Sharing ideas on Risk, Human Performance, Teams and Leaders

London Conference, June 5 to 7, 2019
Crisis Management, Leadership, Innovation and Well Being

The ethos of Risky Business is to share everything we have learned on safety and improvement in healthcare and from those who operate in risky environments such as business, politics, emergency services, exploration, and sport.

Pre Conference Speakers, 5th June 2019

Learning from paediatric centres of excellence around the globe

Senior frontline clinicians from many of the leading children’s hospitals around the world will share their experiences of their latestpatient safety, improvement and innovation initiatives including:

8:45am
Opening
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Prof Rosalind Smyth

Director of UCL Great Ormond Street Institute of Child Health

Opening and Welcome

9:00am
Live Video Recording
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Prof David Wessel and Rebecca Cady

Executive Vice President and Chief Medical Officer and Vice President, Chief Risk Officer at Children’s National Hospital Washington DC

The experience of six years of continuous real time video recording at the bedside.

9:20am
Live Video Recording
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Peter M. Waters, MD

Head of Orthopaedic Surgery at Boston Children’s Hospital

Real Event Analysis and Learning using live audiovisual analysis during surgery to assess non technical performance

9:40am
Clinicians & Teams
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Dr Jane Valente and Dena Marshall

Medical Director and Chief Executive at Royal Manchester Children’s Hospital

Changing culture at the Royal Manchester Children’s Hospital

10:00am
Clinicians & Teams
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Dr Evan Fieldston

Medical Director for Clinical Operations at Children’s Hospital of Philadelphia

Role of a daily physician operational leads in running a hospital safely and efficiently

10:20am
Morning Break
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Morning Break

10:50am
Clinicians & Teams
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Dr Karen Harrington

Director of Programme at CHU Sainte Justine, Montreal

Closing the loop on follow-up and communication

11:10am
Clinicians & Teams
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Dr Emma McCahon

Clinical Director of Operations at Sydney Children’s Hospital

Building a team to “think differently”

11:30am
Clinicians & Teams
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Dr David Cooper

Medical Director at Cincinnati Children’s Hospital Medical Centre

How to be a rule breaker in a system of rule followers?

11:50am
Clinicians & Teams
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Dr Harris Baden

Chief Critical Care at Seattle Children’s Hospital

Physician & hospital management alignment – understanding the differing perspectives to achieve a meaningful partnership

12:10pm
Inspiration & Resillience
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Billy ‘The Whizz’ Monger

young F4 racing driver who lost both his legs

Resilience

12:40pm
Lunch
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Lunch

1:30pm
Technology
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Prof Peter Laussen and Evan Butler

Chief critical care at SickKids, Toronto and Founder of Etiometry and T3

Artificial Intelligence, trendy research or real value?

1:50pm
Technology
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Azadeh Assadi

Pediatric Nurse Practitioner, The Hospital for Sick Children, Toronto

Abstract presentation: Applying Clinician Macrocognition in Designing a Clinical Decision Support Tool - The Methodology

2:00pm
Technology
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Dr Shankar Sridharan & Sarah Newcombe

Chief Clinical Information Officer and Chief Nursing Information Officer - Great Ormond Street Hospital for Children

An EPIC story

2:20pm
Technology
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Mr Iain Hennessy

Consultant Paediatric and Neonatal Surgeon and Clinical Director of Alder Hey Innovation Hub

Alder Hey - Building a living hospital

2:40pm
Technology
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Dr Tex Kissoon

Chief Medical Officer at Vancouver Children’s Hospital

Social media and twitter – potential impact on our teams and how do we manage this to protect our staff

3:00pm
Afternoon Break
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Afternoon Break

3:20pm
Panel - Deadlock
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Panel Discussion

Dr Fiona Reynolds - Chief Medical Officer at Birmingham Women’s and Children’s Hospital David Wessel – Executive Vice President and Chief Medical Officer at Children’s National, Washington Katie Gollop QC - Barrister at Serjeants’ Inn specialising in healthcare law Nick Pigott - Medical Director, Intensive Care at Sydney Children's Hospitals Network Melissa Platt and Fred Platt – founders of Footprints4Sam, a Trust formed in memory of their son Samuel.

Experienced Barrister, Clinicians and Patient Family talk about deadlock between families and healthcare professionals and how they see solutions to improve this through understanding each others perspectives.

4:00pm
Panel - Deadlock
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Dr Chloe Macaulay

Consultant General Paediatrician at Evelina Children’s Hospital

Supporting paediatric staff, children and parents to work as one resilience team

4:20pm
Teamwork at the limits
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Amy Leonard, Helen Dunn and Nicola Wilson

Nursing Information Officer, Lead Nurse for Infection Prevention Control and Lead Practice Educator at Great Ormond Street Hospital

The Gloves Are Off: Safer In Our Hands

4:30pm
Teamwork at the limits
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Dr Mignon McCulloch

Director of Critical Care / Renal Services, Red Cross Children’s Hospital

Running a hospital in the middle of a major city water crisis

4:50pm
Teamwork at the limits
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Captain Joseph Palmer

Former Commander of Red Devils Free Fall Parachute Team

Plenary talk: Elite teams performing under extreme pressure

Main Conference, Day 1 - 6th June 2019

Learning from emergency services, exploration, sport, and business

Join us to hear and meet remarkable people behind the headlines who made a difference in extreme situations such as: The Grenfell fire, The Manchester bombings, The Novichock incident, The Thai Football Cave Rescuer and many more….

8:50am
Opening
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Mr Matthew Shaw

CEO at Great Ormond Street for Children NHS Foundation Trust

Opening and Welcome

9:00am
Thai Cave Rescue
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John Volanthen

British cave diver, specialised in rescue operations

The story of how we found and rescued the Football team

9:25am
Thai Cave Rescue
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Professor Yves D’Udekem

Cardiac Surgeon, Royal Children’s Hospital, Melbourne

The lessons I take from caving to cardiac surgery and visa-versa

9:45am
Crisis Management & Well Being
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Assistant Commissioner Andrew Roe

Assistant Commissioner, London Fire Brigade

Lessons from Grenfell – when is it appropriate to break “SOPs”

10:10am
Crisis Management & Well Being
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Dr Anu Mitra

Consultant Emergency Physician, Imperial College Healthcare NHS Trust

Looking after the team after major incidents, Grenfell Fire.

10:30am
Morning Break
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Morning Break

11:10am
Crisis Management & Well Being
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Dr Richard Smith

Consultant Trauma Resuscitation Anaesthetist, Royal Stoke University Hospital

Lessons for pre-hospital triage and “when to break protocol” during a major disaster.

11:30am
Crisis Management & Well Being
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Ms Naomi Davis

Consultant Orthopaedic Surgeon. Associate Medical Director, Royal Manchester Children’s Hospital

Lessons from the Manchester Bombing and supporting families and staff in the aftermath.

11:50am
Crisis Management & Well Being
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Dr Mike Christian

Research & Clinical Effectiveness Lead / HEMS Doctor, London’s Air Ambulance, Bart’s Health Trust

Adapting to a fluid and fast moving situation during a major disaster

12:10pm
Crisis Management & Well Being
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Dr Robin J Warshafsky

Lead General Practitioner for primary care streaming, East Sussex Healthcare NHS Trust

Personal tragedy intersects with patient safety - what happens to the horse when the cart is put before it

12:30pm
Crisis Management & Well Being
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Dr Clare Gerada

GP, Lead Practitioner Health Programme, former head Royal College of General Practice

Why are doctors so unhappy and Supporting Doctors in crises.

12:50pm
Lunch
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Lunch

1:45pm
Crisis Management & Well Being
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Lt Col Claire Park RAMC

Lt Colonel, RAMC and HEMS Doctor London Ambulance service

“In the line of fire” – applying lessons from combat situations to similar civilian crises

2:05pm
Crisis Management & Well Being
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Professor Jo Delahunty QC

Leading barrister, “Top Ranked Silk” of the year, Professor of Law

Lessons to be learnt from large scale disasters like Hillsborough to intimate tragedies such as the death of an abused baby

2:25pm
Crisis Management & Well Being
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Captain Steve Allright

BA Training Captain

Taking the fear out of flying

2:45pm
Afternoon Break
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Afternoon Break

3:30pm
Brexit & Leadership
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Lord Adonis

Member of the House of Lords, UK Parliament

Brexit – What now?

3:50pm
Brexit & Leadership
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Steve Richards

Presenter Radio 4 Week in Westminster

State of the Nation and its Leaders!

4:10pm
Brexit & Leadership
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Prof Tim Briggs CBE

Former Medical Director at Royal National Orthopaedic Hospital and Head of the President British Orthopaedic Association.

Leading the national “getting it right first time” programme, successes and reflections

4:30pm
Brexit & Leadership
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Amy Pope

Partner, Schillings, Formerly U.S. Deputy Homeland Security Advisor to President Obama

Building coalitions and systems to proactively deal with crises

4:50pm
Brexit & Leadership
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Nick Fry

Former CEO Aston Martin and Mercedes F1 Team

Drive Survive Win

Main Conference, Day 2 - 7th June 2019

Learning from emergency services, exploration, sport, and business
9:00am
Human Factors & Systems
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Dr Bawa-Garba & Dr Cusack, interviewed by Deborah Cohen

Paediatric Registrar charged with Manslaughter and her mentor and educational supervisor will be interviewed by BBC Journalist Deborah

Trapped by the system - what can we learn. The story of the tragic death of a young boy.

9:30am
Human Factors & Systems
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Dr Margaret Heffernan

Entrepreneur, CEO, writer and keynote speaker

Willful blindness: at an individual and organizational level

9:50am
Human Factors & Systems
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Captain Antonio di Lieto

Senior instructor at CSMART, Carnival Corporation’s Cruise ship Simulation Centre

Managing the risks of maritime accidents with due diligence and safety leadership

10:10am
Human Factors & Systems
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Tom Williams

Former Harlequins Rugby Player and Coach

The story of Bloodgate from a player’s perspective

10:35am
Morning Break
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Morning Break

11:00am
Human Factors & Systems
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Mary Anne Hilliard and Rahul Shah

Executive Vice President and Vice President, Children’s National Medical Center, Washington DC

How a re-invigorated safety programme can save dollars.

11:20am
Human Factors & Systems
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Professor Alex Sia

CEO KK Woman’s and Children’s Hospital, Singapore

What can be achieved by a whole hospital system change in cognitive behavior and safety culture

11:40am
Diversity & Inclusion
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Beto Guajardo

Senior Vice President, Global Strategy, Starbucks

Starbucks’ organization-wide response to a racial bias event in one of their stores – what was learnt.

12:05pm
Diversity & Inclusion
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Yvonne Coghill, CBE, OBE

Director - NHS Workforce Race Equality Standard (WRES) Implementation

Diversity in our workforces – How do we practically make this happen?

12:25pm
Innovation
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Dr Michael Stein

Chairman and CEO of Oxstem, Co-Founder the Map of Medicine and Doctor care

Emerging disruptive therapies for cancer

12:45pm
Innovation
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Professor Silvia Schievano and Mr Owase Jeelani

Professor of Biomedical Engineering, UCL and Consultant Neurosurgeon Great Ormond Street Hospital for Children.

Ultimate team work: research innovation in virtual reality and 3D printing facilitating multiple surgical teams in 17 hour operation to separate conjoined twins.

1:05pm
Innovation
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Chris Connell

Chief Hospital Design Officer, Cleveland Clinic

Challenging Complexity

1:25pm
Lunch
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Lunch

2:15pm
Latest in CPR
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Dr Robbie Lendrum

HEMS Consultant, Bart’s Health, London’s Air Ambulance.

Hyperacute resuscitation strategies: present and future

2:50pm
Latest in CPR
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Professor Mark Wilson

Neurosurgeon & prehospital medicine expert, St Mary’s Hospital and air ambulance.

Using technology to train and maximise bystander response in emergencies

3:10pm
Leadership & Teamwork
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Nicole Stott

Retired NASA Astronaut and American Engineer

Teamwork in remote settings of the International Space Station and Aquarius Undersea Research Base.

3:30pm
Leadership & Teamwork
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Dame Inga Beale

Former CEO of Lloyd’s of London

Leadership and Trust

4:00pm
Drinks Reception
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Drinks Reception

Big Breakfast Masterclass - By Executive for Executives Driving Change -7th June 2019, 8AM

Each team below will do a 10-12 minute overview of how they led cultural change throughout their organisation followed by 15 minutes of more personalised Q and A at each of the breakfast tables.

CULTURAL CHANGE IN SAFETY LEADING TO A REDUCTION IN LITIGATION

The Children’s National Hospital in Washington DC. Prof David Wessel (Executive Vice President), Mary Anne Hilliard (Chief of Counsel) and Dr Rahul Shah (Vice President for Medical Affairs and Safety)

The Washington DC team will give examples of programs they initiated with their board and with their staff that were most successful. For example their Board to Bedside programme whereby Board members go to the bedside in the units and talk to staff about their quality and safety work and what has made a difference.

CULTURAL CHANGE IN BEHAVIOUR LEADING TO IMPROVED SAFETY AND STAFF SATISFACTION

Dr Jeanette Conley, (Executive Director Medicine Sydney Adventist Hospital), Prof Alex Sia (CEO KK Womans and Children's Hospital) and Dr Mark O'Brien (Medical Director, Cognitive Institute). Sessions to be chaired by Dr Fiona Godlee Editor-in-Chief for the BMJ. (Supported by BMJ and Medical Protection).

The Cognitive Institute and the hospital execs they have been working with across Australasia will talk about their programme of cultural change in staff behaviour to create a safer and happier place to work.