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The Risk of Look-Alike Arterial Blood Gas Syringes: A Blinded Experiment

Wednesday, October 2, 2013 (at 12 noon EDT)

Following the procurement of dry lithium heparinized syringes for the purpose of arterial blood gas (ABG) sampling, an internationally recognized acute care health sciences centre experienced a near-miss event in their Neonatal Intensive Care Unit (NICU) in which an ABG syringe was nearly prepared for injection. This one-hour webinar was developed to share the key findings of a Human Factors evaluation designed to determine the safety impact of the look-a-like arterial blood gas syringes.

Participants will learn about the results of the high-fidelity simulation, key lessons learned and outcome of the evaluation.

Learning Objectives:

Upon completion of this webinar, participants will be able to:

  • Identify look-a-like contributory design elements that may pose a risk to products in their own institutions, and the circumstances that present the greatest likelihood of errors
  • Understand the potential for errors to perpetuate through various stages of patient care
  • Recognize the importance of simulation research and its role in allowing stakeholders to fully investigate and quantify safety risk while eliminating the potential for harm to real patients

Audience: Multi-disciplinary hospital personnel (especially those with pediatric patient populations combined with adult settings); Quality and patient safety personnel; sourcing and contract specialists; medical device manufacturers.

Date: October 2, 2013

Time: 9:00 am – 10:00 am  PDT
10:00 am – 11:00 am  MDT
11:00 am – 12:00 pm  CDT
12:00 pm – 1:00 pm  EDT
1:00 pm – 2:00 pm  ADT
1:30 pm – 2:30 pm  NDT       Time zone map

Duration: 1 hour

Cost: • Webinar only $95 (per telephone connection plus applicable HST/GST)
• Webinar plus DVD $174 (per telephone connection plus applicable HST/GST)
• DVD only $95 + (plus applicable HST/GST)

For registration information, please select the Registration’ tab near the top of the screen.

Presenter: Tara McCurdie, PEng
Human Factors Engineer, Healthcare Human Factors, University Health Network

Nely Amaral, RN, BScN, IBCLC
Quality and Safety Research Nurse, NICU and Level II Nursery, Mount Sinai Hospital

Contact Us:  webinars@ismp–canada.org

Registration

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Online: All major credit cards are accepted by PayPal. Fill in the form below and click the Buy Now button to go to the PayPal website to complete the transaction.


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Fax: Complete this pdf form and fax to 416-733-1146 with credit card information..
     

Mail: Complete this pdf form and mail together with cheque or credit card information to:

       ISMP Canada
       Medication Safety Learning Centre
       4711 Yonge Street
       (Procter and Gamble building)
       Toronto, Ontario
       M2N 6K8

Confirmation
Registration will be confirmed within 10 days of receipt of payment.

Cancellation Policy
Notice of all cancellations must be provided in writing at least 7 days prior to the event. A $75 administration fee will apply to all refunds. There are no refunds for registrants who cancel after the cancellation deadline.

Registrants may postpone attendance to a future workshop however a $75 administration fee will apply if notice of postponement is received less than 7 days prior to the event.

ISMP Canada reserves the right to cancel or reschedule workshops. In the event of a cancellation, fees paid will be credited towards a future workshop, or fully refunded.

For additional information, call 1-866-544-7672 ext. 0 (416-733-3131 ext.0) or email to education@ismpcanada.ca
     

The Risk of Look-Alike Arterial Blood Gas Syringes: A Blinded Experiment

Wednesday, October 2, 2013 (at 12 noon EDT)

Presenters

Tara McCurdie, PEng
Human Factors Engineer, Healthcare Human Factors, University Health Network


Tara joined the Healthcare Human Factors group in 2008, and has since conducted numerous studies designing and evaluating healthcare technology and workflow. She works with clients in both the public and private sectors to address usability and patient safety using a human-centred approach. Tara’s experience with the team has included procurement decision support, product and interface design, EHR adoption support, technology assessments and Human Factors education.

Tara also holds the role of Patient Safety Lead, providing guidance to operational leaders and clinical staff to support the reduction of preventable patient injuries that can occur during the provision of care.

Nely Amaral, RN, BScN, IBCLC
Quality and Safety Research Nurse, NICU and Level II Nursery, Mount Sinai Hospital


Nely is a Quality and Safety Research Nurse (QSN) in the NICU at Mount Sinai Hospital, one of Canada’s leading neonatal facilities. Nely has over 20 years experience in the neonatal intensive care nursery, working primarily with a high-risk patient population. She has extensive clinical expertise as a Resuscitation Nurse, Team Leader and Research Nurse. Nely is also an accomplished Lactation Consultant. More recently, she has taken on the position as QSN where she identifies patient risk and promotes quality improvement practices and initiatives.

Nely has joined her colleagues in winning quality improvement and patient safety awards at Mount Sinai.

The Risk of Look-Alike Arterial Blood Gas Syringes: A Blinded Experiment

Wednesday, October 2, 2013 (at 12 noon EDT)

Background

Related Link:   ISMP Canada Safety Bulletin - Volumn 13, Issue 8


Contact Us

Mail:
ISMP Canada
4711 Yonge Street, Suite 501
Toronto, ON M2N 6K8
Email:
webinars@ismp-canada.org
Phone:
416–733–3131 ext.0
Toll Free:
1–866–544–7672 ext.0
Fax:
416–733–1146