Dublin MiST Meeting Agenda

Making it Safer Together (MiST) – The Dublin Experience!

9th of July 2015, CMRF Conference Centre – Our Lady’s Childrens Hospital

Thursday 9th July

11:00 – 13:00 MiST Meeting

  1. Apologies
  2. Minutes from last meeting
  3. Matters Arising
    1. Update from units
    2. Trash the Tubes
    3. Data submission schedule
  5. Medication Incidents
    1. MERP implementation
  6. Inter-unit M&M collaboration
  7. Paediatric HSMR
  8. AOB



14:00 -17:00 Workshop

  1. The year ahead – brainstorm
    1. Quick wins for ADEs?
    2. Promoting TTT widely

Continuation of Readmissions or alternative measures? 

  1. Implementation of safety initiatives

“Stealing shamelessly” – the implementation of safety initiatives; what has worked, what has failed, sharing, learning and shamelessly stealing from each other to better patient care!

Time Title Speaker


Quality in Action


15.00  – 15.15 Recipe for a Quality Team Tracey Wall

Divisional Nurse Manager

15.15 – 15.30 Quality Initiatives in OLCHC Marie Conlon

CNM III, Quality Dept.

15.30 – 15.45 Care Bundles Paula McGrath

CNM II, Quality Dept.

15.45 – 16.00 Spend a little, Save a lot Tara Keogh

CNM II, St. Peters Ward

16.00 – 16.45   Dr. Cathy McMahon,



  1. Maintenance of new practices

“Making it Stick” – once safety initiatives are introduced, how do we make them sticky!

Evening – Meal out

MiST visit Friday 10th of July 2015

Time Title Speaker
10.00 – 11.00 PEWS Dr. John Fitzsimons
11.00 – 13.00 Visit/Tour clinical areas Tracey Wall

Divisional Nurse Manager

13.00 – 14.00 Grand Round Dr. Peter Marc Fortune


Download the Agenda as a .doc file – Dublin_Agenda 9th -10th July 2015

SPS and Joint Commission Resources (JCR) Webinars

SPS and Joint Commission Resources (JCR) have joined together to host a series of webinars to share knowledge and expertise developed from SPS. The webinars will share learnings about HACs and the steps needed to implement bundles of care. The sessions are open to all – including Hospital Quality Leaders, QI Staff, Hospital Senior Leaders.

The webinars are:

  1. Catheter-Associated Urinary Tract Infections (CAUTI) 


  1. Central Line-Associated Blood Stream Infections (CLABSI)


For full details: http://ow.ly/i/93Ehv – See the flyer below…

SPS Webinar Flyer


SPS Guidelines Updated

Solutions for Patient Safety (SPS) have just updated their hospital resources webpage: http://www.solutionsforpatientsafety.org/for-hospitals/hospital-resources/

1) (New) SPS Prevention Bundles: 


  • Catheter-Associated Urinary Tract Infections
  • Central Line-Associated Blood Stream
  • Infections
  • Falls
  • Pressure Ulcers
  • Surgical Site Infections

2) (Updated) SPS Recommended Bundles: 


  • Adverse Drug Events
  • Obstetrical Adverse Events
  • Readmissions
  • Ventilator-Associated Pneumonia
  • Venous Thromboembolism

3) (Same) SPS Operating Definitions (ie Oct. 2013 version):



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