November 15 Nov 15
2019
Friday Fri

Quality Improvement Series (CME) - Learning from Our System Failures III

Lane Donnelly, MD, Donald Frush, MD, Vamsi Yarlagadda, MD, and Andrew Palmquist, RN, - Stanford School of Medicine and Lucile Packard Children's Hospital

The Department of Pediatrics is looking forward to the third installment of the Quality Improvement Series. In this session, examination of our quality and safety infrastructure, including a review of cases determined to be serious safety events and the resultant action plans created from a root cause analysis of the cases will be presented.

This session will be held during the grand rounds time slot.

Presenters

Lane Donnelly, MD

Chief Quality Officer, Lucile Packard Children's Hospital

Donald Frush, MD

Professor of Pediatric Radiology, Stanford School of Medicine

Vamsi Yarlagadda, MD

Clinical Associate Professor of Pediatric Cardiology, Stanford School of Medicine

Andrew Palmquist, RN

PICU & CVICU Nursing Leadership, Lucile Packard Children's Hosptial

Session Description

An examination of our quality and safety infrastructure, including a review of cases determined to be serious safety events and the resultant action plans created from a root cause analysis of the cases.

Education Goals

  • To understand the process of determination of a serious safety event
  • To understand the root cause analysis process and examples of declared serious safety events
  • To be aware of incidents at our organization that have been determined to be serious safety events
  • To spread high reliability processes on our quest to eliminate avoidable patient harm.

Location

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Lucile Packard Children's Hospital, West Building Auditorium

725 Welch Road
Stanford, CA 94304
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CME Credit

Accreditation

The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation

The Stanford University School of Medicine designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Cultural and Linguistic Competency

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency.  The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the portal: http://lane.stanford.edu/portals/cultural.html

Contact Stanford Center for Continuing Medical Education for CME credit transcript. Email Magna Patel, RSS Manager at magna@stanford.edu or stanfordcme@stanford.edu.

Planner and Faculty Disclosure to Learners

In accordance with the standards of the Accreditation Council for Continuing Medical Education (ACCME), all speakers, planners and/or persons who can influence the CME content must disclose to learners any relationships with commercial interests providing products or services that are relevant to the content of the presentation. The following individual(s) HAVE indicated the following relationships:

Planner

Bertil Glader, MD
Contracted Research: Agios

The following speakers, planning committee members and/or persons who can influence CME content have indicated they have NO relationships with commercial industry to disclose relevant to the content of this CME activity:

Course Director

Alan Schroeder, MD, Associate Chief for Research, Division of Pediatric Hospital Medicine

Planners

Mary Leonard, MD, MSCE, Chair Department of Pediatrics
Matthew Porteus, MD, PhD, Associate Professor, Division of Stem Cell Transplantation and Regenerative Medicine
Neville H. Golden, MD, Chief, Division of Adolescent Medicine
Lisa Chamberlain, MD, MPH, Associate Professor, General Pediatrics
Minnie Dasgupta, MD, Chief Resident, Pediatric Residency Program

Speakers

Lane Donnelly, MD 

Donald Frush, MD

Vamsi Yarlagadda, MD

Andrew Palmquist, RN