vasm tasm collaborative workshop 2015 - racs · vasm tasm collaborative workshop 2015 16 october...
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Victoria Tasmania Annual Surgical Meeting – Coping with Change
Would you have changed the management of this patient’s course to death?
VASM TASMCollaborative Workshop 2015
16 October 2015
12.30pm-5.00pm
The Grand Chancellor Hotel
1 Davey St, Hobart TAS 7000
The Audit of Surgical Mortality (ASM) audit process is designed to highlightsystem and process errors in the management of surgical patients. The reviewprocess is a peer assessment of events that led to the death of a patient. Allreviews should be carried out in a spirit of empathic enquiry. This peer review isintended as an educational rather than a punitive exercise. This workshop issuitable for Fellows, IMGs, Medical students, Anaesthetists, Gynaecologistsand clinicians.
Workshop Overview
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Program
12.30pm – 12.50pm Arrival - Light Lunch
Welcome Opening Session Dr Ashutosh A. Hardikar, MCh, FRACS, Clinical Director, Surgical Services, Royal Hobart Hospital, Department of Cardiothoracic Surgery
Chair Mr Barry Beiles, MB.BCh, FRACS(Vasc), Clinical Director, Victorian Audit of Surgical Mortality (VASM)
1.00pm – 1.15pm Value of surgical peer review assessmentsMr Barry Beiles, MB.BCh, FRACS(Vasc), Clinical Director, Victorian Audit of Surgical Mortality (VASM)
1.15pm – 1.30pm Value of anaesthetic peer review assessmentsDr Margaret Walker, B Med Sc(Hons), MBBS(Hons), FANZCA, Cert DHM (ANZCA), MAICD, The Hobart Anaesthetic Group
1.30pm – 1.50pm Legal implications of the ASM peer review process Felicity England, BA LLB GDLP, Contracts Manager and ANZASM legal advisor, Royal Australasian College of Surgeons (RACS)
1.50pm – 2.20pm Understanding the basic risk management practices Sarah O’Leary, BA, LLB, GradDipLegPrac, Claims Executive, VMIAMarianna Kelly, Senior Medico-legal Risk Manager/Adviser, Avant Law, Queensland
Workshop
Welcome / Chair Peer-review Assessment Workshop Emeritus Professor Peter Stanton, BMedSci(Hons), MBBS(Hons), PhD(Glas) RCPSG, FRACS –General Surgeon, Hobart, Tasmania
2:20pm – 2:50pm Vascular & Gynaecology: Laparoscopic surgery can we do better? Mr Barry Beiles, MB.BCh, FRACS(Vasc), Clinical Director, Victorian Audit of Surgical Mortality (VASM)
2.50pm – 3.00pm Afternoon Tea
3.00pm – 3.30pm Colorectal Surgery: Surgical delays, can they be eliminated?Mr Emilio Mignanelli, MBBS, FRACS, CSSANZ , Hobart, Tasmania
3.30pm – 4.00pm General Surgery: Diagnosis delays, can they be eliminated?Dr Amanda Young, MBBS, FRACS, Launceston, Tasmania
4.00pm – 4.30pm Neurosurgery: Transfer for surgery, can we do better?Mr Nova Thani, MBBS, M Med Sci, FRACS, Tasmanian Spine Service, Hobart, Tasmania
4.30pm – 4.40pm Summary and conclusion
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Welcome – Opening Session
Dr Ashutosh Avadhoot Hardikar, MCh, FRACS, Clinical Director, Surgical Services, Royal Hobart Hospital, Department of Cardiothoracic SurgeryDr Hardikar is an Australian-based health professional. He is the Clinical Director, Surgical Services at Royal Hobart Hospital. He is trained as a Cardiothoracic Surgeon and has a practice located in Hobart.
Mr Ashutosh Avadhoot HardikarMCh, FRACS
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1.00pm – 1.15pm
Value of surgical peer review assessments
Mr Barry Beiles, MB.BCh, FRACS(Vasc), Clinical Director, Victorian Audit of SurgicalMortality (VASM)Mr Beiles is a Vascular Surgeon and Clinical Director of the Victorian Audit of Surgical Mortality(VASM). He has a long-time interest in audit and administers the Australasian Vascular Audit(AVA) since its inception in 2010. Prior to this he developed and administered the MelbourneVascular Association audit for 10 years. He is a devotee of acoustic finger style guitar.
Mr Barry Beiles
MB.BCh, FRACS(Vasc)
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Dr Margaret Walker, B Med Sc(Hons), MBBS(Hons), FANZCA, Cert DHM (ANZCA), MAICD,The Hobart Anaesthetic GroupDr Walker has been a Specialist Anaesthetist since 1993. She is currently a Visiting Specialist inAnaesthesia at the Royal Hobart Hospital, and a Clinical Senior Lecturer at the University ofTasmania, School of Medicine, and maintains a busy private practice. She is the TasmanianCoordinator of the Australian and New Zealand College of Anaesthetists (ANZCA) Quality andSafety Audit, which is monitoring the safety of anaesthesia in Australia, and represents Tasmaniaon the ANZCA Quality and Safety Committee and the ANZCA Mortality Committee. She was theMedical Co-Director of the Diving and Hyperbaric Medicine Unit at the Royal Hobart Hospital from1997 – 2012.
1.15pm – 1.30pm
Value of anaesthetic peer review assessments
Dr Margaret WalkerB Med Sc(Hons), MBBS(Hons), FANZCA, Cert DHM (ANZCA), MAICD
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Felicity England, BA LLB GDLP, Contracts Manager and ANZASM legal advisor, RoyalAustralasian College of Surgeons (RACS)Felicity is the Contracts ManAger for the College’s Research, Audit and Academic SurgeryDivision and works closely with the ANZASM program, its managers and clinical directors,advising in relation to obligations under qualified privilege and audit governance. A legalpractitioner with over 14 years of experience in contractual advice, contractual disputes, anddefendant (personal injury) litigation. She is committed to providing focused, strategic andpragmatic advice.
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1.30pm – 1.50pm
Legal implications of the Audit of Surgical Mortality (ASM) peer review process
Felicity EnglandBA, BA LLB GDLP
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Sarah O’Leary, BA, LLB, GradDipLegPrac, Claims Executive, Victorian Managed InsuranceAuthority (VMIA)Sarah is a Claims Executive within the Health team at the VMIA. She manages medical indemnityclaims arising from all areas of clinical practice across the public healthcare system in Victoria.She graduated from the University of Tasmania. She has previously practiced as a lawyer both inAustralia and the United Kingdom, specialising in health law. She represented patients in medicalnegligence cases whilst living in Bristol and later acted for healthcare practitioners in Londonbefore returning to Melbourne in 2009. Sarah and the team at VMIA work closely with the healthservices to manage claims from notification to trial. At the conclusion of each claim the VMIAreflect on its circumstances to identify clinical risks which may be reduced or prevented in thefuture.Notes:
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1.50pm – 2.20pm
Understanding the basic risk management practices
Sarah O’LearyBA, LLB, GradDipLegPrac
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Marianna Kelly, Senior Medico-legal Risk Manager/Adviser, Mast Risk Mgt, R.N. Grad DipDisp Mgt, Dip Prac Mgt, Accredited MediatorMarianna is a Senior Risk Advisor and manager for Avant. Marianna assists members of Avantthrough the provision of medico-legal advice, risk assessments and the development andimplementation of risk management strategies. She has a Masters in Risk Management so she isable to support the theory of risk management with the practical experience of developingstrategies to manage the medico-legal road blocks.
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1.50pm – 2.20pm
Understanding the basic risk management practices
Marianna Kelly
Senior Medico-legal Risk Manager/Adviser, Mast Risk Mgt, R.N. Grad Dip Disp Mgt, Dip Prac Mgt, Accredited Mediator
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Emeritus Professor Peter Stanton, BMedSci(Hons), MBBS(Hons), PhD(Glas) RCPSG,FRACS - General SurgeonEmeritus Professor Peter Stanton is a semi-retired breast endocrine surgeon in private practice inHobart. He undertook undergraduate studies at the University of Tasmania, and then a PhD at theUniversity of Glasgow. He was employed by the University of Glasgow as Research Fellow,Lecturer, and Senior Lecturer, with appointment to Glasgow Royal Infirmary as ConsultantSurgeon, and spent 6 months as Visiting Lecturer at the Chinese University of Hong Kong. Hereturned to Tasmania as Professor of Surgery for a decade, before winding back to his currentposition. A contributor to the Scottish Audit of Surgical Mortality when he worked in Glasgow, hehas been involved with TASM since its inception in 2004. He is a keen walker, skier and traveller.He is not, and will never be, found on Facebook or LinkedIn.
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Welcome / Chair – Peer-review Assessment Workshop
Emeritus Professor Peter Stanton
BMedSci(Hons), MBBS(Hons), PhD(Glas) RCPSG, FRACS
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2.20pm – 2.50pm
Vascular & Gynaecology: Laparoscopic surgery can we do better?
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Mr Barry BeilesMB.BCh, FRACS(Vasc)
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Mr Barry Beiles, MB.BCh, FRACS(Vasc), Clinical Director, Victorian Audit of SurgicalMortality (VASM)Mr Beiles is a Vascular Surgeon and Clinical Director of the Victorian Audit of Surgical Mortality(VASM). He has a long-time interest in audit and administers the Australasian Vascular Audit(AVA) since its inception in 2010. Prior to this he developed and administered the MelbourneVascular Association audit for 10 years. He is a devotee of acoustic finger style guitar.
Mr Emilio Mignanelli, FRACS, CSSANZMr Mignanelli is a consultant General Surgeon with subspecialty qualifications in ColorectalSurgery. He is a Fellow of the Royal Australasian College of Surgeons and a member of theColorectal Surgical Society of Australia and New Zealand (CSSANZ). He completed his medicaldegree at the University of Tasmania and underwent surgical training through the Alfred Hospitalin Melbourne as well as Taunton Hospital in the United Kingdom. He completed his training as aClinical Fellow in Colorectal Surgery at the Cleveland Clinic in the USA. His main interest is inlaparoscopic surgery for colon and rectal cancer as well as inflammatory bowel disease (IBD). Hecommenced consultant practice in Hobart in 2009 and is based at the Royal Hobart Hospital andCalvary Hospital.
3.00pm – 3.30pm
Colorectal Surgery: Surgical delays, can they be eliminated?
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Mr Emilio MignanelliMBBS, FRACS, CSSANZ
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Dr Amanda Young, MBBS, FRACSDr Young graduated from University of Sydney and currently has a private practice at Launceston.She is a Consultant Surgeon at the Launceston General Hospital, General Surgeon at Calvary, StVincent’s and St Luke’s Private Hospitals, Launceston. Her primary specialty interests are inBreast and Endocrine, Melanoma, Head & Neck and Hand Surgery. Dr Young previously workedas a Resident and Junior Registrar at The Royal Prince Alfred Hospital, the Royal Camperdownand the Royal Alexandra Hospital for Children. In 2013, she has been involved in the ‘trainingforeign doctors’ examination course. She published in several medical journals and attendedinternational conferences and events as a guest speaker. In 2000, she was the Chairman ofTasmania Cooperative Oncology Group.
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3.30pm – 4.00pm General Surgery: Diagnosis delays, can they be eliminated?
Dr Amanda YoungMBBS, FRACS
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Mr Nova Thani, MBBS, M Med Sci, FRACS, Tasmanian Spine Service, Hobart, TasmaniaMr Nova Thani is an adult and paediatric neurosurgeon at Royal Hobart Hospital and an associateat Tasmanian Spine Service and Neurosurgery Tasmania. He is an Adjunct Senior Lecturer withinthe School of Medicine at University of Tasmania.
He has particular interest in complex spinal surgery and has undergone extensive post-fellowshiptraining at St Michael’s Hospital in Canada through the University of Toronto. His other areas ofexpertise include skull base surgery, neuro-endoscopy and cerebrovascular surgery. He hasdiverse experience in neurosurgery by working in multiple hospitals within Australia (Melbourne,Perth, Hobart) and internationally (Toronto, Canada).
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4.00pm – 4.30pm
Neurosurgery: Transfer for surgery, can we do better?
Mr Nova Thani
MBBS, M Med Sci, FRACS
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Notes:
• The Royal Australasian College of Surgeons (RACS)
• The Victorian Regional Office (VRO)
• The Tasmanian Regional Office (TRO)
• The Tasmanian and Victorian Presenters
• The Victorian Audit of Surgical Mortality (VASM)
• The Tasmanian Audit of Surgical Mortality (TASM)
• The Faculty of Health Science, School of Medicine, University of Tasmania
• The Victorian Department of Health and Human Services (VIC DHHS)
• The Tasmanian Department of Health and Human Services (TAS DHHS)
• The Victorian Managed Insurance Authority (VMIA)
• Avant Risk IQ
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Acknowledgements :
Victorian Audit of Surgical Mortality (VASM)GPO Box 2821
Melbourne VIC 3001 AustraliaTelephone: +61 3 9249 1153
Fax: +61 3 9249 1130Email: [email protected]
Web: www.surgeons.org/vasm
Tasmanian Audit of Surgical Mortality (TASM)147 Davey Street
Hobart TAS 7000 AustraliaTelephone: +61 3 6223 8848
Fax: +61 3 6223 5019Email: [email protected]
Web: www.surgeons.org/tasm