Nursing Contact Hour – Evaluation Form

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Patient Safety Coalition

Nursing Contact Hour – Evaluation Form

19th Annual Northwest Patient Safety Conference - October 18-19, 2022

Organization: Davis Continuing Education

Location: Patient Safety Conference Zoom Webinar/Meeting

Please complete this conference evaluation for the presentations you attended live or watched recorded. Upon receipt we will send you the certificate with your contact hours. We will base your contact hours on the sessions you respond to on the evaluation.

''Provider approved by the California Board of Registered Nursing, Provider Number CEP 16359 for 13.8 contact hours.''

Name *

First

Last

Email *

Provider number: *

_____________________________________________________________

TUESDAY, OCTOBER 18, 2022

_____________________________________________________________

MORNING KEYNOTE: 8:10 - 9:00 am

1. There Are No Accidents – Jessie Singer

1. Learning Objective(s): A) Describe alternatives to traditional safety models such as: dangerous conditions model and incorporating social determinants of health. B) Explain how these impact our concept of injury prevention.

1. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

1. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

1. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

1. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

1. Presentation Rating and Relevance

1. Applicable to My Profession:

Completely
Somewhat
Not at All

1. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

1. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

1. State one change in your practice:

1. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

_____________________________________________________________

BREAKOUT SESSIONS: 9:10 - 10:00 am

2. Artificial Intelligence in Healthcare: Reckoning with Errors in Medical Records - Haavi Morriem

2. Learning Objective(s): Describe the hazards posed by medical errors present in clinical records and their implications for the use of Artificial Intelligence in clinical care.

2. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

2. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

2. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

2. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

2. Presentation Rating and Relevance

2. Applicable to My Profession:

Completely
Somewhat
Not at All

2. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

2. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

2. State one change in your practice:

2. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

3. Survey Results to Tangible Actions: Maximizing Impact of the Culture of Safety Survey - Jodie Errington & Sarah Jaaskelainen

3. Learning Objective(s): A) Explain an approach to establish multi-disciplinary creation and ownership for Culture of Safety Survey results by clinic area. B) Describe the methodology to develop an action item to target low scoring items.

3. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

3. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

3a. Jodie Errington

3a. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

3a. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

3b. Sarah Jaaskelainen

3b. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

3b. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

3. Presentation Rating and Relevance

3. Applicable to My Profession:

Completely
Somewhat
Not at All

3. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

3. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

3. State one change in your practice:

3. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

_____________________________________________________________

BREAKOUT SESSIONS: 10:10 - 11:00 am

4. Safe and Well: Utilizing Evidence-Based Strategies to Promote Health Professional Well-Being and Patient Safety - Skye McKennon

4. Learning Objective(s): Outline approaches (systems-based, team-based, and individual-based) that improve healthcare professional well-being.

4. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

4. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

4. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

4. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

4. Presentation Rating and Relevance

4. Applicable to My Profession:

Completely
Somewhat
Not at All

4. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

4. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

4. State one change in your practice:

4. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

5. Improving Diagnostic Capacity: It takes a Team, Tools, and Tenacity - Chris Goeschel

5. Learning Objective(s): A) Explain the impact of provider communication breakdowns on diagnostic safety. B) Discuss barriers to effective teamwork and how to overcome them.

5. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

5. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

5. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

5. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

5. Presentation Rating and Relevance

5. Applicable to My Profession:

Completely
Somewhat
Not at All

5. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

5. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

5. State one change in your practice:

5. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

6. Restorative Practices: Enhancing healing and learning after healthcare harm - Robert Robson & Allison Kooijman

6. Learning Objective(s): A) Describe the present structural and legislative barriers to healing after healthcare harm. B) Describe the challenges of introducing and implementing restorative approaches in healthcare.

6. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

6. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

6a. Robert Robson

6a. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

6a. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

6b. Allison Kooijman

6b. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

6b. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

6. Presentation Rating and Relevance

6. Applicable to My Profession:

Completely
Somewhat
Not at All

6. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

6. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

6. State one change in your practice:

6. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

_____________________________________________________________

AFTERNOON KEYNOTE PANEL: 11:15 - 1:00 pm

7. Lessons Learned from “Dr. Death - Anne Roberts & Panel: Kay Van Wey, Robert Henderson, Martin Lazar, Michelle Shurgart, Robert Oshel

7. Learning Objective(s): A) Describe how the case went from malpractice to criminal. B) List the System Failures that contributed to the injury of 33/38 patients he operated on. C) Describe the lessons learned and tips to avoid this type of failure within the overall healthcare system.

7. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

7. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

7a. Anne Roberts

7a. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

7a. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

7b. Kay Van Wey

7b. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

7b. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

7c. Robert Henderson, MD

7c. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

7c. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

7d. Martin Lazar, MD

7d. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

7d. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

7e. Michelle Shurgart

7e. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

7e. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

7f. Robert Oshel, PhD

7f. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

7f. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

7. Presentation Rating and Relevance

7. Applicable to My Profession:

Completely
Somewhat
Not at All

7. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

7. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

7. State one change in your practice:

7. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

_______________________________________________________________

WEDNESDAY, OCTOBER 19, 2022

_______________________________________________________________

MORNING KEYNOTE 1: 8:10 - 9:00 am

8. Who killed patient safety - Carole Hemmelgarn & Martin Hatlie

8. Learning Objective(s): A) Explain why patient safety has fallen off the national agenda. B) Identify how patient's advocates can be the catalyst to revitalizing patient safety.

8. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

8. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

8a. Carole Hemmelgarn

8a. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

8a. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

8b. Martin Hatlie

8b. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

8b. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

8. Presentation Rating and Relevance

8. Applicable to My Profession:

Completely
Somewhat
Not at All

8. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

8. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

8. State one change in your practice:

8. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

_____________________________________________________________

MORNING KEYNOTE 2: 9:10 - 10:00 am

9. Engaging Patients and Families in Quality and Safety: A deep, transparent partnership - Armando Nahum

9. Learning Objective(s): A) Discuss the importance and impact of connecting the head with the heart when harm occurs. B) Identify how PFACs are a means to improve safety.

9. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

9. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

9. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

9. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

9. Presentation Rating and Relevance

9. Applicable to My Profession:

Completely
Somewhat
Not at All

9. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

9. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

9. State one change in your practice:

9. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

_____________________________________________________________

BREAKOUT SESSIONS 10:10 – 11:00 am

10. “Patient Ergonomics” – the science of patient work – and how to design systems to improve safety by accommodating the work of patients and care partners - Rich Holden & Nicole Werner

10. Learning Objective(s): A) Define Patient Ergonomics. B) Describe tools and techniques from the field of patient ergonomics to study, design, and evaluate systems to support patient and care partner work.

10. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

10. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

10a. Rich Holden

10a. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

10a. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

10b. Nicole Werner

10b. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

10b. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

10. Presentation Rating and Relevance

10. Applicable to My Profession:

Completely
Somewhat
Not at All

10. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

10. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

10. State one change in your practice:

10. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

11. From Informed Consent to Probability Based, Shared Decision-Making - John James

11. Learning Objective(s): Describe the shortcomings of traditional informed consent and how shared decision-making addresses these.

11. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

11. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

11. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

11. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

11. Presentation Rating and Relevance

11. Applicable to My Profession:

Completely
Somewhat
Not at All

11. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

11. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

11. State one change in your practice:

11. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

_____________________________________________________________

AFTERNOON KEYNOTE: 11:10 - 12:15 pm

12. The 2022 CMS Quality Strategy and CMS Levers of Safety – Michelle Schreiber, MD

12. Learning Objectives: A) Describe the areas of focus of the 2022 CMS Quality Strategy. B) List the goals of the 2022 CMS Quality Strategy. C) Describe how the strategy approaches patient safety through a person-centered approach and by addressing healthcare disparities.

12. The Presentation Objectives were Met:

Completely
Somewhat
Not at All

12. Quality of the Presentation Material:

Excellent
Acceptable
Disappointing
Poor

12. Expertise of Presenter:

Excellent
Acceptable
Disappointing
Poor

12. Appropriateness of Teaching Strategies:

Excellent
Acceptable
Disappointing
Poor

12. Presentation Rating and Relevance

12. Applicable to My Profession:

Completely
Somewhat
Not at All

12. The Information will Change Practice:

A Great Deal
Moderate Amount
Not at All

12. Gained Knowledge from Presentation:

A Great Deal
Moderate Amount
Not at All

12. State one change in your practice:

12. Overall Rating of this Activity:

Excellent
Acceptable
Disappointing
Poor

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