Perfusion Safety & Best Practices in Perfusion

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2 Perfusion Safety & Best Practices in Perfusion October 6-9, 2010 CAE Michener Simulation Centre and the Fairmont Royal York Hotel Toronto, Ontario, Canada Sponsored by American Society of ExtraCorporeal Technology In joint collaboration with the International Consortium for Evidence-Based Perfusion (ICEBP) and the Michener Institute for Applied Health Sciences and the CAE Michener Simulation Center ICEBP s Mission is: To continuously improve the delivery of care and outcomes for surgical patients through peer review of scientific publication by: DEVELOPING evidence-based guidelines for extracorporeal circulation PROMOTING the integration of these guidelines into clinical practice IDENTIFYING gaps in the medical literature ENCOURAGING research in areas where evidence is scarce EVALUATING improvement in surgical care related to the adoption of guidelines

3 Program Objectives AmSECT s Perfusion Safety & Best Practices in Perfusion 2010 marks our second venture outside of the USA, allowing us to explore the unique position of the ICEBP as a group with international expertise and participation. This year, we are building on the theme initiated in New Orleans in 2009 with the union of Perfusion Safety and Best Practices through hands-on simulation training and the knowledge translation. The venue will be Toronto, Canada, with the first two days of the conference hosted at the CAE Michener Centre for Advancement of Simulation Education (CASE), a unique private/public partnership between the CAE ( and Michener Institute of Applied Health Sciences ( that leverages over 60 years of best practices acquired in the aviation simulation industry with 50 years of dedicated experience in health care education. To complement our program, we are extremely fortunate to have Dr. Amitai Ziv MD MHA as our keynote speaker. Dr. Ziv is the Deputy Director of the Sheba Medical Center at Tel Hashomer, Israel and is responsible for Risk Management, Quality Assurance and Medical Education. He is also founder and Director of MSR - the Israel Center for Medical Simulation. He is a renowned expert in the field of medical simulation and has been providing keynote talks at medical conferences and Grand Rounds worldwide. Dr. Ziv is the recipient of national and international awards, including the 2007 Charles Bronfman Award for Humanitarian Action and the 2007 Michener Honorary Diploma of Health Science Award for leadership and commitment to the Michener Institute of Applied Health Sciences. We are extremely proud of providing our delegates with the unique opportunity to experience a dedicated high fidelity simulation environment with four concurrent simulation sessions as a result of dedicated support from our industry sponsors that include MAQUET, Medtronic, Sorin Group and Terumo Cardiovascular. This opportunity coupled with our ten scientific sessions makes this an extraordinary meeting to be savored and not missed. About CAE Michener Simulation Centre Come experience excellence at the CAE Michener Centre for the Advancement of Simulation and Education (CASE), a state-of-the-art education and assessment centre located in downtown Toronto. With 20,000 square feet of simulation studios, including 24 fully-functional Objective Structured Clinical Examination (OSCE) suites, the centre features flexible studio space that can be used by a variety of healthcare teams including students and practicing professionals in the disciplines of medicine, nursing, imaging, radiation, cardiovascular perfusion and many more. The CAE Michener Centre for the Advancement of Simulation and Education is the result of a partnership between The Michener Institute and CAE Healthcare (a wholly-owned subsidiary of CAE), and a shared vision of improving clinical competence and enhancing patient safety across our healthcare system. This innovative partnership has adopted simulated learning models developed by CAE to train aviation professionals for the past 60 years. Together with the award-winning Michener Institute, an establishment with 50 years of education experience in healthcare worldwide, the CAE Michener Centre for the Advancement of Simulation and Education offers various simulation and interprofessional-based learning and assessment opportunities.

4 Scientific Program The expected attire is business casual. WEDNESDAY - OCTOBER 6, :45 am - 5:00 pm High Fidelity Hands-On Sessions at CAE Michener Simulation Centre Session Leads: Jane Ottens CCP(Aust), Dwayne Jones CPC CCP RN, Karim S. Bandali PhD To provide attendees with the opportunity to participate in structured high fidelity perfusion simulation cases, including a briefing and debriefing. Several simulation devices and heart-lung platforms will be available for this interactive hands-on session. These one-on-one sessions offer the perfusionist the opportunity to participate in a structured hands-on, interactive simulation of cardiopulmonary bypass. The appointments will be assigned on a first-come, first-served basis, and space is limited to 28 participants. There are four opportunities per hour at 7:30 am, 8:30 am, 9:30 am, 10:30 am, 12:15 pm, 1:15 pm and 2:15 pm. Each session lasts two hours (30 minutes prebrief, 50 minutes simulation, 30 minutes debrief). Please refer to the registration form for more information. THURSDAY - OCTOBER 7, :00 am - 8:00 am Coffee and Registration at the Michener Institute Session 1: The Model for Simulation Healthcare and Perfusion Moderator: Jeffrey B. Riley MHPE CCT CCP To overview how best practices in aviation simulation can inform and enhance healthcare education. Developing an understanding of how the perfusionist can benefit. 8:00 am - 8:30 am Aviation Best Practice: A Footprint for Healthcare Guillaume Herve 8:30 am - 9:00 am Transitioning Aviation Simulation into Perfusion Karim S. Bandali PhD 9:00 am - 10:00 am Keynote Speaker Simulation-Based Education in Healthcare: Impact on Patient Safety, Culture and Practice Amitai Ziv MD MHA To demonstrate the importance of simulation-based education in healthcare and its impact on patient safety and outcomes 10:00 am - 10:30 am Coffee Break Session 2: Perfusion Simulation: Passing Whim or Long-term Tool? Moderator: Dwayne Jones CPC CCP RN Perfusion education and training are rapidly moving forward and embracing the technology of high fidelity simulation for extracorporeal technology. Last year, the ICEBP held a successful simulation workshop in New Orleans, utilizing four simulators; this experience will be reviewed and the way from here discussed. 10:30 am - 11:00 am Evaluation of New Orleans Simulation Workshop: What Did We Learn? Jeffrey B. Riley MHPE CCT CCP 11:00 am - 11:30 am Goal Setting: What Should We Aim For with Simulation?

5 Bruce Searles CCP 11:30 am - 11:45 am Corporate Simulation: What Are We Looking For? Who Are We Helping? David M. Fallen, Terumo 11:45 am - 12:00 n Corporate Simulation: What Are We Looking For? Who Are We Helping? Mark Bearss, Medtronic 12:00 n - 1:30 pm Lunch on own - Michener Campus Session 3: Pediatric and Congenital Perfusion Moderator: Luc Puis ECCP To review the data on the association between outcome and nadir hematocrit during pediatric CPB. To compare and contrast two different perfusion strategies to maintain hematocrit during pediatric CPB. 1:30 pm - 2:00 pm What is Optimal Hematocrit During Pediatric CPB? Kenneth G. Shann CCP CCP Strategies to Maintain Hematocrit - Circuit Design Versus Transfusion 2:00 pm - 2:20 pm Microcircuitry Daniel Gomez MT CCP FPP 2:20 pm - 2:40 pm Fresh Whole Blood Colleen E. Gruenwald MHSc RN CCP CPC 2:40 pm - 3:00 pm Panel Discussion 3:00 pm - 3:30 pm Coffee Break Session 4: Abstract Session Moderator: Carla R. Maul CCP Objective and Quantitative Metrics 3:30 pm - 3:50 pm Pediatric Perfusion Practice: An International Survey Kenneth G. Shann CCP 3:50 pm - 4:10 pm American Society of ExtraCorporeal Technology: Our Promising Future Susan J. Englert RN CCP 4:10 pm - 4:30 pm Coagulation Parameters that Predict Bleeding in the First Hours of Adult Cardiac Surgical Post-cardiotomy ECMO Jeffrey B. Riley MHPE CCT CCP 4:30 pm - 4:45 pm Abstract: Reduced Practice Variation with Patient Focused Extracorporeal Care Plans George A. Justison BS CCP LP 4:45 pm - 5:00 pm Emergency Management of Both Oxygenator and Pump Failure on a 78 yo Patient Undergoing a Bentall Procedure Nicole A. Tomasello 6:00 pm - 8:00 pm Exhibits and Manufacturer Reception Fairmont Royal York Hotel 7:00 am Registration FRIDAY - OCTOBER 8, :00 am - 8:00 am Continental breakfast with Exhibits at the Fairmont York Hotel Session 5: Symbiosis: Marrying the Need for Electronic Health Records and the Need for Data Registries Moderator: Robert A. Baker PhD CCP(Aust) 8:00 am - 8:20 am Going Totally Electronic

6 Carla R. Maul CCP 8:20 am - 8:40 am Cross Talking Theron A. Paugh CCP 8:40 am - 9:10 am The ICEBP Registry: A Registry at Work Donald S. Likosky PhD Integration of Perfusion Data Systems with the ICEPB Registry and Hospital Information Systems: Industry Perspective Introduce attendees to industry s current concept, obstacles and vision for integrating perfusion data management systems with hospital information systems and the ICEBP Registry 9:10 am - 9:20 am TBA Integration of Perfusion Data Systems with the ICEPB Registry and Hospital Information Systems: Registry Vendor Perspective Show attendees how perfusion data management systems may be fed into the ICEBP registry to facilitate data entry, data integrity and overall use and value of the ICEBP registry. 9:20 am - 9:30 am Gyula I. Sziraczky, Armus Corp. 9:30 am - 9:45 am Panel Discussion 9:45 am - 10:15 am Coffee Break Session 6: Quality Assurance and Reporting Moderator: Donald S. Likosky PhD The role of quality reporting. 10:15 am - 10:35 am Registries in Motion - The Michigan Experience Theron A. Paugh CCP 10:35 am - 10:55 am Registries in Motion - The Belgian Experience Luc Puis ECCP 10:55 am - 11:15 am PDU Registry - Audit and Quality Improvement Robert A. Baker PhD CCP(Aust) 11:15 am - 11:25 am Manufacturing: Quality Control in the Process Larry Petree MSME 11:25 am - 11:35 am US Experience of Incident Reporting: An Experience Waiting to Happen David C. Fitzgerald CCP 11:35 am - 11:45 am Perfusion Incident Reporting System (ANZCP) - Is it Still Working? Jane Ottens CCP(Aust) 11:45 am - 12:15 pm Panel Discussion 12:15 pm - 1:30 pm Exhibits open; lunch on own Session 7: Perfusion Simulation: Learning From Each Other? Moderators: Karim S. Bandali PhD and David C. Fitzgerald CCP Exposure of this technology to the perfusion community is varied worldwide. Perfusion education programs in the USA, Canada, Europe, Japan and Australia are utilizing this technology for training their students, along with the corporate sector s use for training and societies/colleges making this technology available to perfusion units within their countries. All with the aim to improve best practice and safety within our profession. 1:30 pm - 1:45 pm Program in Motion: Midwestern Simulation Jon W. Austin MA ED CP

7 1:45 pm - 2:00 pm Program in Motion: SUNY Simulation Edward M. Darling MS CCP 2:00 pm - 2:15 pm Impact of Simulation on Perfusion Education Bruce Searles CCP 2:15 pm - 2:45 pm Evaluation of the Toronto Simulation Workshop: What Can We Share? Jeffrey B. Riley MHPE CCT CCP 2:45 pm - 3:00 pm Perfusion Simulation and the Impact on Credentialing and CME Panel Discussion 3:00 pm - 3:30 pm Coffee Break Session 8: Guidelines: A Work in Progress Moderator: Donald S. Likosky PhD To report the activity and directions of the guideline writing subcommittee of the ICEBP. 3:30 pm - 3:55 pm Report of the Guideline Writing Subcommittee David C. Fitzgerald CCP 3:55 pm - 4:15 pm Guidelines: A Helpful Tool or Misguided Enthusiasm? Robert A. Baker PhD CCP(Aust) 4:15 pm - 4:40 pm Myocardial Protection: Ripe for A Guideline Kenneth G. Shann CCP 4:40 pm - 5:00 pm Panel Discussion SATURDAY - OCTOBER 9, 2010 Session 9: The More the Merrier - Results of the ICEBP-STS-SCA Collaboration Moderators: Donald S. Likosky PhD and Robert A. Baker PhD CCP(Aust) To share and discuss the evolution and progress of the ICEBP collaboration with other professional societies. In this session, we will share the strengths and weaknesses of guideline writing. 8:00 am - 8:45 am Can Guidelines Influence Care? Survey Paper co-published in JECT and AA Kenneth G. Shann CCP and Dwayne Jones CPC CCP RN 8:45 am - 9:30 am 2010 Update to the Society of Thoracic Surgeons Blood Conservation Guidelines - Gaining Comment from the Perfusion Profession Victor Ferraris MD PhD 9:30 am - 10:00 am Coffee Break Session 10: Goal Setting for 2011 and Beyond Moderators: Donald S. Likosky PhD and Robert A. Baker PhD CCP(Aust) Propose some strategic objectives with the perfusion community, including the development and implementation of evidence-based guidelines and development of performance metrics for cardiovascular perfusion. 10:00 am - 10:45 am Safety and Best Practice: Should Perfusion Performance Be (or When Will It Be) a Performance Measure by our Accrediting Bodies? Donald S. Likosky PhD 10:45 am - 11:30 am Round Table Discussion: Moving Forward to 2011 Industry, Perfusionists, Scientists 11:30 am Closing Comments

8 Perfusion Safety & Best Practices in Perfusion October 6-9, 2010 CAE Michener Simulation Centre and the Fairmont Royal York Hotel Toronto, Ontario, Canada Robert A. Baker PhD CCP(Aust) Flinders Medical Centre Flinders University Adelaide, Australia Karim S. Bandali PhD, Co-Chair Michener Institute Toronto, Ontario Dwayne Jones CPC CCP RN, Co-Chair St. Mary s General Hospital Kitchener, Ontario Planning Committee Donald S. Likosky PhD Dartmouth College Lebanon, New Hampshire Carla R. Maul CCP Washington Hospital Center Washington DC Nicholas B. Mellas CCP Montefiore Medical Center Bronx, New York Faculty Jane Ottens CCP(Aust) Ashford Hospital South Australia, Australia Theron A. Paugh CCP University of Michigan Ann Arbor, Michigan Kenneth G. Shann CCP Montefiore Medical Center Bronx, New York Jon W. Austin MA ED CP Midwestern University Glendale, Arizona Robert A. Baker PhD CCP(Aust) Flinders Medical Centre Flinders University Adelaide, Australia Karim S. Bandali PhD Michener Institute Toronto, Ontario Mark G. Bearss Clinical Support Manager Medtronic Cardiovascular Minneapolis, Minnesota Edward M. Darling MS CCP SUNY Upstate Medical University Syracuse, New York Susan J. Englert RN CCP President Wichita, Kansas David M. Fallen Director of Clinical Support Terumo Cardiovascular Systems Ann Arbor, Michigan Victor Ferraris MD PhD University of Kentucky Lexington, Kentucky David C. Fitzgerald CCP INOVA Health System Fairfax, Virginia Daniel Gomez MT CCP FPP Nationwide Children s Hospital Columbus, Ohio Colleen E. Gruenwald MHSc RN CPC CCP SickKids, University of Toronto Toronto, Ontario Guillaume Herve President and CEO CAE Healthcare Montreal, Quebec Dwayne Jones CPC CCP RN St. Mary s General Hospital Kitchener, Ontario Donald S. Likosky PhD Dartmouth College Lebanon, New Hampshire Carla R. Maul CCP Washington Hospital Center Washington DC Jane Ottens CCP(Aust) Ashford Hospital South Australia, Australia Theron A. Paugh CCP University of Michigan Ann Arbor, Michigan Larry Petree MSME Sorin Group Arvada, Colorado Luc Puis ECCP UZ Brussels, ASZ Aalst Brussels-Aalst, Belgium Jeffrey B. Riley MHPE CCT CCP Mayo Clinic Rochester, Minnesota Bruce Searles CCP SUNY Purchase Syracuse, New York Kenneth G. Shann CCP Montefiore Medical Center Bronx, New York Gyula I. Sziraczky President and CEO Armus Corporation Burlingame, California Amitai Ziv MD Deputy Director, Chaim Sheba Medical Center Tel Hashomer, Israel