Sixth Annual
2007 Summer Institute on Evidence-Based Practice

Quality and Safety



Institute Agenda

PRE CONFERENCE WORKSHOPS
WEDNESDAY, July 11, 2007
(see registration form for pre conference session fees)

PRE CONFERENCE: THE EDUCATORS' EBP WORKSHOP®
Audience: Academic Nurse Educators who wish to update their education programs.

7:15 AM-8:00 AM
ON-SITE REGISTRATION, CONTINENTAL BREAKFAST
8:00 AM-3:00 PM

WORKSHOP

In this workshop, participants will detail strategies for updating curricula, courses, and teaching/learning strategies to prepare nursing workforce at basic and advanced levels for evidence-based quality improvement.

National leaders will lead discussions about essential EBP competencies, revision of basic and graduate curricula and courses, implications of new program trends (e.g., DNP) for nursing education, and how to teach EBP. Participants will learn about new online resources for assessing EBP learning needs and for teaching EBP.

NEW: Selected abstracts will be included in "Teaching Strategies from Across the Nation" that later will be published online. (See ACESTAR website for Call for Teaching Strategy Abstracts.)

For program details, see http://www.acestar.uthscsa.edu/institute/su07.html

**NEW PRE CONFERENCE**:
LOCATING CLINICALLY USEFUL EVIDENCE
Audience: Clinicians and medical librarians who will serve on their clinical care evidence team.

12:30 PM-1:00 PM
ON-SITE REGISTRATION
1:00-4:00 PM

WORKSHOP

In this new pre conference, clinicians will develop library search skills to locate evidence that is useful in evidence-based quality improvement. Hands-on clinically relevant search skills will focus on locating systematic reviews and clinical practice guidelines.

Associates of the Academic Center for Evidence-Based Practice and Briscoe Library, UTHSCSA will discuss why bibliographic databases are limited in EBP, new EBP approaches (such as hedges), fine-tuning familiar approaches (such as CINAHL and Google) for EBP, and the role of the knowledge broker in clinical practice.  Librarians and clinicians will guide hands-on skill development in constructing productive literature searches in CINAHL.

LIMIT: 40 participants

MUST BRING OWN WIRELESS-CAPABLE LAPTOP COMPUTER TO SESSION.

For program details, see http://www.acestar.uthscsa.edu/institute/su07.html

PRE CONFERENCE: ESSENTIAL ELEMENTS OF EBP
Audience: First-time attendees, novices, and those wanting a packaged overview of EBP to introduce at their agency.

2:00 PM-3:00 PM
ON-SITE REGISTRATION
3:00 PM-6:00 PM

WORKSHOP

Highly recommended for those new to the Summer Institutes.  The Institute is organized around the framework that is introduced here. This content will be covered in depth only in this session.  A perfect place for your EBP Team to begin building toward employing EBP.

Associates of the Academic Center for Evidence-Based Practice will present the fundamentals of EBP needed for a basis and will explore how principles are applied through multiple examples.


SUMMER INSTITUTE ON EBP
DAY 1 THURSDAY, JULY 12, 2007
THEME: EVIDENCE—BASIS FOR QUALITY AND SAFETY

This day focuses on evidence as the core of safety and quality.  Leaders share the national vision for transparent healthcare systems that deliver safe and effective care.  Evidence and application are emphasized through case studies of specific clinical topics in evidence-based quality improvement.

7:15-8:30 AM
On-Site Registration, Continental Breakfast
8:30-9:00
Welcome and Overview of Institute
Kathleen R. Stevens, RN, EdD, FAAN, Professor and Director, Academic Center for Evidence-Based Practice, UTHSCSA
9:00-10:15

Keynote: Glimpses of the Future of Quality and Safety
Timothy P. Shea, FACHE, Medical Center Director and Chief Executive Officer, South Texas Veterans Healthcare System, Audie L. Murphy Memorial Veterans Hospital Division

10:15-10:45
Exhibits and Break
10:45-11:45

Preventing Medication Errors—Evidence to Guide Practice
Kevin B. Johnson, MD, MS, Associate Professor and Vice Chairman, Department of Biomedical Informatics, Vanderbilt Medical Center; Associate Professor, Department of Pediatrics, Vanderbilt University; member, IOM expert panel on Preventing Medication Errors

11:45-12:00
Questions and Discussion with Morning Speakers
12:00-1:30
Lunch, Poster Viewing, Exhibits
1:30-2:45

Concurrent Sessions: Working with the Evidence
These workshops develop skills in locating and interpreting various forms of knowledge essential in EBP including systematic reviews, evidence-based clinical practice guidelines, and quality outcomes. Using high priority clinical issues, emphasis is on QI processes, covering details about how evidence and indicators guide improvement in health outcomes.  Discussions focus on the form of evidence, where to locate it, how it is produced, interpreting and critically appraising it, credibility of the evidence (e.g., rigor), and development of participants’ Action Plans.

Clinical Topics:

  1. Medication Safety at the Bedside: Translating the Evidence
    Kevin B. Johnson, MD, MS, Associate Professor and Vice Chairman, Department of Biomedical Informatics, Vanderbilt Medical Center; Associate Professor, Department of Pediatrics, Vanderbilt University; member, IOM expert panel on Preventing Medication Errors
  2. Rehabilitation in Stroke: Evidence for Managing Communication Disorders
    Janis Costello Ingham, PhD, Professor, University of California, Santa Barbara; Adjunct Professor, UTHSCSA
    Donald A. Robin, PhD, Professor, Otolaryngology-Head and Neck Surgery and Physical Therapy, UTHSCSA; Chief, Speech and Language Sciences Program, Research Imaging Center; Professor, Honors College, UTSA
  3. Evidential Base for Health Promotion in the Community
    Donna Ciliska, RN, PhD, Professor, School of Nursing, McMaster University
  4. Evidence for Delirium Management in Gerontology: Talking Mice and Dancing Nails
    S. Liliana Oakes, MD, Assistant Professor, Division of Community Geriatrics, Department of Family & Community Medicine, UTHSCSA
2:45-3:15
Break, Poster Viewing and Exhibits
3:15-4:15
Key Role of US Cochrane Collaboration in Quality and Safety
Kay Dickersin, MA, PhD, Director, US Cochrane Center; Professor and Director, Center for Clinical Trials, Johns Hopkins Bloomberg School of Public Health
4:15-5:30
Reception, EBP Across the Nation: Attended Poster Presentations and Exhibits

DAY 2 FRIDAY, JULY 13, 2007
THEME: CREATING CULTURES FOR QUALITY AND SAFETY
Go Western Day – Hats, boots, badges are welcome

This day focuses on the mandate for change and what we know about organizations and systems as the epicenters of quality and safety.  Foundational principles and what we know about changing organizations and work cultures are explored.  Experts guide exploration of principles in the how-to of employing evidence-based practice through a workshop on cutting edge teamwork building approaches.  The strong emphasis on safety and change will equip participants with many options to apply in their own agencies.

7:15-8:30 AM
Continental Breakfast, Poster Viewing, and Exhibits
8:30-9:30
The Mandate for Quality & Safety
Dennis S. O’Leary, MD, President, The Joint Commission
9:30-9:45
Awards for Poster Presentations
9:45-10:15
Poster Viewing, Exhibits, & Break
10:15-11:15

What We Know about Changing Organizations and Provider Behavior: Evidence to Accelerate Adoption
Jeremy Grimshaw, MBChB, PhD, FRCGP, Professor and Director, Clinical Epidemiology Program, Ottawa Health Research Institute, University of Ottawa; Director, Canadian Cochrane Center

11:15-11:30
Questions and Discussion with Speakers
11:30-12:45
Networking Lunch, Poster Viewing, Exhibits
12:45-2:45

Workshop: Teamwork Principles for Quality and Safety

This train-the-trainer workshop will introduce participants to the powerful team training program and tools developed through an AHRQ grant through Department of Defense (DOD).  The goal of TeamSTEPPS is to produce highly effective healthcare teams that optimize the use of information, people, and resources to achieve the best clinical outcomes for patients.

TeamSTEPPS is scientifically rooted in over 20 years of research and lessons learned from the application of teamwork principles in High-Reliability Organizations (HRO). An overview session will be followed by facilitated small group work led by TeamSTEPPS Master Instructors.  Participants will take home training materials, resources, and an action plan for their own agency.

Lead presenter: Heidi King, MS, CHE, Deputy Director, DoD Patient Safety Program, Program Manager, Healthcare Team Coordination Program

2:45-3:00
Break
3:00-4:00

Plenary: Errors and Punishment—Aligning Our Priorities for Safety
Judy Smetzer, RN, BSN, MSN, Vice President, Institute for Safe Medication Practices (ISMP)

4:00-5:00
Attended Poster Session, Poster Viewing, Exhibits, & Break
EVENING:

Networking Groups—Self directed
Evidence-Based Adventures in San Antonio—on your own


DAY 3 SATURDAY, JULY 14, 2007
THEME: EVIDENCE-BASED SAFETY & QUALITY IN YOUR ROLE

This final day focuses all messages on implications of evidence-based improvement for various roles within the health professions.  Through their individual lenses, participants are guided to envision actions and changes to make in their own agencies.
7:15-8:15 AM
Continental Breakfast
8:15-9:15

Concurrent Sessions: Roles in EBP.
Through these breakout sessions, participants will explore the implications of evidence-based quality improvement in selected roles and continue development of Action Plans.

  1. Clinician’s Circle: The Clinician’s Role in Knowledge Management—Making Quality Magnetic
    Marthe J. Moseley, PhD, RN, CCRN, CCNS, Clinical Nurse Specialist, Critical Care, South Texas Veterans Healthcare System, Audie L. Murphy Division
  2. Manager’s Circle: Leading in Magnet Status with Evidence-Based Quality & Safety
    Debbie Fowler, RN, MSN, Clinical Manager, Labor and Delivery, Seton Family of Hospitals
  3. Educator’s Circle: Assessing and Developing EBP Competencies in the Workforce Staff and Student
    Kathleen R. Stevens, RN, EdD, FAAN, Professor and Director, Academic Center for Evidence-Based Practice, UTHSCSA
  4. Researcher’s Circle: The Real World of Practice Redesign: Sense-Making from Messy Evidence
    Robert L. Ferrer, MD, MPH, Associate Professor and Deputy Chair for Research, Family & Community Medicine, UTHSCSA
9:15-9:30
Break
9:30-10:30
Concurrent Sessions Repeated: Roles in EBP
10:30-11:30
Should It Be Evidence-Based NURSING?
Donna Ciliska, RN, PhD, Professor, School of Nursing, McMaster University
11:30-12:00

Summary and Evaluation
Kathleen R. Stevens, RN, EdD, FAAN, Professor and Director, Academic Center for Evidence-Based Practice, UTHSCSA