desk in Hall C1
Lobby on Level 1. Please note places are limited.
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ISQua’s 33rd International Conference - Tokyo

Educational Site Visits, Thursday 20th October 10:00
Participants must have Pre Registered for the visits. Please note Tokyo Waterworks
Museum is the only visit with availability, all others are fully booked. Tickets must becollected from the ISQua Desk on Tuesday 18th October.
1.

The Cancer Institute Hospital of JFCR

2.

The Tokyo Waterworks Historical Museum

3.

St. Luke’s International Hospital

4. National Center for Global Health and Medicine
Visits are available to delegates registered for the full conference only.

Wifi and Social MediaWi-Fi Connection
Wi-Fi connection will be available for ISQua participants free of charge.
Network: ISQUA2016
Password: ISQUA2016

Conference App
ISQua’s conference App is freely available to download from the App Store or Google
Play, search for “ISQua”. If you wish to personalise your schedule or network withother delegates, log in with the email you registered with and the Individual Code,previously emailed to you. If you have problems logging in or using the App, contact
conference@isqua.org or visit the ISQua Desk in the Exhibition Area.

Social Media
Share your thoughts using this year’s hashtag #ISQua2016. All tweets with our hashtag
will be visible on our ‘Social Wall’ in the app and on the plasma screen at the ISQua
desk. New this year - Check out Symplur, on the App or direct http://www.symplur.
com/healthcare-hashtags/isqua2016/, to see our top influencer’s. Keep Tweeting! Our
top tweeter at the end of the Conference will receive a prize!

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ISQua’s 33rd International Conference - Tokyo

Scientific
Conference Theme
The programme is planned in 8 themes, which reflect the overall learning
objectives of the conference
1.

Cost of Quality at the System Level

2.

Improvement Science for Quality and Safety

3.

External Evaluation Systems

4. Using Education to Support Quality Improvement
5.

Person Centred Care

6. Health Information Technology
7.

Care Across the Continuum

8.

Quality Care in Developing Countries and for Vulnerable Populations

Accreditation - CME Credits
The Conference has been awarded 23 European CME credits (ECMEC) by theEuropean Accreditation Council for Continuing Medical Education (EACCME).
Credits can also be converted to an equivalent number of American Medical
Association (AMA), Physician’s Recognition Award (PRA) AccreditedGroup Learning Activities (Section 1). The Conference is also deemed to
be Accredited Group Learning Activities (Section 1) as defined by the
Maintenance of Certification Program of the Royal College of Physicians andSurgeons of Canada. Please visit the ISQua desk for further information.

Poster Viewing
Over 400 posters will be on display in B7, Level 7. Posters will be grouped inaccordance to their theme and can be viewed from 10:00 on Monday 17 until
13:45 Wednesday 19. In addition, a Poster Reception will take place on Tuesday
18 October at 17:00. There will be a number of Poster Prizes and a specialdelegate prize which be can voted on via the Conference App. The ISQua
Board would like to strongly encourage delegates to visit the poster area
during the break and lunchtimes.

ePosters
All ISQua poster authors have been provided the option to submit anelectronic version of their poster. All submitted electronic posters arearchived online and are available for you to view via the following link:
http://www.epostersonline.com/isqua2016/ or via the Conference App. You canalso search and filter information by a variety of criteria, such as by poster title
or number, author names, institutions, or topic and more.

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ISQua’s 33rd International Conference - Tokyo

Speakers
Technical assistance for your presentation can be found in the
Speaker Preview Area, which is located on level 5 in the lobby of Hall B5,
see map for more details. The Speaker Preview Area will be open during
the times detailed below:
Sunday 16 October 2016

08:00 – 19:00

Monday 17 October 2016

08:00 – 18:00

Tuesday 18 October 2016

08:00 – 18:30

Wednesday 19 October 2016

08:00 – 16:00

Scientific Material
All conference presentations and recordings from Hall C only with the permission of
the presenters will be available online via the ISQua Website. The code to access thesepresentations and recordings will be sent to you on completion of the post Conference
evaluation.

Certificate
Attendance certificates will be emailed to delegates on completion of the post
Conference Evaluation Form.

Evaluation
A web-based questionnaire will be emailed to you, on the last day of the conference.
We would appreciate any feedback, especially if we can improve on next year’s
conference. We would also appreciate real-time feedback about individual sessions
and your general comments, please use the surveys available on the App or send yourfeedback to conference@isqua.org.

Liability and Insurance
Neither the organisers nor ISQua will assume any responsibility whatsoever fordamage or injury to persons or property during the conference.

www.twitter.com/ISQua#ISQua2016 #ISQua

www.facebook.com/isqua

www.Linkedin.com/company/isqua
Join our ISQua Group

Important disclaimer:
Every effort has been made to ensure that the Conference programme is accurate at
the time of printing. However, Conference organisers reserve the right to change theprogramme as circumstances may require. Please see Conference App for most up todate programme.

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ISQua’s 33rd International Conference - Tokyo

MAPS
TOKYO 2016
Hall Building

Block
ABlockBlock
BBlockBlock
CBlockBlock
DBlockGlass Building(Hall B7 (1))

B7 - Exhibition/
Catering Posters(Hall B7 (2))(Hall D7)

7F
SESSIONROOM

B5 (1)
B5 (2)
SessionRoom(Hall B5 (1))

D7(Hall B5 (2))(Hall C)

5F

(Hall C)6F
G510
SESSIONROOM

Plenary
Room(Hall C)(Hall D5)

D5

7F

G507
MEETINGROOM G508
MEETING
ROOM

Bridge6F
SESSION
ROOM

Tokyo
CultureRoom

BridgeG409
SESSION
ROOM

Bridge

5F
4F

4F

1F
Access to
JR Tokyo Sta

3F

3F

B1

B1
To
B Block

2F

2F

B2

Contact way(Hall D1)

1F

1F

To C Block

To D Block

Registration
Area - Entrance

B1

1F

B2
B1

D1 SESSION
ROOM

Access to JR Yurakucho Sta.

B1
B2
Hall Building

Bridge connects Hall Building with
Glass Building on B1, 4th, 5th, 6th & 7th floors.

Hall Building

A Block

B Block

C Block

Block
DBlockGlass Building

7F
B7 - Exhibition/
Catering Posters

6F

D7

5F
HALL CB5 (1)
B5 (2)

4F

D5

3F
EV

Elevator

2F

Escalator

1F

StairsToiletB1

D1
Registration

110#ISQua2016

ISQua’s 33rd International Conference - TokyoLEVEL 1Room

D1

C Block

Mon AM

A8

Registration

Mon Lunch

AP3

Registration

Mon PM

A9/ AGM

Registration

Tues AM

B4

Registration

Tues Lunch

BP5

Registration

Tues PM

B10Registration

Wed AM

C8

Registration

Wed Lunch

CP6

Registration

Wed PM

C14

Registration#ISQua2016

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ISQua’s 33rd International Conference - TokyoLEVEL 4

Room

Hall C

SundayPre Conference 3

Mon AM

Plenary/A7

A2

Mon Lunch

IndustrySponsored Session
by Aioi Nissay
Dowa InsuranceCo., Ltd.

AP2

Mon PM

A11/ Plenary

A13

Tues AM

Plenary/ B5

B7

Tues Lunch

BP6

Tues PM

B16/Plenary

B15

Wed AM

Plenary/ C1

C4

Wed Lunch
Wed PM

112

G409

CP5
C10/ Plenary

C13#ISQua2016

ISQua’s 33rd International Conference - TokyoLEVEL 5Room

B5 (1)

B5 (2)

D5

G510

SundayPre
Conference
1&2

Pre
Conference
4&5

Mon AM

Breakfast
Session / A3

A4

A1

A6

Mon Lunch

AP6

AP4

AP5

AP1

Mon PM

A15

A12

A10

A14

Tues AM

B8

B1

B3

B6

Tues Lunch

BP1

BP2

BP3

Jeffrey
Braithwaite
Session(Private)

Tues PM

B13

B11

B9

B12

Wed AM

C3

C2

C6

C7

Wed Lunch

CP3

CP4

CP2

Surveyor
Session(Private)

Wed PM#ISQua2016

C12

C11

C15

C9
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ISQua’s 33rd International Conference - TokyoLEVEL 7Room

B7SundayExhibition/Posters

Mon AM

A5

Mon Lunch

Publish or Perish

Mon PM
Tues AM
Tues Lunch

114

D7

A16
Exhibition/Posters
and Catering

B2
BP4

Tues PMB14

Wed AM

C5

Wed Lunch

CP1

Wed PM

C16#ISQua2016

2017–18 HARKNESS FELLOWSHIPSin HEALTH CARE POLICY and PRACTICE

Call for Applications
THE COMMONWEALTH FUND invites promising mid-career
professionals—government policymakers, academic researchers,
clinical leaders, hospital and insurance managers, and journalists—from Australia, Canada, France, Germany, the Netherlands, New
Zealand, Norway, and the United Kingdom—to apply for a unique
opportunity to spend up to 12 months in the United States as a
Harkness Fellow in Health Care Policy and Practice. Established by
The Commonwealth Fund in 1925, the Harkness Fellowships weremodeled after the Rhodes Scholarships and aim to produce thenext generation of health policy leaders in participating countries.
Fellows are placed with mentors who are leading U.S. experts atorganizations such as Harvard University, Stanford University,
Kaiser Permanente, and the Institute for Healthcare Improvement
to study issues relevant to The Commonwealth Fund’s mission
to support a high performing health care system—insurance
coverage, access, and affordability; health care delivery system
reforms (e.g., bundled payments, accountable care organizations,innovative approaches to care for high-need/high-cost patients);
cost containment; and other critical issues on the health policy
agenda in both the U.S. and their home countries. A peerreviewed journal article or policy report for Health Ministers andother high-level policy audiences is the anticipated productof the fellowship. Harkness Fellows have published theirfindings in top-tier journals, including: BMJ, Health Affairs, andNew England Journal of Medicine.
The Commonwealth Fund brings together the full class of Fellows
throughout the year to participate in a series of high-level policy
briefings and leadership seminars with U.S. health care leaders.
Building on their fellowship experiences, Harkness Fellows have
moved into senior positions within academia, government, andhealth care delivery organizations, making valuable contributions
to health policy and practice at home and in the United States.
EACH FELLOWSHIP PROVIDES UP TO U.S. $130,000 IN SUPPORT,
which covers roundtrip airfare to the U.S., living allowance, projectrelated travel, travel to fellowship seminars, health insurance, andU.S. federal and state taxes. A family supplement (i.e., approximately$60,000 for a partner and two children up to age 18) is also provided
to cover airfare, living allowance, and health insurance.
The Commonwealth Fund is a private foundation, established in 1918 and basedin New York, which aims to promote a high performing health care system that
achieves better access, improved quality, and greater efficiency, particularly forsociety’s most vulnerable.

I know of no comparable experience towiden someone’s professional horizons
in health care, combined with theirability to meet those new expectations.
Harkness Fellows have unparalleledaccess to thinkers and doers at thehighest levels across American healthcare and health policy. Crucially theyalso have the time and flexibility to
explore their own direction, priorities,
and views. More generally, living
and working in the United States is afascinating contrast to life at home–not
least for the things it tells us about ourown NHS.

James Mountford(2005–06 Fellow)
Director of Clinical Quality and ValueUCL Partners

APPLICATION DEADLINES
November 14, 2016:
Canada, France, Germany,
the Netherlands, Norway, and the U.K.
Australia and New Zealand deadline has passed.

VISIT
www.commonwealthfund.org/fellowships
for more details and to apply.

CONTACT
Robin Osborn, vice president and director,
International Program in Health Policy andPractice Innovations, at ro@cmwf.org toinquire about the program, eligibility, andproposed projects.

ISQua’s 33rd International Conference - Tokyo

THANK YOU TO OUR SPONSORSTOKYO 2016
CONFERENCE PARTNER

SILVER SPONSOR

www.en.jcqhc.or.jp/

http://kawakita.or.jp/english/

www.accreditation.ca/

www.STEEEPGlobalInstitute.com

www.dnvgl.com/carewww.aioinissaydowa.eu

www.terumo.com/

www.achs.org.au/

www.health.org.uk

www.fujitsu.com/jp/

www.hal-health.org/

http://planetree.org/#ISQua2016

www.dataflowgroup.com

www.jointcommissioninternational.org

119ISQua’s 33rd International Conference - Tokyo

www.nipro.co.jp/en/

www.wanbishi.co.jp/e/www.who.int/en/

www.taisho.co.jp/en/www.smbc.co.jp/global/

https://global.oup.com/academic/www.commonwealthfund.org/

www.chugai-pharm.co.jp/english/

www.tokiomarine-nichido.co.jp/en/

www.mitsubishielectric.com

www.bk.mufg.jp/

International Society for Quality in Health Care
Joyce House, 8-11 Lombard Street East, Dublin 2, Ireland
Ph: +353 1 670 6750 Fax: +353 1 671 0395 Web: www.isqua.org

120#ISQua2016