Rapid Response Systems Programme 2018

Manchester Central
9 - 10 July 2018

2018 Programme

 

Click here to download the programme

 

International Conference on Rapid Response Systems & Medical Emergency Teams

Draft Programme
Monday 9th & Tuesday 10th July 2018, Manchester Central, Manchester, UK

This programme is a living document which serves as an indication of the final programme content, therefore details will change.

Day 1 – Monday 9th July 2018

08:00

Registration opens

09:00 – 09:05

 

Welcome to the International Conference on Rapid Response Systems & Medical Emergency Teams 2018

John Welch, President, International Society for Rapid Response Systems; Consultant Nurse, Critical Care & Critical Care Outreach, University College London Hospitals Foundation Trust

Dr Isabel Gonzalez, Chair, National Outreach Forum; Consultant in Critical Care, South Tees Hospitals

Exchange Auditorium

09:05 – 09:20

The patient perspective on Rapid Response Systems

  • Hear Alison's story, and understand the impact of sub-optimally managed deterioration on patients and relatives
  • Examine the role of individuals and teams in patient safety
  • Consider the importance of patient input into the Rapid Response System

Alison Phillips​,​ Patient Speaker

Exchange Auditorium

09:20 – 09:45

Past, present and future care of deteriorating patients in the NHS

Dr Jane Eddleston, Consultant, Intensive Care Medicine & Anaesthesia, Manchester University Foundation Trust; Chair, NHS England Clinical Reference Group for Adult Critical Care

  • Examine the historical levers for change in the care of deteriorating patients
  • Assess whether these are still relevant
  • Analyse aspirations for the future care of deteriorating patients

Exchange Auditorium

09:55 – 10:15

Joint plenary with the Patient Safety Congress: Driving change in safety critical industries

  • Learn how human factors impact the work of NASA, and the processes they use to reduce risk
  • Understand how safety critical industries implement effective safety systems
  • Make changes in your practice to improve safety in your organisation

Kevin Fong, Consultant Anaesthetist, University College London Hospitals Foundation Trust

Exchange Hall

10:15 – 10:50

Joint debate: Safety in healthcare, who drives change?

  • Do the best patient safety improvements come from the top or the frontline?
  • What should policy-makers, leaders and frontline staff be doing to make hospitals safer?
  • How can we work together to drive improvements?

Chair: Shaun Lintern, ​Senior Patient Safety Correspondent, HSJ

John Welch, President, International Society for Rapid Response Systems; Consultant Nurse, Critical Care & Critical Care Outreach, University College London Hospitals Foundation Trust

Julie Bailey CBE, Founder, Cure the NHS (the campaign group that exposed the Mid Staffs care scandal)

Peter Homa CBE, Chair, NHS Leadership Academy

Kevin Fong, Consultant Anaesthetist, University College London Hospitals Foundation Trust

Dr Celia Ingham Clark, Medical Director for Clinical Effectiveness, NHS England

Exchange Hall

10:50 - 11:20

Morning break in exhibition hall

 

Stream 1

Exchange 9

Stream 2

Exchange 11

Joint stream with the Patient Safety Congress

Bridging the gap: policy and clinical practice

Exchange Auditorium

 

11:20 -12:00

Clinical conundrums: Cases from the frontline

  • Learn new ideas concerning the role for point of care technology in Rapid Response Systems
  • Discuss new systems for identifying deteriorating patients, including best practice for sepsis management
  • Compare and contrast the strengths and weaknesses of nurse and physician-led teams

Professor Geoff Lighthall, Professor of Anesthesia & Critical Care, Stanford University School of Medicine

Mandy Odell, Nurse Consultant, Critical Care, Royal Berkshire Foundation Trust

Chairs:

Lesley Durham, Director, North of England Critical Care Network

Dr Jonathan Bannard-Smith, Consultant, Critical Care & Anaesthesia, Manchester University Foundation Trust

Who do you need on the team?

  • Learn how to increase organisational support through Advanced Nurse Practitioners within Critical Care Outreach
  • Discuss why you might develop your team from nurse-led Critical Care Outreach to an ICU consultant-led Rapid Response Team
  • Consider the impact of introducing an RRT in a UK teaching hospital

Karin Gerber, Trainee Advanced Nurse Practitioner, Critical Care Outreach, Royal Berkshire Foundation Trust

Dr Monica Trivedi, Consultant, Intensive Care & Anaesthesia, Lead for deteriorating patient project, Cambridge University Hospitals Foundation Trust

Chairs:

Dr Isabel Gonzalez, Chair, National Outreach Forum; Consultant in Critical Care, South Tees Hospitals Foundation Trust

Sarah Quinton, Nurse Consultant & Lead ACP, Heart of England Foundation Trust

Making it easy to do the right thing

  • Behaviour: Why and how should we think about it when we are trying to improve care?
  • Examine how approaches from behavioural science can be adopted into your work
  • Understand what needs to change in order for behaviour to change - using real time examples

Chair: Dr Celia Ingham Clark, Medical Director for Clinical Effectiveness, NHS England

Stephen Bolsin, Adjunct Professor & Staff Specialist, Geelong Hospital

Hannah Burd, Senior Advisor, Behavioural Insights Team

Siri Steinmo, Quality Improvement Lead for the Health Informatics Project, University College London Hospitals Foundation Trust

(Stephen & Hannah are speaking again at 12:05 in the ‘Human Factors’ stream)

12:00 – 12:05

Time to move between sessions

12:05 -12:50

Identifying and escalating the deteriorating patient: Essential but difficult to measure vital signs

  • Respiratory rate: understanding what it tells us
  • Consciousness and cognition: interpreting what they tell us
  • Escalation without set criteria: 24/7 intensivist guided graded response

Dr Frank Sebat, Director, Kritikus Foundation

Dr Dana Edelson, Assistant Professor of Medicine, University of Chicago Medicine

Dr Tan Chee Keat, Head & Senior Consultant, Intensive Care Medicine, Ng Teng Fong General Hospital

Chair:

John Welch, President, International Society for Rapid Response Systems; Consultant Nurse in Critical Care & Critical Care Outreach, University College London Hospitals Foundation Trust

Managing recovery after the rapid response

  • Physical recovery: consider the impact of critical illness
  • Learn about rehabilitation strategies to aid physical recovery
  • Psychological recovery: manage critical illness associated stress and PTSD

Claire Black, Clinical Specialist Cardiorespiratory Physiotherapy, University College London Hospitals Foundation Trust

Professor Natalie Pattison, Florence Nightingale Foundation Chair in Clinical Nursing Practice, University of Hertfordshire and East & North Hertfordshire Trust

Dr Dorothy Wade, Chartered Health Psychologist, Critical Care Unit, University College London Hospitals Foundation Trust

Chair:

Lindsay Garcia, Nurse Consultant Critical Care, South Tees Hospitals Trust

End of life care in an acute setting

  • Understand the value of a standardised patient centred treatment guidance document
  • ReSPECT for providing rapid, focused guidance on patients wishes
  •  “Talking DNACPR” – training for difficult conversations with patients

Dr Peter-Marc Fortune, Consultant Paediatric Intensivist/Associate Clinical Head, Royal Manchester Children’s Hospital; Co-Chair, ReSPECT Expert Working Group

Jillian Hartin, Senior Nurse, Patient Emergency Response and Resuscitation Team (PERRT),​ University College London Hospitals Foundation Trust

12:50 -13:45

Networking lunch break

13:45 - 14:25

Sepsis on the frontline

  • Improve patient outcomes through early identification, diagnosis and treatment
  • Understand the research related to sepsis as a cause of deterioration leading to MET activation
  • How to deal with sepsis with fewer resources

Associate Professor Daryl Jones, Associate Professor, Critical Care, The University of Melbourne

Dr Ratapum Champunot, Department of Internal Medicine, Buddhachinaraj Hospital

Chair:

Chris Hancock, Acute Deterioration Programme Lead, 1000 Lives Improvement Service, Public Health Wales

Care of High Risk Patient Groups I

  • The deteriorating cancer patient - lessons from Memorial Sloan Kettering Cancer Center, NYC, USA
  • Rapid Response in a cancer hospital – learn from the utilisation and innovation at MSK
  • Consider the resuscitation of cancer patients: what’s appropriate, what are the outcomes?
  • Select criteria which may help to better identify which patients might benefit from CPR

Jibran Majeed, Clinical Program Manager and Critical Care Nurse Practitioner, Memorial Sloan Kettering Cancer Center

Sanjay Chawla, Associate Attending Physician, Memorial Sloan Kettering Cancer Center

Chair:

Professor Natalie Pattison, Florence Nightingale Foundation Chair in Clinical Nursing Practice, University of Hertfordshire and East & North Hertfordshire Trust

Identifying and escalating the deteriorating patient

  • Understand the patient and relative perspective of RRS
  • "Making Vital Signs Great Again" – getting essential care right
  • Using the National Early Warning Score 2 to identify acute illness

Alison Phillips, Patient Speaker

Dr John Kellett, Adjunct Associate Professor in Acute and Emergency Medicine, ​University of Southern Denmark

John Welch, President, International Society for Rapid Response Systems; ​Consultant Nurse in Critical Care & Critical Care Outreach, ​University College London Hospitals Foundation Trust

14:25 -14:30

Time to move between sessions

14:30 -15:10

Thinking differently about the Rapid Response System

  • Debate the uses and abuses of clinical intuition
  • Gain insights into blending the use of intuition with existing risk indices to make better triage decisions around deteriorating patients.
  • Human factors in Rapid Response System activation: navigating clinician interaction with the interplay of socio-cultural, organisational and technical considerations

Dr Frank Sebat, Director, Kritikus Foundation

Professor Geoff Lighthall, Professor of Anesthesia & Critical Care, Stanford University School of Medicine

Wei Ling Chua, PhD Student, Alice Lee Centre for Nursing Studies, National University of Singapore

Chairs:

Lesley Durham, Director, North of England Critical Care Network

Mandy Odell, Nurse Consultant, Critical Care, Royal Berkshire Foundation Trust

Education & Training for Clinical Competence I

  • Examine the national competency framework for registered practitioners: level 1 patients and enhanced care areas
  • Identify the impact of education programmes on confidence, knowledge and skills
  • Learn how to develop multiprofessional teamwork at scale and in clinical practice – not only in occasional training sessions
  • Use a structured model for feedback among multiprofessional clinicians to enhance knowledge, understanding and respect

Alison Dinning, Institute Clinical Lead, Institute of Nursing & Midwifery, Nottingham University Hospitals

Liz Staveacre, Consultant Nurse, Critical Care & Outreach, Buckinghamshire Healthcare Trust

Dr Anne Lippert, Deputy Director, Danish Institute for Medical Simulation

Chairs:

Professor Tracey Moore, Head of Department, The School of Nursing & Midwifery, The University of Sheffield

Carmel Gordon, Outreach Sister ICU, The London Clinic

Examining the evolution of human factors and the prospects for a national safety plan

  • Put your organisation on the front foot: understand where human factors are heading next
  • Consider how a coordinated national plan could focus efforts to embed safety and human factors
  • 20 years of human factors in healthcare in context

Dr Suzette Woodward, Campaign Director, Sign up to Safety

Dr Hazel Courteney, Chief Executive, State Safety Global

Professor Charles Vincent, Professor of Psychology, University of Oxford

(This session is repeated in the ‘Human Factors’ stream at 15:35)

15:10 -15:40

Afternoon break in exhibition hall

15:40 -16:20

 

Education & Training for Clinical Competence II

  • Analyse the impact of acute care skills training in seven days - does it change newly qualified ward nurses’ performance, confidence and self-efficacy?
  • Rescue A Patient In Deteriorating Situations (RAPIDS): understand how engaging in e-learning can improve nursing practice in recognising and responding to clinical deterioration

Alison Dinning, Institute Clinical Lead, Institute of Nursing & Midwifery, Nottingham University Hospitals

Associate Professor Liaw Sok Ying, Alice Lee Centre for Nursing Studies, National University of Singapore

Chairs:

Professor Tracey Moore, Head of Department, The School of Nursing & Midwifery, The University of Sheffield

Carmel Gordon, Outreach Sister ICU, The London Clinic

Incident investigation: Learning from errors

  • Appreciate the different approaches to learning from deaths and their strengths and weaknesses
  • Understand current trends and gain knowledge of future developments in mortality review across the NHS
  • Hear how others have implemented processes to learn from incidents

Dr Helen Hogan, Associate Professor, Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine; Health Foundation Improvement Science Fellow

Dr Andy Haynes, Executive Medical Director, Sherwood Forest Hospitals

16:20 – 16:25

Time to move between sessions

16:25 -17:00

Care of High Risk Patient Groups II

  • Progress care for the frail elderly by encouraging honest and empathetic discussion about their prognosis and empowering them to establish their own goals of care
  • Understand the RCoA National Maternal (obstetric) critical care intercollegiate guidelines for critical care and outreach involvement
  • Improve care through cross speciality teaching and training for critical care clinicians, midwives, obstetricians and obstetric anaesthetists

Dr Chris Subbe, Consultant, Acute, Respiratory & Intensive Care Medicine, Ysbyty Gwynedd, Bangor

Dr Audrey Quinn, Consultant Obstetric and Neuro-Anaesthetist, South Tees Hospitals Foundation Trust

Chairs:

Dr Isabel Gonzalez, Chair, National Outreach Forum; Consultant in Critical Care, South Tees Hospitals Foundation Trust

Sarah Quinton, Nurse Consultant & Lead ACP, Heart of England Foundation Trust

Measuring Rapid Response Systems/Medical Emergency Team/Outreach effectiveness: An international consensus

  • Analyse the process, outcome and balancing measures of RRS effectiveness
  • Consider the clinical and financial metrics, as well as the patient and staff related metrics
  • Evaluate the efficacy of RRS/MET/Outreach systems

Dr Francesca Rubulotta, Consultant in Critical Care, Imperial College Healthcare Trust

Dr Ralph So, Consultant, Intensive Care; Medical Manager, Quality, Safety and Innovation, Albert Schweitzer Hospital

Professor Geoff Lighthall, Professor of Anesthesia and Critical Care, Stanford University School of Medicine

Chair:

Associate Professor Daryl Jones, Associate Professor, Critical Care, The University of Melbourne

 

17:00

Networking reception in exhibition hall

Day 2 – Tuesday 10th July 2018

08:00

Registration Opens

08:00-08:45

National Outreach Forum Annual General Meeting

Exchange 9

 

Stream 1

Exchange 9

Stream 2

Exchange 11

Stream 3

Exchange Auditorium

09:00-10:25

The Paediatric Rapid Response System

  • PEWS: are we doing the wrong thing for the right reasons?
  • Situation awareness: the UHS experience of safety huddles and the value of appreciative conversations in paediatric patient safety
  • Consider whether we consistently embrace parents/carers in the assessment and care of children and young people, and if we should do more

Dr Damian Roland, Consultant and Honorary Associate Professor in Paediatric Emergency Medicine, University Hospitals of Leicester Trust

Dr Kate Pryde, Consultant General Paediatrician, Clinical Lead for Quality Improvement, University Hospital Southampton Foundation Trust

Kath Evans, Experience of Care Lead, Maternity, Infants, Children & Young People, NHS England

Chair:

Jenny Bull, Paediatric Outreach Lead, University Hospital Southampton Foundation Trust

The best of British

  • The best of Scotland: learn from 10 years of work to improve recognition, communication and response for deteriorating patients across acute and primary care
  • The best of Wales: understand how to change practice and culture across an entire healthcare system, and achieve and demonstrate improvements at hospital and national level
  • The best of England: analyse the eight years point prevalence data and consider the arguments for 24/7 critical care outreach

Dr Calum McGregor, National Clinical Lead for Acute Care, Healthcare Improvement Scotland / Dr Graham Gauld, National Clinical Lead for Primary Care, Healthcare Improvement Scotland

Chris Hancock, Acute Deterioration Programme Lead, 1000 Lives Improvement Service, Public Health Wales

Lesley Durham, Director, North of England Critical Care Network

Chair:

Dr Ralph So, Consultant, Intensive Care; Medical Manager, Quality, Safety and Innovation, Albert Schweitzer Hospital

How technology can save lives I

  • Hear about the EU H2020 Nightingale ultimate patient monitor
  • Debate the benefits and limitations of continuous and intermittent monitoring
  • Be able to implement a patient safety system that can take advantage of both forms of patient monitoring
  • Optimise emergency team resources: learn from an elite team about intelligent dispatch systems and humanising technology solutions

Dr Michael DeVita, Director of Critical Care, NYC Health + Hospitals

Dr Chris Subbe, Consultant, Acute, Respiratory & Intensive Care Medicine, Ysbyty Gwynedd, Bangor

Professor Cor Kalkman, Professor of Anaesthesiology Research & Clinical Epidemiologist, UMC Utrecht

Dr Mike Patterson, Chief Medical Officer, Football Association

​Chairs:

John Welch, President, International Society for Rapid Response Systems; Consultant Nurse in Critical Care & Critical Care Outreach, University College London Hospitals Foundation Trust

Dr Helen Hogan, Associate Professor, Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine; Health Foundation Improvement Science Fellow

10:25-10:30

Time to move between sessions

 

 

 

Joint stream with the Patient Safety Congress:

Bridging the gap: policy and clinical practice 

Exchange Hall

10:30 – 11:10

The best of the abstracts I

  • National Early Warning Score (NEWS) performance in emergency admissions to surgery - comparison in ‘surgery’ and ‘no surgery’ subgroups - Centre for Healthcare Modelling & Informatics, University of Portsmouth, UK
  • An evaluation of MEWS, NEWS, and qSOFA in predicting intensive care readmission and hospital mortality - Rush University Medical Center, Chicago, IL, USA
  • Characterisation of patients with persistently raised early warning scores- a retrospective cohort study - Manchester University Foundation Trust, UK
  • Express-check-in for patients with sepsis - Cardiff University Medical School and Bangor University, Wales, UK

Chairs:

Carmel Gordon, Outreach Sister ICU, The London Clinic

Alison Dinning, Institute Clinical Lead, Institute of Nursing and Midwifery, Nottingham University Hospitals Trust

How we save lives with less resource

  • Effective tools and strategy to improve clinical outcomes with less resource
  • Learn about the SOS score (MEWS for less resource)
  • Analyse the feasibility of early warning scores in LMICs

Dr Ratapum Champunot, Department of Internal Medicine, Buddhachinaraj Hospital

Abi Beane, Global Healthcare Researcher and Project Coordinator, NICST

​Dr Rashan Haniffa, Chair, ​NICST

Chair:

Dr Michael DeVita, Director of Critical Care, NYC Health + Hospitals

How patients, clinicians, and industry can come together to save lives

  • Understand the scale of the problem of deterioration,
  • Hear a pan-European game-changing vision of the hardware, software and artificial intelligence we need
  • Learn how cutting-edge companies are addressing this critical issue

Chair: Professor Sir Bruce Keogh, Chair, Birmingham Women's and Children's Foundation Trust

Professor Cor Kalkman, Professor of Anaesthesiology Research & Clinical Epidemiologist, UMC Utrecht
John Welch,
President, International Society for Rapid Response Systems; Consultant Nurse in Critical Care & Critical Care Outreach, University College London Hospitals Foundation Trust
Katharina Skinner, Programme Director, Sentinel Biosensor
Timo Aittokoski,
Chief Data Scientist, Emfit
Johannes de Bie,
Chief Scientific Officer, Welch Allyn
Boris Dimitrov,
CEO, Project Manager, Checkpoint Cardio

11:10 – 11:40

Morning break in exhibition hall

11:40 -12:20

How patients can drive safety

  • Evaluate patient and relative activated critical care outreach and their role in improving the whole system
  • Consider your approach to failure to rescue: have the right people got the data and power?
  • Understanding how using models from social networks and computer technology will give safer, more reliable care

Mandy Odell, Nurse Consultant, Critical Care, Royal Berkshire Foundation Trust

Dr Chris Subbe, Consultant, Acute, Respiratory & Intensive Care Medicine, Ysbyty Gwynedd, Bangor

Chairs:

Sarah Quinton, Nurse Consultant & Lead ACP, Heart of England Foundation Trust

Helen Haskell, President, Mothers Against Medical Error

Managing deterioration across the whole pathway I

  • Understand the importance of developing a common language of risk (NEWS) across multiple primary, community and secondary settings
  • Training health and social care teams in recognition and response to acute deterioration in care home and supported living settings
  • How to change attitudes and behaviours to deteriorating and high risk patients in primary care - including better use of physiological assessment, using a common language and enhancing 'Safety Netting'

Chris Hancock, Acute Deterioration Programme Lead, 1000 Lives Improvement Service, Public Health Wales

Dr Simon Stockley, GP, Eaglescliffe Medical Practice, Teeside; Clinical Lead for Sepsis, Royal College of GPs

Chairs:

Professor Tracey Moore, Head of Department, The School of Nursing & Midwifery, The University of Sheffield

Dr Isabel Gonzalez, Chair, National Outreach Forum; Consultant in Critical Care, South Tees Hospitals Foundation Trust

What’s happening with sepsis, how we can do better

  • Understand what the data tells us nationally and trust by trust, to benchmark and improve your performance
  • Prompt identification: considering sepsis within a differential diagnosis
  • Hear the impact of sepsis from the patient perspective, and how Katie Dutton is using her experience to train others

Katie Dutton, Nursing Student and Patient Speaker

Professor Mervyn Singer, Professor of Intensive Care Medicine, University College London Hospitals Foundation Trust

Dr Matt Inada Kim, Acute Physician, Hampshire Hospitals Foundation Trust; National Clinical Advisor for Sepsis



12:20 – 12:25

Time to move between sessions

12:25 – 13:05

How technology can save lives II

  • “Electrifying Outreach”: the Manchester experience of using technology to reduce error and improve the reliability of a Rapid Response System
  • Less is more: the Sri Lanka experience of implementating an electronic vital signs mHealth platform
  • Explore and overcome the barriers and enablers to implementation

Dr Jonathan Bannard-Smith, Consultant, Critical Care & Anaesthesia, Manchester University Foundation Trust

Abi Beane, Global Healthcare Researcher and Project Coordinator, NICST

Dr Rashan Haniffa, Chair, ​NICST

Chair: Professor Natalie Pattison, Florence Nightingale Foundation Chair in Clinical Nursing Practice, University of Hertfordshire and East & North Hertfordshire Trust

Managing deterioration across the whole pathway II

  • Optimising the whole acute hospital with technology: learn from the Nottingham experience
  • Improve practice in patient observations to support safer care
  • Understand the role of effective handover in preventing clinical deterioration

Dr Nick Woodier, Patient Safety Improvement Lead, Nottingham University Hospitals Trust

Dr Juliane Kause, Care Group Lead Emergency Care, Lead Consultant Out of Hours Care and Seven Day Services, University Hospital Southampton Foundation Trust

Chairs:

Lindsay Garcia, Nurse Consultant Critical Care, South Tees Hospitals Trust

Alison Dinning, Institute Clinical Lead, Institute of Nursing and Midwifery, Nottingham University Hospitals Trust

Selling Rapid Response Systems to the board and policy-makers

  • How to make the business case for methods of timely detection of deteriorating patients and well-staffed and equipped response teams
  • Understand the KPIs that need to be used to show the results
  • Learning from Australia: The effect of a national standard for deteriorating patients on
    outcomes

Dr Francesca Rubulotta, Consultant in Critical Care, Imperial College Healthcare Trust

Associate Professor Daryl Jones, Associate Professor, Critical Care, The University of Melbourne

13:05 – 14:05

Networking lunch break

 

Stream 1

Exchange 9

Stream 2

Exchange 11

Stream 3

Exchange Auditorium

14:05-14:35

How technology can save lives III

  • “Help is just a button away” - hear from the cutting edge of technology
  • Consider the appropriate technology for specialist clinical responders – balancing fast response with good outcomes 
  • Analyse the adaptation of human behaviour around technology

Dr Faheem Ahmed Khan, Consultant, Intensive Care Medicine & Emergency Medicine, Ng Teng Fong General Hospital

Chairs:

Dr Michael DeVita, Director of Critical Care, NYC Health + Hospitals

Abi Beane, Global Healthcare Researcher and Project Coordinator, NICST

Evaluating Rapid Response System quality: Understanding contextual & cultural factors

  • How to use realistic evaluation as an evaluation framework for RRS
  • Embrace context and cultural differences in assessing quality
  • Measure value and efficiency by looking beyond numbers and statistics

Jacinda Bunch, Associate Faculty Member, University of Iowa College of Nursing

Chairs:

Jenny Bull, Paediatric Outreach Lead, University Hospital Southampton Foundation Trust

Dr Anne Lippert, Deputy Director, Danish Institute for Medical Simulation

RRS & Critical Care Outreach: The new studies I

  • Consider how hospitals identify and respond to patient deterioration across the NHS
  • Analyse what improves outcomes
  • Consider how to implement improvements in your organisation based on the new studies

Dr Helen Hogan, Associate Professor, Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine; Health Foundation Improvement Science Fellow

Chair: Dr Chris Subbe, Consultant, Acute, Respiratory & Intensive Care Medicine, Ysbyty Gwynedd, Bangor

 

14:35 – 14:40

Time to move between sessions

14:40 – 15:20

Hospital re-design and technology for safety

  • Learn about the real time big data analytics to predict deterioration
  • Understand how to develop fit-for-purpose emergency and acute care
  • Understand the drivers of the NHS urgent care challenge
  • Discuss what radical solutions might enable improvement in emergency care

Dr Dana Edelson, Assistant Professor of Medicine, University of Chicago Medicine

Dr Chris Laing, Clinical Director, Emergency Services, University College London Hospitals Foundation Trust

Chairs:

Jillian Hartin, Senior Nurse, Patient Emergency Response and Resuscitation Team (PERRT), University College London Hospitals Foundation Trust

Helen Haskell, President, Mothers Against Medical Error

Understanding and improving decision-making around transfers to ICU

  • Making decisions on behalf of critically ill patients
  • What is required for practical and ethically justified patient based decision-making for escalation of treatment and admission to ICU?
  • Discuss the evidence and how we should change practice

Dr Chris Bassford, Consultant, Intensive Care Medicine, University Hospitals Coventry and Warwickshire Trust

Chairs:

Dr Francesca Rubulotta, Consultant in Critical Care, Imperial College Healthcare Trust

Professor Natalie Pattison, Florence Nightingale Foundation Chair in Clinical Nursing Practice, University of Hertfordshire and East & North Hertfordshire Trust

RRS & Critical Care Outreach: The new studies II

  • Hear about Method 2 (Medical Emergency Team: Hospital Outcomes after a Day - 2nd international study)
  • Understand the association between the level of frailty and clinical outcomes
  • The POPPI study – evaluating an early intervention to prevent PTSD
  • Discuss whether critical care and outreach nurses improve psychological outcomes

Dr Ralph So, Consultant, Intensive Care; Medical Manager, Quality, Safety and Innovation, Albert Schweitzer Hospital

Dr Dorothy Wade, Chartered Health Psychologist, Critical Care Unit, University College London Hospitals Foundation Trust

Chair:

Professor Geoff Lighthall, Professor of Anesthesia and Critical Care, Stanford University School of Medicine

15:20 – 15:40

Afternoon comfort break

15:40 – 16:20

State of the art management of acute kidney injury in the acute hospital

  • What might represent optimal care for AKI patients?
  • What would an optimised care pathway for AKI look like?
  • How can this be enabled through technology solutions?

Dr Chris Laing, Clinical Director, Emergency Services, University College London Hospitals Foundation Trust

Chair:

Professor Cor Kalkman, Professor of Anaesthesiology Research and Clinical Epidemiologist, UMC Utrecht

 

The best of the abstracts II

  • Family comprehension of family initiated rapid response: a quality initiative to enhance the partnership with families - Baylor College of Medicine, Texas Children’s Hospital, Houston, TX, USA
  • Development of a sustainable review and QI process to evaluate pediatric RR events with need for icu specific interventions - Baylor College of Medicine, Houston, TX, USA
  • Delayed Rapid Response Team activation associated with increased patient mortality -  Department of Health Research Methods, Evidence and Impact, McMaster University, Ontario, Canada
  • An action research study into how ward based clinicians enhance the recognition and response to the acutely unwell or deteriorating adult hospitalised patient - The James Cook University Hospital,  Middlesbrough, UK

Chairs:

John Welch, President, International Society for Rapid Response Systems; Consultant Nurse in Critical Care & Critical Care Outreach, University College London Hospitals Foundation Trust

Dr Isabel Gonzalez, Chair, National Outreach Forum; Consultant in Critical Care, South Tees Hospitals Foundation Trust

16:20 – 16:25

Time to move between sessions

16:25 – 17:00

 

 

Closing plenary: Getting ahead of Google

  • Getting better at identification, response and variation reduction in deterioration
  • Getting upstream into prediction and prevention of deterioration

Dr Aidan Fowler, Director of NHS Quality Improvement and Patient Safety and Director, 1000 Lives Improvement Service, Public Health Wales

Chairs:

John Welch, President, International Society for Rapid Response Systems; Consultant Nurse in Critical Care & Critical Care Outreach, University College London Hospitals Foundation Trust

Dr Isabel Gonzalez, Chair, National Outreach Forum; Consultant in Critical Care, South Tees Hospitals Foundation Trust

17:00 – 18:00

International Society for Rapid Response Systems 2018 Annual General Meeting and Advisory Board selection

Charter 4

Conference closes

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