Invited speakers

Sara Albolino

Sara Albolino, Phd, EurErg, is Patient safety Manager at the Centre for patient safety of the Tuscany Region, Italy, where she has been working since 2004. She is interested in human factors and systems reliability, and in the socio-organizational nature of accidents. Sara coordinates regional programs on training, patient safety practices, anticipation of risks. She teaches patient safety and systems reliability in several academic courses and masters. She contributes to WHO programs on the African Partnership for Patient Safety and the Safe Childbirth checklist. Sara is a member of the Technical Commission for Clinical Risk Management of the Italian Ministry of Health and the Secretary of International Affairs of the Italian Ergonomics Society. She is also Chair of Technical Committee on Healthcare Ergonomics of the International Ergonomic Association.

René Amalberti

René Amalberti is Professor of Medicine, MD, PhD. After a residency in Psychiatry, René integrated the Airforce in 1977, got a permanent Medical Research position in 1982, and became Full Professor of Medicine in 1995. He retired in 2007 with the rank of General, splitting now his time between the HAS-Haute Autorite de Sante (French Accreditation Agency- senior advisor patient safety), a position of scientific director medical risks in a medical insurance Cie (MACSF, Head prevention strategies) and a position of volunteer director of a Public Foundation for safety culture in the Industry (FONCSI). He has published over 150 international papers, and authored or co-authored 12 books on human error and system safety (the two last: Amalberti, Navigating safety, Springer, 2013 and Vincent & Amalberti, Safer Healthcare Springer, 2017)

Sue Hignett

Sue Hignett is Professor of Healthcare Ergonomics & Patient Safety at Loughborough University (UK). Over the last 30 years she has experienced the healthcare industry as a clinician, ergonomist, researcher and patient. Her research looks at a wide range of human factors and ergonomics issues including design of safer systems, building and vehicle (ambulance) design, emergency and CBRNe response, staff wellbeing and an innovative approach to patient falls. Prof. Hignett is an Editor for 'Ergonomics'; Chair of the Education & Training panel at the Chartered Institute of Ergonomics and Human Factors; and past Chair of International Ergonomics Association Technical Committee on Healthcare Ergonomics.

Erik Hollnagel

Erik Hollnagel is presently Professor at the University of Southern Denmark and Chief Consultant at the Centre for Quality Improvement, Region of Southern Denmark. Erik is an internationally recognised specialist in the fields of resilience engineering, system safety, human reliability analysis, cognitive systems engineering, and resilient health care. His present research interests concern patient safety. He is the author of more than 500 publications including twenty-two books, articles from recognized journals, conference papers, and reports.

Johanna Westbrook

Professor Johanna Westbrook is Director of the Centre for Health Systems and Safety Research (CHSSR), Australian Institute of Health Innovation (AIHI) in Sydney. Her research addresses the design and execution of complex multi-method evaluations in the health sector. She particularly focuses on the effective use of information and communication technologies and on the impact of computerized medication and pathology ordering systems on organizational efficiency and communication processes. Her recent works include observational studies of health professionals' work and communication patterns (including interruptions and multi-tasking), and identification of contextual work factors that may disrupt effective and safe work. A product of this has been the design and testing of highly innovative work observational methods and electronic data collection tools.


The program is available in PDF format. Click here to download it

Oral presentations will last 15 minutes, followed by 5 minutes of questions.

Posters will be displayed throughout the duration of the conference in the dining room where coffee and lunch breaks will take place.

Tuesday, 4 October
Welcome coktail at the Pierre-Paul Riquet congress center
Possibility to register for the conference
Wednesday, 5 October
Welcome desk opening
Lecture hall
Plenary lectures
Congress opening and welcome speech
Vanina Mollo & Pierre Falzon
Presidents of the conference

New challenges for patient safety
René Amalberti
Professor of Medicine, MD, PhD; patient safety senior advisor at the French Accreditation Agency; Scientific director medical risks in a medical insurance company

Coffee break and poster presentation

Parallel sessions
Lecture hall
Transitions of care

Chairperson: Robert Wears
Room 3
Occupational health for healthcare workers: preventive actions
Room 15
Risk management in healthcare systems - 1

Chairperson: Susan Hallbeck
Collaborative processes of care managers in the detection and recovery of medication errors
Pascale Carayon, Randi Cartmill, Peter Hoonakker, Ann Schoofs Hundt, Doreen Salek, James Walker, Janet Tomcavage

Safe Transitions of Care: a comprehensive human factors approach for improving safety in the communication of healthcare organizations
Giulio Toccafondi, Tommaso Bellandi, Sara Albolino

How can we support the implementation and maintenance of the medication review process at hospital to secure the transitions of care?
Clément Wawrzyniak, Sylvia Pelayo

Diagnosis methods within a palliative care team
Nathalie Denis-Delpierre, Christine Vidal-Gomel, Isabelle Vinatier
A systematic review of musculoskeletal disorders among sonographers and dentists
Jiaqi Gao

Hospital cleaners and gender differences in selecting health good practices before and after the downsizing
Silvana Salerno, Krizia Sanna, Laura Forcella, Lucilla Livigni, Andrea Magrini

Does the use of friction reducing devices actually reduce the exposure to high force lateral transfers
Mike Fray, Daniel David, Diane Hindson

The role of nurse managers in facilitating nurses' participatory actions for improving their workplace environment
Etsuko Yoshikawa, Toru Yoshikawa, Kazutaka Kogi
Commissioning technological innovations in radiotherapy: optimizing safety under economic pressure
Hélène Faye, Catherine Jenny

Clinical Risk management and patient safety in the primary screening for human papilloma virus (HPV): analyses of the process
Giulia Dagliana, Riccardo Tartaglia, Dariana Illiano, Francesco Ranzani, Francesca Carozzi, Massimo Confortini, Simonetta Bisanzi, Giampaolo Pompeo, Paola Mantellini, Paolo Nardini, Antonella Cipriani, Carmela di Pierro, Anna Iossa, Annarosa Del Mistro, Luigia Romano, Cristina Fodero, Sonia Prandi, Sara Albolino

Risk analysis by healthcare professionals in radiotherapy: assessing difficulties, developing a method
Sylvie Thellier, Lucie Cuvelier, Pierre Falzon, François Jeffroy

Stopping incidents in their tracks: identifying weak signals for error prevention in healthcare
Eva-Maria Burford, Michael Fray, Patrick Waterson

Lunch break

Parallel sessions
Lecture hall
Computer-based work in healthcare

Chairperson: Marijke Melles
Room 3
Symposium: Risk assessment tools for manual handling in healthcare sector
Organizer: Deepak Sharan
Room 15
Resilient Health Care - 1
Characteristics of everyday clinical work

Chairperson: Robert Wears
Implementing PC's on nurse's care-trolleys in an university hospital
Vera Bustamante

Impact of electronic forms for patients on workflow in primary care clinics
Peter Hoonakker, Pascale Carayon, Randi Cartmill

Doctor's experiences of mobile devices and electronic patient observations in hospital wards
Alexandra Lang, Sarah Sharples, Mark Simmonds

Sensomotor performance in a microsurgical setting and as a function of optical magnification: development of an instrument for conducting user studies
Marino Menozzi, Ying-Yin Huang, Niels A. Abt

Introduction: PATE, BIPP Transfer Evaluation, OWAS, REBA, Other Tools
Deepak Sharan

Risk Assessment Tools for Manual Handling in the Healthcare Sector
Leena Tamminen-Peter

Patient handling in the Healthcare Sector: risk management with MAPO Methodology
Marco Tasso

Lumbar-load quantification and overload-risk prevention for healthcare workers during manual patient handling - The Dortmund Approach
Matthias Jäger

An ordinary Sunday - Managing for adaptation in uncertain work settings; graphing adaptive sequences to reveal work as done
Karl Hybinette, Richard Cook, Mirjam Ekstedt

Early-warning signals in an Emergency Department
Jonathan Back, Janet Anderson, Myanna Duncan, Alastair Ross, Adrian Hopper, Patricia Snell, Peter Jaye

Workflow Management Emerging Practices: Taking Care of Cooperative Work in Radiotherapy
Maria Isabel Munoz, Adelaide Nascimento, Flore Barcellini, Pierre Falzon

Coffee break and poster presentation

Parallel sessions
Lecture hall
Designing digital healthcare

Chairperson: Pascale Carayon
Room 3
Symposium: Usability-related regulation for medical devices: Challenges to achieving patient safety
Organizer: Sylvia Pelayo
Room 15
Collective work, collective safety in healthcare

Chairperson: Tommaso Bellandi
Be Proactive in Improving Pediatric Patient Safety. Understand the Effects of EMR on Communication
Adjhaporn Khunlertkit, Carol Matlin, Mary Ellen Wilson, Gail Schoolden, Lori Paine, Allen Chen

Accurate documentation of indications for antimicrobial prescribing in an electronic medication management system
Melissa T. Baysari, Jessica Del Gigante, Maria Moran, Ling Li, Johanna I. Westbrook, Richard O. Day

Employees' work environment and patients' rights, conflicting responsibilities when implementing patient online access to their EHR
Gudbjörg Erlingsdóttir, Lena Petersson

Usability is the key to increasing patient safety
Torsten Gruchmann

Main challenges of Usability Engineering Process for various applications in the Medical Devices field
Pierre-Marie Lacroix

Challenges raised by the final usability validation stage
Sylvia Pelayo

Impact of Intraoperative Microbreak Exercises on Surgical Team Performance
Susan Hallbeck, Bethany Lowndes, Amro Abdelrahman, Juliane Bingener

Improving teamwork in surgery by design: a contextual design approach
Marijke Melles, Gerald Kraan

Care activity regulation in a day hospital depending on nurses, patients and system
Lamia Bouzgarrou, Tahar Hakim Benchekroun, Pierre Falzon

When mobilization of workers is a condition for the efficiency of hospital level intervention
Elsa Laneyrie, Sandrine Caroly, Alexis Descatha

Welcome reception at the Toulouse City hall (Place du Capitole - downtown)
Welcome by the Mayor
Thursday, 6 October
Lecture hall
Plenary lectures
More holes than cheese: Human Factors Integration in Healthcare
Sue Hignett
Professor of Healthcare Ergonomics & Patient Safety, Loughborough University, UK

Patient Safety: Preventable Harm or Achievable Good?
Erik Hollnagel
Professor, Institute of Regional health Research, University of Southern Denmark

Coffee break and poster presentation

Parallel sessions
Lecture hall
Patient participation
Chairperson: Vanina Mollo
Room 3
Workload and working time in healthcare
Chairperson: Sue Hignett
Room 15
Risk management in healthcare systems - 2
Chairperson: Joy Rivera
An innovative example of patient education: the Family Learning Socio Sanitario
Micol Bronzini, Giovanna Vicarelli, Alberto Deales

Improving medication safety through an inpatient portal for families of hospitalized children
Michelle M. Kelly, Peter Hoonakker, Shannon M. Dean, Julie A. Plotkin, Sally J. Klagos, Barbara J. Byrne

Towards effective and efficient participatory systems approaches to healthcare work system design
Nye Canham, Gyuchan Thomas Jun, Andrew Selby

Patient and public involvement in national clinical effectiveness processes: a systematic review
Veronica Lambert, Anne Matthews, Riyad El-Moslemany, Olive O'Connor

Practical measures for improving working time arrangements and job content of physicians working at hospitals
Toru Yoshikawa, Koji Wada, Tatsuhiko Kubo, Rie Akaho, Naoki Uchino, Michiko Kido, Fudeo Sakamoto, Yoshifumi Nakajima, Takahisa Murakami, Takahisa Goto, Takashi Hosaka

Work environment perceptions, shift work and health in healthcarers
Nadine Cascino, Claudine Mélan

NASA-TLX and Cabrera Index: perceptions of workload in the emergency department
Renaldo Blocker, Wesley Cammon, Hunter Hawthorne

Workloads and safety in healthcare - well-being of doctors and nurses, performance and consequences on patient safety
Alessandro Cerri, Tommaso Bellandi, Cipriana Mengozzi, Giulia Carreras, Riccardo Tartaglia, Eleonora Mastrominico, Mario Papani, Sabina Piccione, Fernando Renzetti

Patient handling as an healthcare activity: a simulation-based training methodology
Dorothée Malet, Tahar-Hakim Benchekroun, Pierre Falzon, Christine Vidal-Gomel

Improving the association between instruments and kits in paramedics' response bags
Yuval Bitan, Jaffe Eli

Assessing the effect of interruptive events on task completion time: a multi-site study
Scott R. Walter, William T.M. Dunsmuir, Johanna I. Westbrook

Efficacy of patient transferring devices in reducing low back injuries to nursing personnel
Arun Garg, Jay M. Kapellusch

Lunch break

Parallel sessions
Lecture hall
Safety culture in healthcare systems

Chairperson: Anne-Sophie Nyssen
Room 3
Round table: Exploring all the benefits of safe patient handling interventions in health and community Care
Convener: Mike Fray
Room 15
Resilient Health Care - 2
Analyses from a resilience healthcare perspective

Chairperson: Robyn Clay-Williams
Safety Climate Scale for Assessment of Healthcare Organisation: Validity and Reliability Applying to Dialysis Facilities
Kenji Itoh

The Irish Paediatric Early Warning System (PEWS): Protocol for a national service evaluation of hospital safety culture and situation awareness in acute paediatric hospitals in Ireland
Veronica Lambert, Anne Matthews, Yvonne Corcoran, Riyad El-Moslemany, Rachel MacDonell, John Fitzsimons

Patient Safety in Pediatrics: an ergonomic solution for safer care of children - the case of the Pediatric Teaching Hospital of Florence and the pediatric regional network
Sara Albolino, Riccardo Tartaglia, Giulia Dagliana

10 years of reporting and learning from patient safety incidents in a Regional Healthcare Service
Tomaso Bellandi, Michela Tanzini, Francesco Ranzani, Elisabetta Flore, Riccardo Tartaglia

Marco Tasso (EPM Milan, Italy)
Arun Garg (University of Wisconsin - Milwaukee, USA)
Sue Hignett (Loughborough University, UK)
Matthias Jaeger (Dolly Group, University of Dortmund, Germany)
Leena Tamminen-Peter (Ergo-Solutions, Finland)
Noticing errors in blood transfusion prevents harm to patients
Alison Watt, Thomas Jun Gyuchan, Patrick Waterson

Resilient performance in the containment of an outbreak of ESBL - producing Klebsiella in a neonatal intensive care unit
Axel Ros

Patient discharge pressures in the Older Person's Unit: A Resilience Engineering approach
Myanna Duncan, Janet Anderson, Jonathan Back, Alastair Ross, Adrian Hopper, Patricia Snell, Peter Jaye

Understanding organizational efficiency by understanding work activity in medication errors
Olivier Lhospital, Lucie Pierre, Alain Garrigou, Christine Lagabrielle, Adalgisa Battistelli, Nathalie Gréard, Isabelle Leclerc, Catherine Verdun-Esquer
Coffee break and poster presentation

Parallel sessions
Room 3
Usability evaluation of healthcare technical systems

Chairperson: Sylvia Pelayo
Room 15
Training and simulation in healthcare

Chairperson: Pierre Falzon
UX barriers of handsfree communication devices in nursing work
Yushi Yang, Antonia Joy Rivera

Evaluation of the reliability of a touchless interface for surgery
Celine Mateev, Jordan Benzacken, Jean-Francois Omhover, Alain Sezeur

Usability of Medication-related alerting systems: where do we stand?
Romaric Marcilly, Elske Ammenwerth, Marie-Catherine Beuscart-Zéphir

The impact of usability engineering on patient safety
Torsten Gruchmann, Stephanie Schwenke

What can organizations learn from simulation? A field study in anesthesia and intensive care
Cécile Boulard Masson, David Rozier, Julien Picard, Aline Baron, Pierre Albaladejo

Management of dilemma under sleep deprivation in anesthesiology residents and the impact on mobilization of skills: a simulation based study
Anaïs Job, Arthur Neuschwander, Antoine Tesnière, Catherine Delgoulet, Philippe Cabon

Training the operating room staff in a virtual multiplayer and real-time environment to prevent adverse events: study of team situation awareness and decision making using the learning game 3D virtual operating room
Catherine Pons Lelardeux, David Panzoli, Vincent Lubrano, Vincent Minville, Pierre Lagarrigue, Jean-Pierre Jessel

How Technology and Training can promote Resilience? A case study in Robotic surgery
Anne Sophie Nyssen, Adélaïde Blavier

Departure of shuttle buses from the congress center to Aeroscopia
Visit of aeroscopia museum and gala diner
N.B. You must be registered to attend to Gala diner - you can register on HEPS website
Friday, 7 October
Lecture hall
Plenary lectures
Challenges in measuring clinical work patterns and their impact on performance and patient safety
Johanna Westbrook
Director of the Centre for Health Systems and Safety Research, Australian Institute of Health Innovation (AIHI) in Sydney, Australia

The voyage of patient safety: successes and failures of a program for promoting actionable solutions in a healthcare system
Sara Albolino
Phd, EurErg, Patient safety Manager at the Centre for patient safety of the Tuscany Region, Italy

Coffee break and poster presentation

Parallel sessions
Room 3
Symposium: The role of Human Factors in fighting against Sepsis: an organizational and safety perspective
Organizer: Giorgio Tulli
Room 15
Designing for everyone, designing for home care

Chairperson: Mike Fray
The barriers to change - Lessons learned from a multi-center QI improvement project in Germany
Konrad Reinhart

Introduce sepsis guidelines in a pediatric hospital: benefits, pitfalls and possible solutions
Niranjan Kissoon

The role of Human Factors in fighting against Sepsis: a patient safety perspective
Giulio Toccafondi

The role of Educational and Organizational Intervention for enhancing adherence to the sepsis guidelines
Gianpaola Monti

Access to care for people with mental disabilities getting older through the study of the accessibility to medical devices: the situation in France
Quentin Chibaudel, Véronique Lespinet-Najib, Karima Durand, Laurence Piant, Frédéric Piant

Affordances of household features important to personal health information management: designing consumer health information technology for the home
Nicole E. Werner, Pascale Carayon, Gail R. Casper, Peter Hoonakker, Catherine Arnott Smith, Patricia Flatley Brennan

Developing personas for use in the design of dementia care environments
Charlotte Jais, Sue Hignett, Ruby Allen, Eef Hogervorst

Innovations to support people in the physical environment in homecare - a workplace for one, a home for the other
Johanna Persson, Gudbjörg Erlingsdóttir, Elin Olander, Lotta Löfqvist, Gerd Johansson

Lunch break

Parallel sessions
Lecture hall
Human Factors and Ergonomics in healthcare: implementation strategies
Chairperson: Peter Hoonakker
Room 3
Symposium: eHealth in Home Healthcare - Dystopia or Utopia
Organizer: Alexandra Lang
Room 15
Resilient Health Care - 3
Solutions: Creating resilient healthcare

Chairperson: Erik Hollnagel
"10 Minutes of Human Factors" - An innovative training approach for healthcare
Shanqing Yin, Adjhaporn Khunlertkit

Social and Organizational Factors Shaping Human Factors Integration (HFI) within Healthcare - A Comparison with the Nuclear, Defense and Rail Industries
Patrick Waterson, Antonia Burt

The design and use of ergonomic checkpoints for healthier human care work
Kazutaka Kogi, Toru Yoshikawa, Etsuko Yoshikawa

Collaborative Efforts between Health Information Technology Patient Safety Officer and Human Factors Specialist to Deliver HIT Safe Use
Allen Chen, Lori Paine, Adjhaporn Khunlertkit

Sue Cobb (University of Nottingham, UK)
Gerd Johansson (Lund University, Sweden)
Gudbjörg Erlingsdottir (Lund University, Sweden)
Evelyne Klinger (ESIEA Graduate School of Engineering, Laval, France)
Carme Carrion (Universitat Oberta de Catalunya, Universitat de Girona)
Sarah Atkinson (University of Nottingham, UK)
Training leaders for resilient health care: Negotiation 101 for Healthcare Executives
Robyn Clay-Williams, Zhicheng Li, Paul Lane, Lauren Camilleri, Teresa Winata, Andrew Johnson

Why do healthcare organisations struggle to learn from experience? A Safety-II perspective
Mark Sujan, Huayi Huang, Jeffrey Braithwaite

Competency-based training program based on observation of everyday clinical work and its effect on the prevention of central line-associated blood stream infection
Shigeatsu Hashimoto, Mitsuko Ogata, Hironori Numazaki
Coffee break and poster presentation
Lecture hall
Plenary lecture
Closing speech
Vanina Mollo & Pierre Falzon
Presidents of the conference