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Presentation and Discussion Sessions

1. Welcome/Redefining Resuscitation
[Click on links below to go to presentations] [Click for bio]
Welcome M. DeVita
Sick Hospitals or Sick Patients? M. DeVita
Redefining Resuscitation K. Hillman
Redefining resuscitation - AHA view M. A. Peberty
MERIT: What we should learn R. Bellomo
The Patient's Perspective H. Haskell
Panel /Audience Discussion M. DeVita
2. The Rapid Response System
The Efferent Arm: an overview M. Baldisseri
The Afferent Arm: an overview M. Buist
The Administrative Arm: an overview R. Bellomo
The QI Arm: an overview M. DeVita
Panel /Audience Discussion M. A. Peberty
3. The MERIT Trial: A detailed look
Conditionality of MET impact J. Chen
The dose response curve of METs
R. Bellomo
Why was the MERIT trial negative? M. Buist
What the MET Teams did K. Hillman
Panel /Audience Discussion G. Lighthall
4. In-hospital patient safety
How safe are hospitals R. Fruth
Government commitment to safety in hospitals J. Ovretveit
Engineering safety J.Gosbee
Ontario's Commitment to Critical Care Response Teams H. MacLeod
The hospital of the future K. Hillman
Finding the money for safety: What administrators need to hear C. Scholle
Panel/Audience Discussion D. Goldhill
5. The afferent limb: Detecting crises and triggering the response
What is a crisis (MET) event? M. A. Peberty
Do Crisis Criteria predict risk? D. Goldhill
Detecting crisis: Automated crisis detection systems G. Smith
What do hospitals need to do to detect crisis reliably? M. Buist
Panel/Audience Discussion A. Kirby
6. The Efferent Limb: Building a Team that Works
Essential Qualities of an Efferent Team R. Bellomo
Nurse led teams K. Duncan
Physician led teams K. Hillman
Critical care outreach R. Wax
Hospitalists and Crisis Management S. Ranji
Panel/Audience Discussion M. Baldisseri
7. The Impact of METs on Nursing
Nursing response to METs K. Duncan
Nursing attitudes, recruitment, retention C.Scholle
Nursing attitudes and METs calls: MERIT data D. Goldsmith
Panel/Audience Discussion N. Mininni
8. METs and Education
Physician trainees: Mets Helps or Hinders Education G. Lighthall
Post graduate nurses N. Mininni
Attending physicians M. Peberty
Simulation training and RRS M. DeVita
Panel/Audience Discussion D. Goldsmith
9. International Experience with RRS
Canada A. Kirby
United Kingdom D. Goldhill
Italy F. Rubulotta
Scandinavia M. Bell
USA D. Teres
Panel/Audience Discussion F. Rubulotta
10. What do I do when I get there?
Respiratory Insufficiency R. Wax
Shock F. Sebat
Neurological Deterioration M. Baldisseri
Improving MET-based patient care using treatment algorithms M. R. Pinsky
11. Nursing and METs: Nurse led teams
Creating and implementing great treatment algorithms (PDF) F. Sebat
Training nursing responders (PDF) N. Mininni
Helping nurses prevent MET calls (PDF) D. Goldsmith
12. QI and RRS's: How to mine RRS data; what to do with the Gold
NRCPR Database: why bother M. Peberty
Linking RRS to QI System to better detect process errors M. DeVita
Austin Data base, national death registry R. Bellomo
13. Overcoming barriers to implementation
Cultural failures : (case studies: not my job; using METs to blackmail doctors to see pt) M. DeVita
Implementing RRS in Canada: Update on the Canadian Collaborative A. Kirby
Silos of care K. Hillman
Panel/Audience Discussion G. Smith
Debate: Hospitals should be required to implement a RRS
Pro M. Buist
Con S. Ranji
Panel/Audience Discussion J Ovretveit
Debate: MET Teams should be separate from the Cardiac Arrest Team
Pro R. Bellomo
Con Geoff Lighthall
Panel/Audience Discussion A. Kirby
Debate: MET leads to deskilling
Pro D. Goldhill
Con G. Kenward
Panel/Audience Discussion M. Harvey
Closing Remarks
M. DeVita

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