TwinTech Academy
Business Management Solutions Pvt.
Ltd
Invites Registration for 
Certified
Patient Safety Professional Course 
17 & 18th February 2018
CHENNAI
Venue:
Indian
Society for Training & Development (ISTD)
No. 37, Nelson Manickam Road, Chennai.  600029, T.N.
Delegates will be awarded CME Credit points from 
“The Tamil Nadu Dr MGR Medical University”, Chennai 
Introduction:
·        
The modern health care delivery has become an intense,
hyper complex, tightly interlinked and coupled activity, wherein the clinician
providing the care needs continuous updates on the patients’ condition, and is
forced to work under compressed time constraints and with a high degree of
accountability. 
·        
On the one hand, the clinician is daily bombarded by 
o  
Ever increasing information on the diseases,
laboratory tests, imaging studies, complex invasive procedures, biomedical
equipment, new drugs and information technology. 
·        
One the other hand, 
o  
Every day, is marred by the number of patient safety
incidents reported. 
o  
Many lives are lost, violence against the clinicians
follows, many are damaged beyond repair, enormous waste of resources occurs and
the clinician is unwillingly forced to become a “second victim”.
·        
Occurrence of patient safety incidents erodes the
trust between the clinicians and the patients and their relatives, leading to
acrimonious litigations, astronomical compensation grants, unwarranted media
attention, loss of business continuity and reputation.
·        
The science of patient safety is  a young branch of medicine and does not find a
place in the medical, nursing or technical curriculum. The clinicians are left,
on their own, to seek and acquire this knowledge.   
Course Objectives: 
·        
Ensure  every
clinician participant acquires the necessary knowledge, skills and attitude 
o  
To serve as a patient safety officer in their
organization
o  
To plan, document, implement and manage a
comprehensive, hospital wide “Patient Safety Programmme”.
·        
The course shall introduce the participant to 
a)   
Acquire the fundamental knowledge necessary to
understand and deal with patient safety incidents on a day to day basis. 
b)  
Understand the definition, monitoring, detection,
analysis, correction and prevention of patient safety incidents. 
c)   
Learn the common techniques and tools used in the
monitoring, detection and analysis of patient safety incidents.
d)  
Identify and appreciate the human element involved in
patient safety incidents, so as to avoid such behaviors. 
e)   
Appreciate on the whole “patient safety incidents” as
an inherent risk in health care delivery and learn to manage the risk
scientifically.
Course Pattern:
The
course consists of two major components:
A. “Pre - Workshop Activity” and
B. “Workshop Activity” 
- Pre-
     Workshop Activity:
 
·        
The enrolled participants shall be provided with the
following, through e mail;
o  
A detailed report on eight patient safety
incidents 
o  
A list of questions following each report.
o  
A list of related discussion points on the particular
case report which the participant can work on.
o  
Support presentations, articles and references. 
·        
The participants who take care to complete this activity
will be able to understand the various topics very well during the workshop.
The participants are therefore encouraged to devote time and do this activity earnestly.
This will help them to derive maximum benefit from the workshop.
- “Workshop
     Activity”:
 
·        
All the participants will have to attend this activity
·        
This will consist of two days of group activity 
·        
The faculty will create the 4 groups and will announce
them on the day of the workshop. The groups may change during each session. 
·        
Each group will consist of a minimum of 4 people and a
maximum of 10. The group composition will ultimately depend on the professional
category of registrants.
·        
Each day 4 – 5  cases shall be discussed ( In 4 sessions ) 
·        
Any group can be allotted  any case in any order 
·        
Discussion will cover all aspects of the incident analysis
and will also cover the questions already sent on to the participants through e
mail. Other groups can take part in the discussion. 
·        
The group can elect a leader. However, all the members
of the team shall be required to take part in the discussion. 
·        
It is preferable for the participants to have a laptop
/ smart phone / tablet with internet connectivity during this activity. This
would help them to seek answers when required.
·        
The trainer will conduct and moderate the discussion.
He shall be support and enrich the discussion with explanations, presentations
and references, when found necessary.
Expected Outcomes:
The participants
will be able to:
- To understand the reasons
     behind occurrence of patient safety incidents and learn to avoid slips,
     lapses and mistakes that commonly occur. 
 
- To recognize at risk
     behavior and reckless behavior in themselves and others. 
 
- To understand the need to
     work in teams, develop a safety culture and take part in becoming a high
     reliable organization. 
 
- To learn the role of the
     individual and systems and processes in avoiding patient safety incidents
     and ensuring safety and participate wholeheartedly in the unit’s patient
     safety programme.  
 
- To start on their journey
     to become the Patient Safety officer of their organization.
 
Target Participants:
·        
All hospital workers involved in delivering health
care to patients viz. doctors, nurses, technicians and technologists, 
·        
Team leaders of various clinical departments
·        
Staff involved in quality and safety management,
infection control, health care accreditation
·        
Members of top management who shape the organizations’
policy and procedures regarding patient safety and health care quality.
Registration Details:
·        
The number of participants: Limited to 40 registrations only & this will be purely on
first come first served basis. 
·        
All-inclusive Fees: INR
11,000/- (Inclusive of Taxes) 
·        
Registration closes on : 10.02.2018
@ 6.00pm 
·        
Early Bird Discounts: 10% waiver for confirmed
registration with full payment done on or before 25.01.2018.
·        
After 10.02.2018 and Spot Registrations : INR
12,000/-
·        
Group Discounts: 10% waiver for participants registering
in a group of 5 or more (representing the same organization). 
 
   
  
  
Work Shop
  Schedule  
Day
  1: 17th February,  2018 
 | 
 
  | 
   
0800- 0900 
 | 
  
   
Registration  &
  Inauguration 
 | 
 
  | 
   
0900- 1000 
 | 
  
   
Case Discussion: No 1   
 | 
 
  | 
   
1000- 1100 
 | 
  
   
Case Discussion : No 2   
 | 
 
  | 
   
1100- 1130 
 | 
  
   
COFFEE BREAK 
 | 
 
  | 
   
1130- 1230 
 | 
  
   
Case Discussion: No 3 
 | 
 
  | 
   
1230- 1330  
 | 
  
   
Case Discussion: No 4  
 | 
 
  | 
   
1330- 1430 
 | 
  
   
LUNCH 
 | 
 
  | 
   
1430-1600 
 | 
  
   
Case Discussion: No 5 
 | 
 
  | 
   
1600-1630 
 | 
  
   
COFFEE BREAK 
 | 
 
  | 
   
1630-1730 
 | 
  
   
Open House  
 | 
 
  | 
   
Day 2:   18th February,  2018 
 | 
 
  | 
   
0900
  - 1100 
 | 
  
   
Case
  Discussion: No 6  
 | 
 
  | 
   
1100
  - 1130 
 | 
  
   
COFFEE
  BREAK 
 | 
 
  | 
   
1130
  - 1330 
 | 
  
   
Case
  Discussion: No 7 
 | 
 
  | 
   
1330 - 1430 
 | 
  
   
LUNCH 
 | 
 
  | 
   
1430 - 1600 
 | 
  
   
Case
  Discussion: No 8 
 | 
 
  | 
   
1600 - 1630 
 | 
  
   
COFFEE BREAK 
 | 
 
  | 
   
1630 - 1700 
 | 
  
   
Open House  & Feed
  back  
 | 
 
  | 
   
1700 - 1730 
 | 
  
   
Distribution of certificates 
  & Valedictory function  
 | 
 
Each Case Discussion Would
Cover The Following
·        
The questions ‘that have been sent by
e mail and answers for them.
·        
The additional learning points that
have been sent through e mail 
·        
Selected references that would help in
learning the topic
·        
The following topics would be
discussed as relevant to the case.
 
  | 
   
I 
 | 
  
   
Definitions
  Related To Patient safety Incidents: Patient Safety Incident, Unsafe Acts, Error,
  Slip, Lapse, Mistake, Violations, Patient Safety, Hazard, Risk, Harm, Event, Accident, and
  Incident.,Adverse Event: Potential
  Adverse Event, Preventable Adverse Event, Ameliorable Adverse Event, Non
  Preventable Adverse Event, Negligent Adverse Event, Adverse Drug Event., Adverse Drug Reaction, Medication Error,
  Near Miss Event, No Harm Event, Mild Harm Event, Moderate Harm Event, Serious
  Harm Events, Sentinel Event.  
 | 
 
  | 
   
II 
 | 
  
   
Detection of
  Patient safety Incidents : Medical record
  review, Use of IHI global trigger tools, Incident reporting system, Mortality
  and morbidity review, Patient complaints & Litigation review, Patient safety
  indicator monitoring, Medication monitoring, Blood transfusion monitoring,
  Direct observation and supervision, Leadership safety walkabouts. 
 | 
 
  | 
   
III 
 | 
  
   
Analysis of patient safety Incidents   
 | 
 
  | 
   
Stage I: 
Reception of the information 
Creation of a first inquiry report 
Informing the patient safety officer 
Initial analysis by the patient safety officer 
Action based on initial analysis 
  
 | 
  
   
Stage II: 
System
  review By a Multidisciplinary Team  
Review
  reports 
Review
  any additional information 
Interview
  all involved, all relevant 
Map
  the event  
Identify
  active failures  
Identify
  latent failures  
Identify
  error producing conditions 
Create
  and file report 
Inform
  Safety committee, quality Committee for follow up. 
 | 
 
  | 
   
IV 
 | 
  
   
Correction & Corrective action  
Correction & Corrective
  action based on full inquiry report 
  
 | 
 
  | 
   
V 
 | 
  
   
Prevention of Patient safety Incidents    
General comments  
Hazard identification and
  risk management 
The role of the top
  management  
Becoming a high
  reliability organization 
·       
  Leadership
  commitment  
·       
  Incorporation
  of a safety culture throughout the organization 
·       
  Widespread adoption and deployment of highly effective process
  improvement tools 
Suggested Approach 
  
 | 
 
About The Trainer:
Dr B
Krishnamurthy,MD, DA, FRCA
Dr B
Krishnamurthy, MD, DA, FRCA is presently engaged as the Director, Quality
Management Services, Sri Ranga Hospital, Chennai.  He has been an empanelled assessor and
Trainer for NABH. He is an Honorary Advisor to AHPI, approved medical expert
for Bureau Veritas and is an associate member of CAHO.  
He is an
anesthesiologist and adult intensivist and has been trained in India and UK. He
has 30 years of clinical experience in provision of acute care in Anesthesia,
Adult Critical Care in various categories of hospitals that include State Government
hospitals in Taluk, District and City levels, State and Central government
managed Medical colleges, privately managed Medical colleges, Corporate HCOs,
and County hospitals and Medical College Hospitals in UK. 
For the last eight
years, he has engaged in helping various hospitals set up Quality and Safety
Management programmes and achieve certification and accreditation.
He is especially interested in
using his experience in training health care workers in all forms of safety
management and risk reduction in hospitals.
About the
Organizer & TwinTech Academy:
Mr.
A. Mahalingam, The organizer of this course is a veteran in the field of
Healthcare Administration & Management and Academics. With an excellent
foundation and background gained through his 25 years of continuous work
experience in the world renowned Sankara Nethralaya, Medical Research
Foundation, Chennai, he has founded TWINTECH ACADEMY 18 months back to
contribute his mite to Healthcare in India through Training and Development and
help people associated with hospitals, healthcare institutions, medical and
nursing colleges to further their skills/knowledge/awareness so that the
society gets benefited through them. TwinTech also trains students in colleges
of Engineering, Management, Arts, Commerce and Science in Soft/Life skills to
improve their employability status there by contributing to this much needed
area in a humble way
TwinTech
has been able to associate with Saveetha University, Chennai Erode Global
Institutions, Fhysics Consultants, Chennai, Center for Medical Genetics,
Commonwealth Science Technology and Research Academy.  
He
also associated with Indian Society for Training and Development (ISTD),
Association for Healthcare Providers of India (AHPI), New Delhi, Society of
Pharmaceutical Education and Research (SPER) and Commonwelath Science and
Technology Research Academy (C- STAR) and member in Optometric Association of
Tamil Nanbargal(OATN) Chennai.
Many
men and women of eminence are supporting TwinTech as members of the Chief
Advisory Panel. Besides, highly qualified and experienced people from
Healthcare management domain are supporting me as faculty for the various
healthcare and management programs being conducted.
For Details and Registrations
Contact:
Trainer:
Dr
B Krishnamurthy
+91 9444853716
/ 82488 52133;
                                 Course
Organizer:      
A Mahalingam
+91 9710485295
/ 98405 23560
Web:
www.chennaitwintech.com