Scientific Program

Conference Series Ltd invites all the participants across the globe to attend World Congress on Patient Safety & Quality Healthcare London,UK.

Day 2 :

Keynote Forum

S M Motahar Hossain

Director General of Medical Services, Bangladesh

Keynote: Clinico-epidemiological study of dengue cases admitted in a tertiary level hospital of Bangladesh armed forces

Time : 10:00-10:50

OMICS International Patient Safety 2017 International Conference Keynote Speaker S M Motahar Hossain photo
Biography:

S M Motahar Hossain is a Director General of Medical Services at Bangladesh Armed Forces, has 34 years of experience in research, evaluation and teaching. He has
expertise in Internal Medicine especially in Gastroenterology. He held important appointments in his long career including Personal Physician to Honorable Prime Minister
(2000-2001), Personal Physician to Honorable President (2012-2016) of Peoples Republic of Bangladesh and Instructor of Medicine in Armed Forces Medical College,
Bangladesh (2003-2004). He has number of publications in national and international medical journals. He also participated in UN Peace Keeping Mission in Rwanda
(UNAMIR) and Bosnia & Herzegovina.

Abstract:

Introduction: Dengue, a mosquito borne arboviral disease, is one of the febrile diseases in Bangladesh. With advanced modern
facilities in the field of diagnosis and management the case fatality of dengue has reduced to a great extent. Still it is the cause
of sufferings for the city dwellers. A considerable number of cases are encountered at Combined Military Hospital Dhaka.
Objectives: The study explored the susceptibility profile, sero-types and treatment outcome of the dengue patients attending
Combined Military Hospital Dhaka.
Methods: Data were collected from the medical registry of all 736 clinically and/or serologically diagnosed dengue patients
admitted into CMH Dhaka in the year 2016. Case series of descriptive epidemiological approach have been followed in this
study.
Results: Among the 736 cases, 48.37 percent were soldiers by rank. About 87% were male and 13% were female. Majority
(556=75.54%) of cases were in age group 19–49 years. Among this group 715 (97.15%) were from urban areas. Most of the cases
(654=88.86%) attended the hospital during July to November 2016. Among the clinically diagnosed cases, sero-positivity was
found 48.91%. Platelet concentrates were given to 1.49% cases. Antibiotics were administered in 40.76% cases, no steroid was
used. Out of 736 cases, 317 (43.07%) were of classical dengue. 418 (56.79%) cases were in grade-I form of dengue hemorrhagic
fever (DHF) and 1 (0.14%) case was of grade-IV form of DHF or dengue shock syndrome (DSS) who died during treatment.
Case fatality rate was only 0.14%.
Conclusions: High number of dengue cases indicates that the living environment is conductive to vector breeding, and/or
awareness about protective measures is inadequate. Moreover, dengue occurs mostly during rainy season especially from July
to November with the peak in October which indicates the seasonal influence.

Keynote Forum

Nur Birgen

Acibadem Healthcare Group, Turkey

Keynote: Medical malpractice claims in Turkey: Experience of a private hospital group

Time : 11:20-12:10

OMICS International Patient Safety 2017 International Conference Keynote Speaker Nur Birgen photo
Biography:

Nur Birgen is an expert of Clinical Forensic Medicine and dealing with medical malpractice claims since 1997. She has a long practice in the Council of Forensic Medicine,Turkey. Since 2010, she is working for Acıbadem Healthcare Group as a Consultant and dealing with patient claims and patient safety.

Abstract:

Medical malpractice claims is a worldwide problem during healthcare services. As in other countries, physicians have been
liable since the 19th century in Turkey but they have been rare since 2005. After the change in Turkish Penal Code, claim
frequency increased. During recent years, ombudsman system started in Turkey and it is designed to encourage discovery and
negotiations between adversarial parties with the goal of resolving the problem without going to trial. The injured patient must
show that the physician acted negligently in rendering care, and that such negligence resulted in injury. These negotiations are
usually hard because even though the patients cannot show the physician’s negligence, they ask for compensation. At the end
of these negotiations, both parties prefer to go to trial. Number of claims increase as the number of patient increases. As an
example, a private hospital groups’ numbers are given in this study. The number of claims through 2012-2016.

  • Infection Prevention & Control

Chair

Special Session

Speaker
Biography:

The presentation describes the development of a virtual hospital game in nursing education. Development process started
in 2009. The present-day version can be found in the internet at mediansa.tamk.fi. In the infectious diseases ward of the
virtual hospital students can practise aseptic work and nursing procedures used with infectious and contagious disease patients.
The virtual hospital patient 1 is suspected to have MRSA, the patient 2 has clostridium difficile, and the patient 3 tuberculosis.
Aseptic guidelines have to be followed carefully in nursing the patients to avoid the infections from spreading to the staff or
other patients. The learning environment consists of authentic hospital panorama photographs and a game-like interactive
user interface. The gamer ”virtual nurse” receives points if (s)he follows the right protective clothing, hand hygiene and aseptic
procedures when nursing the virtual patient. The game includes a variety of learning assignments, information texts, and
videos. Development of teaching methods in nursing of infectious diseases patients is quite a topical theme. It is difficult to
practise nursing of isolated patients and the related aseptic procedures in real life due to shortage of such facilities. The gamelike
online environment is quite innovative in nursing education and also a suitable tool for nursing staff’s extension studies.
A lot of attention has been paid on infection control and hand hygiene in the past years but hand hygiene has faced passive
and subconscious resistance among both nursing staff and doctors. Improvement of hand hygiene requires multiform work
and further development of hand hygiene promotion methods because spreading of for example MRSA is not under control.
Virtual games seem to make possible to create authentic nursing situations and contexts, and strengthen the development of
mental models for nursing.

Abstract:

Sari Himanen works as a Senior Lecturer and Head of Degree Programme at Tampere University of Applied Sciences. She is working on her Doctoral thesis, which
focuses on information and communication technology applications in nursing education. She has developed diverse ICT-based teaching methods in nursing education
and studied their effects on learning.

  • Patient Safety & Nursing Education
Speaker
Biography:

Theeb M Almotairi has 12 years of experience in the field of Quality, Patient Safety and Health Care Management and Accreditation. He worked as Quality
Management and Planning department for more than two years. He participated in hospital accreditation as Chapter Leader and Counterpart in Joint Commission
International (JCI) and Saudi Center for Health Institute Accreditation (CBAHI) for chapter of quality and patient safety and chapter of leadership. He is an expert in
implementing quality concept and improvement tools for improving healthcare and patient safety. He completed his PhD in Health Management.

Abstract:

This study is focused on examining the direct relationship between structural empowerment and the patient safety culture in
Saudi public hospitals. The primary research design employed in the present study is a quantitative method of survey. A sample
of 127 out of 251 healthcare organizations were selected in Saudi Arabia divided as follows - 70 from the central and 57 from the
western region. These are all public hospitals operating under the Kingdom’s Ministry of Health. 30 questionnaires were distributed
in each of the 127 public hospitals of Saudi Arabia in the two regions. The staff workers in the nursing units are respondents for
the data collection through these questionnaires. The numbers of questionnaires returned and usable are 1793 and therefore the
response rate is calculated by dividing the number of questionnaires returned or completed with the number of participants of the
survey. This study used correlation analyses to examine the relationship between structural empowerment and patient safety culture.
Specifically, the findings showed significant between structural empowerment and patent safety culture. Finally, this study offers
recommendations for future researchers at the end.

  • Medication Safety

Session Introduction

Sachin Raval

Apollo Hospitals International Limited, India

Title: High alert medications
Speaker
Biography:

Sachin Raval is working as Deputy Manager at Apollo Hospitals International limited, Ahmedabad, India. He participated in many international conferences. He is
also part of JCI Audit and accredited successfully. He is constantly working on improving quality work and patient safety with recent ideas on high alert medications.

Abstract:

High alert medications are medicines that are most likely to cause significant harm to the patient, even when used as intended.
The Institute for Safe Medication Practices (ISMP) reports that the incident rates of this group of medicines may not necessarily
be higher than the other medicines but when incidents occur the impact on the patients would be serious (significant). In seeking to
improve patient safety, the primary focus should be on preventing errors with the greatest potential for harm. Many of the highest risk
medications – e.g., concentrated electrolyte, chemotherapy drugs, narcotics, insulin, heparin and LASA are delivered by IV infusion.
The most serious and life threatening potential adverse drug events (ADEs) are IV drug related. Preventing the harm from high alert
medications: Awareness, readiness, education: Training arranged for nursing, pharmacists and doctors for high alert medication;
develop list for high alert medications and show cash in every wards/ICUs. Develop museum for high alert medications. Standardize
care process: Double sign and double check at the time of dispensing and administration. PAT (Prescription Audit) verified by
clinical pharmacist before indenting; specific label design for each high alert medicine. Decision support: include pharmacist on ward
round and monitor overlapping medications prescribe for patients. Prevent failure: Identify LASA medicines and create mechanism
to reduce errors (different location and double checking/labeling) and; Involve the patient & family: Patient counseling in case of
insulin. Provide patient education at literacy level understandable by all.