Agenda

CONFERENCE DAY ONE
Thursday 8 September 2011

DAY ONE | DAY TWO

8:30 Registration and coffee

9:00 Opening remarks from the Chair
Caroline Brand, Associate Professor CB, Department of Clinical Epidemiology, Biostatistics and Health Services Research University of Melbourne and Melbourne Health. Associate Director, Centre for Research Excellence in Patient safety, Monash University

9:10 Adverse Event Screening Audit

• Screening and review of adverse events – Implementation of the Global Trigger Tool Program
• Understanding the Nature of Adverse Events
• The Cost of Implementing a Robust Adverse Event Screening and Review Process

Sharon Walsh, Senior Project Officer, Melbourne Health, Quality, Patient Safety and Consumer Liaison Unit

9:50 Implementing a State-wide Surgical Mortality Audit Program in NSW: A Partnership Approach

• The Collaborating Hospitals’ Audit of Surgical Mortality (CHASM) is an independent and systematic peer review audit of patient deaths associated with surgical care.
• The objectives of CHASM are to inform, educate, facilitate change and improve practice
• Deaths are notified to CHASM through a partnership approach with Local Health Districts
• The audit process actively engages surgeons in providing information about patient management and as assessors for reviewing reported deaths
• CHASM provides feedback to surgeons on audited deaths to facilitate improvement in surgical care

Paula Cheng, Project Coordinator, Special Committees, Clinical Excellence Commission
Anne Barry, Clinical Audit Manager (Surgical), Clinical Governance, Hunter New England Local Health District

10:30 Morning Tea

11:00 Mortality Audit - A Long but Largely Unexamined History

• Despite being universally familiar to physicians, the mortality and morbidity (M&M) meeting often varies in terms of definition, format and goals.
• What do clinicians understand by the term mortality audit?
• What are some of the reasons for variation in implementation of mortality audit across hospital departments?
• Can we implement a consistent framework for mortality audit that meets the needs of different departments?

Catherine Jones, Quality and Patient Safety Project Manager, Melbourne Health Quality, Patient Safety and Consumer Liaison Unit

11:40 Snapshot – Audit of Palliative Care Needs across a Hospital Network

• Designing the audit
• Forms and ethics approval
• Results and how to use them
• Lessons learned

Juli Moran, Director of Palliative Care Services, Austin Health

12.20 Lunch

1:20 Are We There Yet? - Guiding the Way with Clinical Audit

• Assessing practice improvements in medication safety and quality of care
• The importance of feedback to drive you forward
• Engaging stakeholders to consolidate change

Kerry Fitzsimons, Pharmacy Advisor, Office of Safety and Quality, Dept of Health WA, Medication Safety Pharmacist, Fremantle Hospital WA

2:00 Clinical Audit of Platelet Use; Determining Alignment to National Standards and Describing Current Clinical Use

• Using clinical audit across four states and territories hospitals to determine:
  > Whether platelet use is aligned to Australian national clinical practice standards
  > Describe contemporary patterns of use
  > Change in practice/trends by use of repeat audits
  > Data presented and reported accumulatively, as well as individual data provided to each hospital
• Clinical audit provides improvement opportunity with clinical practice review and assessment against national standards
• Emerging trends in practice can inform areas of review or development of guidelines as well as focus further study efforts as important clinical questions emerge

Marija Borosak, Transfusion Medicine Specialist, Australian Red Cross Blood Service, Melbourne, Victoria

2:40 Afternoon Tea

3:10 Australian National Diabetes Information Audit and Benchmarking (ANDIAB)

• Voluntary participation by specialist diabetes services
• Participating site deidentified through trusted third party
• 2 Programmes running in alternate years
• Individual benchmarked report for participants
• Pooled data report

Jeff Flack, Director, Diabetes Centre, Bankstown-Lidcombe Hospital, Conjoint Associate Professor, UNSW

3:50 General Medicine Indicators Program (GMIP) – The Royal Melbourne Hospital Experience

• A set of seven clinical indicators are used to support the implementation of evidence based guidelines into clinical practice
• One of the clinical indicators is the use of venous thromboembolism (VTE) prophylaxis in general medicine inpatients
• A pre-intervention audit was undertaken to determine the adherence to evidence based guidelines for VTE prophylaxis
• Following the introduction of the GMIP, adherence rates to clinical practice guidelines improved substantially

Tim Bennett, Advanced Trainee, General Medicine and Rheumatology, Melbourne Health

4:30 Closing remarks from Chair

4:40 IIR invites all speakers and delegates to an informal networking drinks reception

CONFERENCE DAY TWO
Friday 9 September 2011

DAY ONE | DAY TWO

8:30 Morning coffee

9:00 Opening remarks from Chair
Keppel Schafer, Project Officer (Education & Audit Pilot Project), Queensland Maternity and Neonatal Clinical Guidelines Program

9:10 Hand Hygiene Program Audit and Training – The SA Experience

• Introducing the Hand Hygiene Australia Program which was initially aimed at large acute care facilities. What is actually included in the program?
• SA Health has tailored the Hand Hygiene Australia Program for South Australia by developing the SA Health Hand Hygiene Implementation Toolkit
• South Australian hand hygiene compliance audit results show a steady improvement over time
• What comes first, the executive ‘buy in’, the tools to implement a program or the auditing itself to demonstrate a problem?
• What next... how can we keep the momentum going?

Wendy Peecock, SA Health Hand Hygiene Program Coordinator

9:50 Redesigning Inpatient Care: The Releasing Time to Care Program

• Redesigning core nursing processes within the inpatient wards to increase the time nurses spend in direct patient care
• Engaging frontline staff in a regular audit schedule to monitor team performance
• Establishing a ‘Knowing How We are Doing’ board to display audit results
• Improving the quality and safety of patient care
• Improving multidisciplinary teamwork

Rebecca Paterson, Nurse Director – Patient Services, Peter MacCallum Cancer Centre

10:30 Morning Tea

11.00 Improving Utilisation and Effectiveness of Gastrointestinal Endoscopic Resources

• Achieving an evidenced based approach to surveillance for patients at risk of colorectal and oesophageal cancer
• Improving outcomes from gastrointestinal bleeding
• Improving endoscopic performance

Peter Bampton, Head of Luminal Gastroenterology, Flinders Medical Centre, Associate Professor of Gastroenterology, Flinders University of South Australia

11:40 Finding Relevant Patients for Clinical Audit

• As clinical audit develops in prominence the demands placed on audit teams and information providers increases
• Efficient and effective audit means that efforts must be targeted in both finding relevant patients and in conducting the audits
• Through the use of routinely collected data it is possible to deliver timely, consistent and valid audit with a minimum of effort
• Clinical experts can then be supported in delivering real analysis of practice and outcomes
• Use of real life examples will demonstrate how

Steven McConchie, Group Director, Clinical Audit, Innovation & Reform, Epworth HealthCare

12:20 Lunch

1:20 12 Months On: Lessons Learnt Using Clinical Audit to Develop a New Approach to Orthopaedic Bowel Management

• Joanna Briggs Institute PACES audit tool used to highlight areas for improvement
• Development of a new approach for bowel management
• Success at St John of God Hospital Murdoch has seen the protocol used across multiple hospitals Australia wide
• Early results from a multi-centre randomised controlled trial evaluating the protocol
• Lessons learnt
• Barriers to change

Gail Ross-Adjie, Coordinator Nursing Clinical Practice, Policy & Research, St John of God Hospital Murdoch, WA

2:00 Induction of Labour Medical Record Audit

• Medical record audit tool developed in 2009 by the Maternity & Newborn Clinical Network (MNCN)
• Process of audit, development of a state-wide standard and clinical practice guidelines
• Results from 2010 and 2011 and the ongoing process of audit to reduce unnecessary variation in clinical practice

Debbie Rogers, Manager, Maternity & Newborn Clinical Network

2:40 Using Clinical Audit to Increase Knowledge of Clinical Guideline Content: A Pilot Project

• The project trialled using clinical audit to assist in reinforcing the recommendations of clinical guidelines
• A re-think of the method of clinical audit saw the development of a tool to enable individual clinicians to audit all patients under their care, while the patients were still in hospital. This is quite different to the method of audit familiar in many health care settings where audits are retrospective and often completed by a dedicated 'audit person'
• The tool was simple to use, electronic based and provided appropriate instruction and data entry parameters to assist clinicians and aid in data quality
• The method allowed more clinicians to be involved in clinical audit – engaging clinicians in quality initiatives has been shown to increase compliance and ownership
• Staff report feeling more engaged in the audit process and have an increased understanding of the quality cycle

Keppel Schafer, Project Officer (Education & Audit Pilot Project), Queensland Maternity and Neonatal Clinical Guidelines Program

3.20 Closing remarks from Chair

3:30 Close of conference

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