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Communicating Critical Test Results

A Learning Collaborative on Safe Practice Recommendations
November 3, 2003
Wyndham Hotel, Westborough, MA

New Teams/New Participants
Registration: 7:30 AM
Learning Session: 8:00 AM — 9:30 AM

Collaborative Program
Registration: 9:30 AM
Collaborative: 10:00 AM — 4:00 PM

The Massachusetts Coalition for the Prevention of Medical Errors, together with the Massachusetts Hospital Association, will host an education forum on November 3, 2003 as part of its Communicating Critical Test Results Learning Collaborative. The goal of the Collaborative is to reduce the occurrence of adverse events in Massachusetts by having hospitals throughout the state adopt a set of Safe Practice recommendations focusing on Communicating Critical Test Results. Hospitals implementing the practices have demonstrated their potential for making substantial improvements in patient safety. They address communication, teamwork, and information transfer issues, all fundamental system factors linked to patient safety.

The November 3rd program is designed to support hospital teams implementing the safe practices by offering plenary sessions led by experts in patient safety and effective rapid-cycle improvement change strategies, presentations by hospital teams implementing these practices, opportunities for networking, and team planning time. An introductory session will also be included for new hospital teams and new participants who were unable to attend the first educational forum held May 12, 2003.

Program Purpose:
To accelerate improvement activity of Massachusetts hospital teams engaged in the Coalition’s patient safety initiative on Communicating Critical Test Results.

Program Content:
  • Status report on Massachusetts hospital activity in the Communicating Critical Test Results
  • Improvement lessons from Massachusetts hospital teams and other hospitals, including concrete strategies and useful tools
  • Overcoming organizational barriers to implementation
  • Networking opportunities
  • Developing an action plan for implementation and sustaining progress

Learner Objectives:

Participants will learn how to:

  • Assess the extent of delayed and missing test results in their institution
  • List at least two new implementation strategies that are effective in enhancing the communication of critical test results
  • Overcome common organizational barriers to implementing timely and reliable communication of critical test results
  • Identify strategies for partnering with leadership to accelerate organizational change
  • Review skills in measuring implementation effectiveness
Who Should Attend:

This is a team project, and hospitals are encouraged to send several members from their implementation team, representing the following disciplines:
  1. Physician leader
  2. Nursing leader
  3. Laboratory leader
  4. Communication center leader
  5. Patient safety/QI representative
  6. House officer representative
  7. Staff nurse/nurse educator
  8. Cardiology/Radiology representative

* Unfortunately, space limitations may require us to limit the number attending from any one institution, depending on the number of registrations received

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