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Agenda
Conference Day One Thursday 10th September 2009
8:30 Registration and Coffee
9:00 Opening Remarks from Chair
Phyllis Davis, Nursing Director - Operating Suite, The Prince of Wales Hospital and The Sydney Children's Hospital
9:10 WHO Safe Surgery Saves Lives Initiative
> Surgery as a public health issue
> The processes followed in developing the SSSL Checklist
> The WHO principles and objectives for safe surgery
> Presentation of results of pilot studies using the Checklist
Bruce Barraclough AO Chair, NSW Clinical Excellence Commission and President International Society for Quality in Health Care
Surgical Safety Checklist Implementation
> Implementation of WHO Safe Site Surgery Checklist
> Time out in the Operating Room
Sandra de Rome, Lecturer/Course Convenor, Perioperative Nursing, Deakin University, Melbourne
10:00 Ensuring Correct Patient, Correct Site, Correct Procedure Protocol: Implications for patient safety
> The background to the protocol and the importance of standardisation
> An outline of the review process
> The results, particularly the feedback from interviews with
clinicians, managers and policy makers
> The implications of these results for the identification and
management of patient safety risks in operating theatres
Nicola Dunbar, Program Manager, Australian Commission for Safety and Quality in Healthcare
10:40 Morning Tea
11:00 Case Study: Bridging the Gap Between Standards and Clinical Practice - The Surgical Count
> The surgical count is performed internationally
to prevent the retention of items during surgery
> Even with standards such as the Australian College of Operating
Room Nurses (ACORN) Standards for Practice, the retention
of items remains a continuing worldwide issue of great concern
> The development of a workable, practical procedure for counting,
linking the standard to clinical practice will be discussed following
two separate instances of retained items during surgery in one
Tasmanian hospital. Reflection on developments with preventing
the retention of items internationally will also be discussed
Liz Welstead, Perioperative Manager, Calvary Healthcare Tasmania
11:40 The Challenges of Managing Patients with Medical and Surgical Co-morbidities Within the OR
> Treatment limitation orders (including No CPR)
> How are the following circumstances managed within
the OR environment?
> Patient choice - refusal of life prolonging treatment
> Medically directed No CPR orders
> 'Futility' for medical conditions v's surgical care
> Negotiating treatment limitation plans pre-op and the
intra-operative management response for same
> Documentation
Lisa Shaw, Project Officer for Advanced Care Planning, Hunter New England Health Service
12:20 Lunch
1:20 Clinical Process Re-Design
> Management of Emergency Surgery
> Technology to facilitate shorter length of stay
> New, improved models of care
Speaker to be confirmed
2:00 Smooth Operations - Redesigning the Surgical Patient Journey
> Understanding blockages and inefficiencies, and facilitating the
development and implementation of solutions to balance planned
and unplanned admissions, improve pre-admission, peri-operative
and post-operative processes of the patient journey and operating
theatre utilisation
> Redesigning the Surgical Patient Journey Project
> Issues and opportunities for reform in surgery
> Demonstration project scope, plan, processes, approach, issues
generated, sample solutions designed
> The plan to spread learnings and new ways of working across
other Victorian health services
Simone Corin, Senior Project Officer, Surgical Services Program, Department of Human Services
2:40 Afternoon Tea
3:10 Tailoring Preadmission to Individual Patient Needs
> Appropriate utilisation of scarce resources in preadmission
> Principles of risk stratification in preadmission
> The Anaesthesia Liaison Nurse: The Austin Health experience
> Meeting the needs of the chronic and complex patient
Toby Wilson, Senior Project Officer - Surgical Services Program, Department of Human Services
Dr Peter McCall, Head of Clinical Operations Anaesthesia, Austin Health
3:50 Recent System Development to Improve and Streamline Processes Around Operating Theatre Waitlists and Theatre Booking
> Standardisation of waitlist management across Territory hospitals
> On-line diary enhancing booking management and displaying
real-time updates to patient information
> Linked records reducing data duplication and "lost" waitlists.
> Automated updates of completed waitlists
> Real-time tracking of patients' through their theatre visit
Linda Lukitsch, Senior Business Analyst, Acute Care Information Services, NT Department of Health and Families
4:30 Closing Remarks from Chair
4:40 End of Day 1
Conference Day Two Friday 11th September 2009
8:30 Morning Coffee
9:00 Opening Remarks from Chair
Dr Lois Hamlin, Senior Lecturer, Faculty of Nursing, Midwifery
and Health, University of Technology Sydney
9:10 An Outline of the Commonwealth Government's $600 Million Elective Surgery Waiting List Reduction Plan - the Policy
and the Implementation Plan Through Working With the States
and Territories That:
> Has successfully reduced the number of patients waiting longer
than clinically recommended for surgery in Stage One of the Plan
> Is achieving systemic changes in Australian hospitals for improved
elective surgery delivery under Stage Two
> Will deliver an innovative performance payment model to make
further improvements to the provision of elective surgery
in Stage Three
Gail Yapp, Assistant Secretary, Acute Care Strategies Branch, Acute Care
Division, Department of Health and Ageing
9:50 Creating High Performance Operating Theatres; Lean Improvement Systems in Theatres
A straight forward description of Lean Thinking Principles applied to Operating Theatres including: supplies, layout, organisation, scheduling, changeover, error proofing, and continuous improvement. Examples from the US and Australia will be given, as well as an outline for implementing these improvements into existing theatres.
Sean Lewis, Director, Leannovation
10:30 Morning Tea
11:00 Multiresistant Organisms (MROs) and the Operating Room
> Surgical site infection:
- The history
- The bacteria
- The patients
- The healthcare workers
- The environment
> Multiresistant organisms (MROs):
- What they are
- Significance before, during and after the Operating Room
Professor Iain Gosbell, Foundation Chair of Microbiology & Infectious
Diseases, School of Medicine, University of Western Sydney
11:40 Leadership: Preparing the Next Generation of Nursing Leaders
Fine-tuned safe patient care is the goal in today's health care environment and everyone in the profession strives for excellence. We need leaders to influence health care policy and legislation - we also need clinical leaders at the bedside supporting and nurturing our colleagues. Nursing has a responsibility to encourage/support and mentor new members to the profession, as they become competent clinicians - we also have a responsibility to assist them to become effective, motivating leaders.
Phyllis Davis, Nursing Director - Operating Suite, The Prince of Wales Hospital and The Sydney Children's Hospital
12:20 The Key to Effective Recruitment and Retention
> Education
> Experience
> Partnerships
Lesley Gilbert, Pre-Operative Service Manager, Ramsay Health
1:00 Lunch
2:00 Panel Discussion: Skills Mix in Australia
Lesley Gilbert, Pre-Operative Service Manager, Ramsay Health
Phyllis Davis, Nurse Manager - Theatre, Prince of Wales Hospital
Jenni Dobson, Nurse Practitioner in Transition, Nepean Hospital
Dr Lois Hamlin, Senior Lecturer, Faculty of Nursing, Midwifery
and Health, University of Technology Sydney
2:40 Case Study: Maximising Theatre Throughput and Implementing
a Smoke Evacuation System at Toowomba Hospital
OHS:
> Implementing smoke evacuation system at Toowoomba Hospital:
the challenges
Maximising Theatre Throughput:
> Awareness raising of time spent
> Establishing target times
Liat Dunlea, Acting Nurse Unit Manager - Theatres, Toowoomba Hospital
3:20 Afternoon Tea
3:50 The Evolution of a Low Cost Surgical Tele-health Network
Fremantle Hospital, like all Australian public hospitals has a very restrictive budget. So three years ago when asked to provide a video feed from the Theatre complex to other venues, a cheap solution needed to be found. Some research showed that the Security industry had developed many technologies that could provide the outcomes required and at a price that was within our very small budget. Today the surgical staff at Fremantle hospital use this technology regularly to support surgical training.
This presentation will demonstrate the journey we took in developing this Tele-health tool.
Peter Northcott, Chief Medical Photographer, Fremantle Hospital & Health Service
4:30 Integrating the Supply Chain With Clinical Requirements Within Operating Theatre
> Best practice supply chain practices being used by Australian
hospitals within operating theatres
> Point of use data capture methods for prostheses and high cost
consumable management
> A frank assessment of RFID - the benefits and limitations
Kirk Kikirekov, BE MACS, Principal Consultant, Health E Supply Pty Ltd, President, HIBCC AU Incorporated
5:10 Closing Remarks from Chair
5:20 End of Day 2
