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Daan Sep

Daan is a Intensivist with an anesthetic background. He completed his anesthetic training in 2000 in UMC St. Radboud Nijmegen. There after he was a senior registrar at Liverpool Hospital NSW Australia at Ken Hillman’s and Gill Bishop’s ICU. Here he was introduced to the concept of the rapid respons system.
Daan completed his IC training in LUMC in Leiden. Back in Nijmegen he was a consultant anesthesiology and involved in the HEMS of UMC St Radboud. He was thoroughly involved with the implementation of the Outreach project in UMC St. Radboud.
From 2008 he is a consultant ICU in Alkmaar Medical Center at with he was leading in designing and implementation of the Rapid Response System and the Surviving Sepsis Campaign in the same hospital.

Anita Kogels

kogelsI am Anita Kogels,Intensive care nurse The last 4 years I am working as Rapid Respons organisator in Medical Centrum Alkmaar and in the Gemini Hospital in Den Helder Netherlands.
My responsibility is further devolopment in rapid response systems and giving education and training for ward staff and the RRS.
Also collecting data for indicator RRS, Audit and evaluation.

Marije van der Terp

marijeI started as a nurse at the Medical Centre Alkmaar in 2000 and from 2009 I filled the position of team leader on the surgery ward. As team leader I was involved in the implementation of the rapid response system and the development of the educational program for nurses. In 2013 I became team leader on the cardiology ward, where I currently supervise 55 employees divided over four different units. In addition to my function as a team leader I also support the rapid response organisator with process improvements in our hospital.

Wilma Jansen

jansenWilma Jansen is a senior advisor Quality, safety and Innovation at the Albert Schweitzer Hospital Dordrecht, the Netherlands. In this role she’s responsible the domains of patient safety, transparency, innovation and research.
Within these domains she works as a change agent, coach and innovator with a special interest in human factors and culture. Her historic professional background is in intensive care nursing.

Steve Harris

Steve HarrisI am a Clinical Lecturer in Anaesthesia and Intensive Care at University College London, and a final year Specialist Registrar. I completed a Wellcome Clinical Research Training Fellowship with Professors Kathy Rowan (ICNARC), Colin Sanderson (LSHTM) and Mervyn Singer (UCL).
My thesis proposed that sepsis in particular, and critical illness in general, are time dependent processes that result in different clinical phenotypes. These phenotypes have heterogeneous responses to organ support and interventions in the ICU. My PhD was awarded in February 2014, and the study reports are currently being prepared.

Solvegj Kristensen

SolvejgKristensenSolvejg Kristensen is a Master of Health Science and currently a PhD student at the University of Aalborg, Denmark. Solvejg also holds a Graduate Diploma in Business Administration from the School of Business and Social Sciences, Aarhus University.
Since 2003 she has worked with quality improvement in Danish and European health care, specializing in patient safety. She has worked for the Danish Society for Patient Safety as a project manager of the European Network for Patient Safety and Quality of Care, as well as led several projects for the European Society for Quality in Healthcare, through their Danish office. Solvejg has done clinical research within child psychiatry and quality of care.

Ralph So

soRalph is trained as an anesthesiologist-intensivist and is working from 2001 as an consultant intensivist at the Albert Schweitzer hospital (ASZ) in Dordrecht, the Netherlands. From 2007 he is the clinical lead at the ASZ of the committee "MET/ Rapid Response System". In 2008 he joined the national VMS workingparty on "Early detection and treatment of the deteriorating patient on the ward", as part of the Dutch National Safety Program. From 2009 he is also appointed as medical manager of the department of Quality, Safety and Innovation. His main research and PhD-topic is on Rapid Response Systems with a specific interest in "The effect of early identification of and response to clinically deteriorating patients on the surgical ward by using automated continuous patientmonitoring on patientrelated outcomes"; other research interests are team resource management (TRM), individual appraisal & assesment (peer-to-peer), (multidisciplinary) chart analysis, HSMR.

Niels Egholm Pedersen

Niels Egholm Pedersen, MD, has been working with a PhD-project based on EWS-data from the Capital Region of Denmark since 2013. The project is based at the Danish Institute for Medical Simulation, which among many other activities trains ward staff in the recognition and management of critically ill patients.

Michael Buist

michaelbuistProfessor Michael Buist MbChB (Otago), FRACP, FCICM, MD (Monash), Grad Cert Health Economics
Michael Buist is a fulltime academic physician and intensive care specialist. He is a graduate of Otago Medical School in New Zealand (MB ChB 1983) and completed specialist training with the Royal Australasian College of Physicians in intensive care medicine (FRACP 1991, FCICM 2010). In 2007 he graduated Doctor of Medicine with the submission of his thesis to Monash University; “The epidemiology and prevention of in hospital cardiac arrests.” He also has a graduate certificate in health economics from Monash University (2001). He is currently the Director of Intensive Care at the North West Regional Hospital in Burnie, Tasmania and Honorary Clinical Professor, Faculty of Health, University of Tasmania. In addition he undertakes private physician clinics in a community general practice in Wynyard, Tasmania and is a clinical co-ordinator for Ambulance Tasmania.

Publications and Grants
His academic contributions (66 peer review publications) are in the areas of health reform, evidence-based approaches to improving hospital systems and processes, and clinical engagement, on contemporary issues related to patient safety and patient centred care. He has made significant contributions to patient safety that has had a substantial positive impact on hospitals, clinicians and communities nationally and internationally. This is best exemplified by his two publications on Rapid Response Systems in the British Medical Journal (2002 and 2007) and the Lancet (2005). Professor Buist has been a passionate and public advocate for health system quality and reform with a particular focus on patient safety. He has received a number of awards and distinctions in this area, as detailed in his CV. His academic publications have included both research studies and commentary in the leading international journals, such as the British Medical Journal, New England Journal of Medicine, Lancet, and the Medical Journal of Australia. Many of his publications and public output has focussed on how hospital systems can be improved to ensure patient safety. A particular recent publication on “What went wrong with the quality and safety agenda?”, published in the British Medical Journal in 2013, has had a substantial international impact, leading to invitations to speak in a number of national and international fora. This year these have included keynote addresses at the International Forum on Quality and Safety in Paris and Risky Business in London.

He is currently a Chief investigator on an ARC linkage grant, “Listen to me, I am really sick” (ARC LP 120100372) and a virtual Tasmanian Health Precinct Project grant on community polypharmacy. In 2014 he has the current Translational research grant application pending: NHMRC Development Grant: B0022592 Remote Electronic patient Clinical Status Monitoring and Intervention; An Australian Rural Regional Hospital Patient Safety Initiative.

Commercialization of basic research

Based on the basic research on rapid response team Professor Buist founded and directed a company called Patientrack (www. Patientrack.com) which is an electronic system of tracking and managing real time patient alerts (Australian Patent AU2004/001499): “System and process for facilitating the provision of healthcare.” These systems are now wide spread in the National Health Service in the United Kingdom.

Recent and Significant Publications

  1. Middleton S, Buist M. An analysis of the coronial legislation in the Australian jurisdictions. Melbourne Law Review 2014; 37 (3): 699-735.
  2. Buist M, Jaffray L, Bell E, et al. Utilization of beds on the general medical unit by “non-acute medical” patients: A retrospective study of incidence and cost in two Tasmanian regional medical hospital units. Intern Med J 2014; 44 (2); 171-7.
  3. Buist M, Middleton S. What went wrong with the quality and safety agenda? An essay by Michael Buist and Sarah Middleton. BMJ 2013; 347: f5800.
  4. Buist M. Patient safety 2012: reporting in from the bedside of a regional Australian hospital. Aust J Rural Health 2013: 21(5): 293-4.
  5. Marshall S, Shearer W, Buist M, et al. What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the Rapid Response System (RRS) in a multi-campus Australian metropolitan health care. BMJ Qual Saf 2012. Jul;21(7): 569-75
  6. Jones S, Mullally M, Ingleby S, Buist M, Bailey M, Eddleston JM. Bedside electronic capture of clinical observations and automated clinical alerts to improve compliance with a NHS Trust Early Warning Score (EWS) protocol. Crit Care Resusc 2011; 13(20): 83-88
  7. Buist M, Predicting hospital crisis; Can we do it? The Challenge of Predicting In-Hospital Iatrogenic Deaths in Medical Emergency Teams, Eds DeVita M, Hillman K, Bellomo R, Springer 2011.
  8. Buist M, Harrison J, Abaloz E, Van Dyk S. Six year audit of cardiac arrests and medical emergency team calls in an outer metropolitan teaching hospital. BMJ 2007 Dec 8; 335(7631): 1210-2.
  9. Bernard S, Gray T, Buist M, Jones B, Silvester W, Gutteride G, Smith K. The treatment of comatose survivors of prehospital cardiac arrest with induced hypothermia. NEJM 2002; 346 (8): 557-563.
  10. Buist M, Moore G, Bernard S, Waxman B, Anderson J, Nguyen T. Effects of the Medical Emergency Team in the reduction of the incidence and the mortality from unexpected in-hospital cardiac arrest calls: a preliminary study. BMJ 2002; 324 (7334): 387-390.

Mandy Odell

odellDr. Mandy Odell.
Ph.D, MA. PGdip, RGN
Nurse Consultant, Critical Care.
Royal Berkshire NHS Foundation Trust, Reading, UK

Mandy qualified as a general nurse in 1979 and has worked in critical care for over 30 years. After working for twenty years in intensive care, she became Nurse Consultant in Critical Care in 2001. Her main focus of practice is in improving the care of critically ill patients on the general wards through expert role modelling, education, and support; as well as the facilitation and development of Critical Care Outreach and early warning scoring system. Her PhD research included evaluation of ward nurses compliance with rapid response protocols. One of her proudest achievements is setting up the first system in the UK that allows patients and their families to directly call the Critical Care Outreach team if they have concerns. Her team won a national award for this ‘Call 4 Concern’ (C4C) service in 2011.

A keen supporter of the British Association of Critical Care Nurses (BACCN), Mandy was the National Chair for three years. Through the BACCN Mandy has been involved in the development of UK national critical care policy, such as Comprehensive Critical Care and the NCEPOD report. As well as being an early Board member of the National Outreach Forum (NORF), Mandy was the first non-medical member elected to the Council of the Intensive Care Society in 2008, setting up the division and representing the nurses and allied health professional members. She is currently the Executive Secretary of the newly formed International Society for Rapid Response Systems (iSRRS).

Mandy has been widely published and regularly speaks at conferences both in the UK and abroad.

John Welch

JohnWelchJohn Welch, RN, BSc, MSc, Consultant Nurse, Critical Care & Critical Care Outreach at University College London Hospitals NHS Foundation Trust

  • John worked as Staff Nurse, Charge Nurse, Senior Nurse and Lecturer in ICU through the 1990s. He was then appointed to one of the first Consultant Nurse posts in the UK, set-up one of the first Critical Care Outreach services in London, was first Chair of the National Outreach Forum, and Programme Lead at the Department of Health Modernisation Agency. John now sits on the Royal College of Physicians group that developed the UK National Early Warning Score and is a clinical advisor for the All-Party Parliamentary Group on Sepsis.
  • In 2013, John co-wrote, developed and delivered a novel Nurse Intensive Care Skills (NICS) Training programme in Sri Lanka which is now being rolled out across that country. Set-up of the first Outreach team in Sri Lanka is underway.
  • Currently, John is Consultant Nurse at UCLH, co-lead of the UCL Partners Deteriorating Patient Initiative across 15 acute trusts (which has halved cardiac arrests at UCLH); and now co-lead of the UCLP Patient Safety Collaborative, leading on quality improvement in management of sepsis and mortality reduction through the Partnership.
  • This last year John has been working on two NIHR funded research projects: a study of nurse-led psychological support for high-risk patients; and a study of cardiac arrests in 100+ hospitals. He is also joint lead and recipient of a Health Foundation SHINE project grant aiming to graphically highlight key clinical risks and “nudge” reliable prevention and treatment measures by staff, patients and carers.

Jeroen Ludikhuize

J Ludikhuize 2Dr Jeroen Ludikhuize is currently a resident in the field of Anaesthesiology at the University of Amsterdam. In the spring of 2017, he will start his fellowship in Intensive care medicine at the Leiden University Medical Center.
Jeroen studied Biomedical Sciences and Medicine at the University of Amsterdam and started his PhD in 2008. In 2014, he successfully defended his thesis ‘Rapid Response Systems. Recognition and management of the deteriorating patient’. The Cost and Outcomes analysis of Medical Emergency Teams (COMET) study, was the main focus of his thesis describing the effectiveness of implementation of Rapid Response Systems in a multicentre study in the Netherlands.
His research interest and continuing efforts within this field, focus on improving recognition of the clinically unstable patient on the nursing ward using advanced strategies including continuous non-invasive measurements and other ICT applications.

Ian Leistikow

IanLeistikowIan Leistikow is a non-practicing physician. He was the coordinator of the patient safety program within the University Medical Center Utrecht, the Netherlands, from 2003 to 2011. This program comprised for example the introduction of Root Cause Analysis (RCA), proactive risk analysis (HFMEA), research on handoffs, research on patient participation and a video game on patient safety (www.airmedicsky1.org). He has set up various patient safety related trainings, has published multiple articles about patient safety and is co-author on a book about RCA. In December 2011 he published his PhD thesis on how the Board of Directors can lead patient safety improvements. His thesis is condensed into an article which was published in BMJ in July 2011. In 2014 he published a Dutch book on learning from Sentinel Events, which was widely recognized in the Netherlands. Since April 2011 Ian works as senior inspector at the Dutch Healthcare Inspectorate. There his tasks include judging the quality of sentinel event analysis reports from hospitals and coordinating the Dutch national set of quality indicators for hospitals. Ian is member of the Strategic Advisory Board of the International Forum on Quality and Safety in Healthcare. He is also one of the initiators of GetUpGetBetter (www.getupgetbetter.com), a series of international healthcare quality competitions, that is currently being developed.

Henriette Moll

mollProf. Dr. Henriëtte Moll is Head of the Department of General Paediatrics and Emergency Care at the Erasmus MC – Sophia Children’s Hospital.
Her Research focus on decision making at the Paediatric Emergency Car from triage tot the febrile child.

Gooske Douw

GooskeDouwGooske Douw is a registered nurse and nurse scientist. She is a member of the Nursing Advisory Board in Hospital Gelderse Valley and since 2010, PhD student at Radboud university medical centre. She was born in 1951 and started her nursing career at the age of 25. Worked on several different surgical wards, participated in different hospital councils and projects that focused on improving nursing care. In 2006 she started university and graduated in 2009 as Master of Science in Nursing. The topic of her PhD project is the role of nurses’ ‘worry’ in the process of early recognition of deterioration in patients on general wards in acute care hospitals. A list with 9 general domains was developed, that objectify ‘worry’ and is the basis for her further research.

Geke Blok

Dr. Geke A. BlofotogekeBlokk is Head of Medical Education and Science and manager of the Department of Education in the Reinier de Graaf Hospital in Delft. Her responsibilities concern the quality of both resident education and the internships and support of clinical teachers as well as the quality of scientific research carried out in the hospital. She is co-author of the educational plan for training of residents, consultants and nurses in dealing with patients at risk . She was trained as a clinical psychologist and psychotherapist and developed her expertise in education in her work at Maastricht University.  
She was co-author of the European Donor Hospital Education Program (EDHEP) aimed at training professional skills in breaking bad news and requesting organ donation that is implemented in over 30 countries worldwide. Her dissertation (2003) was about measurement of the effects of this program on professional competence, teamwork in the intensive care and satisfaction of relatives, both in the Netherlands and the United Kingdom. In 2006 she reviewed international literature and compared legal systems and actual practice in organ procurement in Europe for a government study to evaluate the Law on Organ Donation.
She is co-author of the Communication Skills Module of the Patient-Centered Acute Training programme (PACT) of the European Society of Intensive Care Medicine (ESICM).
She has been one of the pioneers to implement the electronic learning environment at Maastricht University and preparing staff and students for elearning and blended learning.
Geke Blok is a consultant for the development and implementation of training/management programs for professionals around the world and is (co-)author of over 40 publications on (assessment of) professional staff.  

Gary Smith

GarySmithCalling criteria for Rapid Response Systems: early warning scores or ‘medical emergency team’ calling criteria?

Amsterdam May 18th 2015

Professor G B Smith, FRCA, FRCP,
Centre of Postgraduate Medical Research & Education (CoPMRE),
Faculty of Health and Social Sciences,
Bournemouth University, Royal London House,
Christchurch Road, Bournemouth,
Dorset BH1 3LT, United Kingdom

Failures by staff to recognise or respond to patient deterioration have led hospitals to use ‘track and trigger’ systems to facilitate improved vital signs monitoring and the calling of expert help to a patient’s bedside. Two main types of ‘track and trigger’ systems exist – early warning scoring systems and Medical Emergency Team (MET) calling criteria. EWS are used almost universally in the UK and have been adopted in some parts of Europe. The MET calling criteria are used in preference to early warning scores in some countries, particularly the USA and Australia.

The ideal ‘track and trigger’ systems for use would have a high sensitivity (the percentage of hospitalised patients whose deterioration is corrected identified by the system) and high specificity (the percentage of hospitalised patients who are correctly identified as not deteriorating by the system). The ability to correctly determine those at risk of deterioration with the minimum workload is therefore important from the point of view of a hospital’s staffing.

This presentation will discuss the two main types of ‘track and trigger’ systems and will compare their performance.

Friede Simmes

FrideSimmesFriede Simmes is lecturer and researcher at the HAN University, institute of Nursing Studies, the Netherlands.
Friede began her professional career as a nurse in a general hospital and in the community healthcare. Now she is lecturer in quality of care and innovation in nursing at the HAN and she is researcher with the HAN research group for Acute and Intensive Care. She was member of the team who implemented the Rapid Response System (RRS) in the Radboud University Medical Centre. In her PhD study she investigated the effects of an RRS on serious adverse events. In addition, she studied the effect of a multifaceted implementation strategy on adherence of the ward staff to the afferent procedure. Furthermore, she assessed the effects of an RRS on Health Related Quality of Life and on hospital costs. Friede got her PhD in 20014.

Frank Bosch

FrankBoschDr. Bosch is an Internist/Intensivist and Emergency Care Physician. Previously, he was the Director of Training at Hospital Rijnstate. He serves as section editor of the Netherlands Journal of Critical Care. Dr. Bosch holds several degrees in ultrasound. He has published close to 100 articles in scientific journals and has given over 100 scientific presentations. Dr. Bosch was the winner of the Patient Safety Award in 2008. Currently, he is the President of the European Federation of Internal Medicine. Dr. Bosch is the immediate past-President of the Netherlands Association for Internal Medicine. In 2014 he was elected Fellow of the American College of Physicians.

Cynthia van der Starre

starreCynthia van der Starre works as a pediatrician-neonatologist at the Erasmus Medical Centre Sophia Children’s Hospital. Besides her clinical work in the NICU, she works as a Patient Safety Officer for the PICU and the Sophia Children’s Hospital. She finished her PhD thesis on Patient Safety in Pediatrics, a Developing Discipline, in 2011.

Chris Subbe

subbeChris Subbe is a graduate from the University of Cologne, Germany where he also completed his postgraduate research in respiratory pathophysiology with the late Prof. K Wassermann.
After training posts in the United Kingdom and Germany and time as a volunteer for "Médecins sans Frontières" in Angola he completed training in respiratory, general internal and intensive care medicine in the Welsh deanery. He works as a consultant in Acute, Respiratory and Intensive Care Medicine at the Ysbyty Gwynedd, North Wales and was appointed Senior Clinical Lecturer at the School of Medical Sciences, Bangor University in 2009.

Beyond his clinical work he is actively involved in Research and Development with a focus on Identification of critically ill patients on general wards. Current projects include the role of the frailty syndrome in prognosticating deteriorating patients and an international bench marking study of rapid response teams.

Chris Bonafide

ChristopherBonafideDr. Bonafide is an Assistant Professor of Pediatrics at the University of Pennsylvania and an Attending Physician on theGeneral Pediatrics Inpatient Service at The Children’s Hospital of Philadelphia. He spends most of his time doing research to better understand threats to pediatric hospital patient safety and develop new ways to improve safety, most notably in the areas of rapid response systems and alarm management. Current projects include using video to gain insights into alarm fatigue from patient monitors, and using safety huddles to identify alarm “hot spots” and take immediate steps to reduce unnecessary alarms.

Dr. Arthur R. H. van Zanten

zantenDepartment of Intensive Care, Gelderse Vallei Hospital, Ede, The Netherlands

Dr Arthur van Zanten is internist-intensivist and Deputy Chair of the Department of Intensive Care Medicine in Gelderse Vallei Hospital in Ede, The Netherlands. He also holds the position of Medical Manager Care Division at the Hospital Board and is responsible for Acute and Complex Care.

Dr van Zanten graduated from the Medical School of the Erasmus University Rotterdam (Cum Laude) in 1988. After training in Internal Medicine (cum laude) in Rotterdam he followed a fellowship in Intensive Care Medicine, under supervision of Prof. Ch. Stoutenbeek, at the Academic Medical Center of the University of Amsterdam.

In 2008, Dr van Zanten successfully defended his PhD thesis at the Free University of Amsterdam on Infectious Complications in Critically Ill Patients, with a particular focus on clinical, pharmacological and economic aspects. He is involved in the organizational aspects of Dutch Intensive Care for many years and he served as a member of the Executive Board of the Netherlands Society of Intensive Care Medicine (NVIC). He chaired Fundamental Critical Care Support Netherlands for many years. He was the chair of the NVIC Committee on Intensive Care Quality until 2012. He was also the Managing Editor of the Netherlands Journal of Critical Care for 10 years. He has organised over 250 medical congresses.

Dr van Zanten was member of the Council of the European Society of Intensive Care Medicine (ESICM) from 2000-2006 and co-chair of the Assessment Working Group for the ESICM CoBaTrICE project. He is international liaison officer for the Surviving Sepsis Campaign Netherlands and Chair of the Sepsis Expert Group National Patient Safety Programme Netherlands. Over the last years his interest has moved towards Critical Care Nutrition with a special interest in immune-modulating nutrition in ICU patients, in collaboration with the Wageningen University & Research centre, The Netherlands. He is the coordinating investigator of the MetaPlus immune-nutrient enteral nutrition trial in critically ill patients of which the results were published in JAMA in August 2014.

In the period 2011-2015 he gave more than 150 lectures on Critical Care Nutrition and Sepsis throughout the world.

Anne Lippert

lippertBrief English Biography for the 11th International Symposium on Rapid Response Systems

Anne Lippert’s current position is Deputy Director of the Danish Institute for Medical Simulation, a position, which she has held full-time for the last 8 years. She is trained as a specialist in anaesthesiology with subspecialty in Intensive Care Medicine.
Anne Lippert has been involved with simulation training for more than 18 years and has been part of the development of the current largest institute for simulation in Denmark (DIMS). DIMS is the centre for simulation-based training in the Capital Region of Denmark
The main objective for the Danish Institute for Medical Simulation is developing healthcare education and simulation-based training to improve patient safety. The main activities include the development of training programs, research in simulation and using simulation as a research tool.
Anne Lippert holds a Certificate in Health Professions Education from the University of Dundee (2010).
Anne Lippert has worked with Rapid Response Systems for many years and has been the author of Guidelines for the introduction of RRS in Denmark as well as a member of the Regional board for RRS.
Anne Lippert was chair of the organising committee for the 5th Symposium on Rapid Response Systems, which was held in Copenhagen in 2009.
Anne Lippert is a co-author of the consensus paper from the 2nd consensus conference on Rapid Response Systems.
She is now a member of the Steering Committee in the Capital Region of Denmark for the implementation of a regional Early Warning System and the main supervisor for a Ph.D project on Early Warning Scores.
Anne Lippert is a member of the board in iSRRS and head of the meeting committee.

Dr. Alex Psirides

Psirides photoINFORMATION:
Title/Name: Dr. Alex Psirides
Position: Intensive Care Specialist
Organisation: Wellington Regional Hospital, Wellington, New Zealand

BIOGRAPHY:
Alex is an Intensive Care specialist working in Wellington, having trained in London, Melbourne and New Zealand. He has been involved in the design and implementation of Rapid Response Systems in several different hospitals and is finally close to persuading the New Zealand government that a national approach to the deteriorating patient is definitely a good idea. In his spare time, when not walking his dog or his children, he designs websites & logos for Wellington ICU’s prodigious research department. He has nearly written a lot of research papers & as such needs to spend less time on Twitter.

Ada van den Bos

adaIn 1991 she started working as a Pediatric Intensive Care Nurse at Sophia Children’s Hospital in Rotterdam, the Netherlands. She also had a 2 year (1995-1997) experience at the Aldo Castaneda Institute in Genolier, Switzerland where she worked as a nurse on the Cardiac Surgery Intensive Care Unit for Children.
Since 2007 she works as Patient Safety Officer in Rotterdam at the PICU. She completed the Patient Safety Officer Executive Development Program at the IHI in Boston, USA in 2009.
Specialties: Research, Patient Safety, Crew Resource Management training, team simulation training. Prospective and Retrospective analysis of critical incidents.

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