A day before the symposium we organize an all-day structured CERTAIN workshop (Checklist for Early Recognition and treatment of Early Acute Illness and iNjury)


20 June, 2019

Ljubljana, Radisson Blu Plaza hotel

By Mayo Clinic METRICePM Group (Multidisciplinary Epidemiology and Translational Research in Intensive Care Emergency and Perioperative Medicine)

Checklist for Early Recognition and Treatment of Acute Illness (CERTAIN) is a quality improvement program that offers a systematic approach to perform an initial assessment and ongoing evidence based management of the critically ill or injured patient. In the last decade, our team has successfully implemented CERTAIN in a network of 36 hospitals worldwide (www.icertain.org) using bedside decision support tools and web-based remote simulation and coaching. Thus far >1000 physicians and nurses completed CERTAIN training with >5,000 patients enrolled globally. Preliminary report of the quality improvement research study showed CERTAIN implementation was feasible and was associated with better adherence to basic critical care processes, decrease in complications, shorter ICU and hospital lengths of stay, and lower mortality.

Healthcare professionals have long recognized the need for lifelong learning throughout their career in order to deliver the best possible care to patients they serve. Due to the current fast pace of development in science and technology, conventional conferences are not sufficient to translate scientific and medical knowledge to clinicians that would ultimately benefit patients. Moreover, the constraints of distance and training pose major barriers for large-scale adoption of best critical care practices, particularly in low- and middle-income countries. With the vision to minimize preventable death, disability and expensive complications in their sickest patients, Mayo Clinic METRIC faculty has launched CERTAIN course series dedicated to helping physicians and nurses implement meaningful change in acute care hospitals.

  • CERTAIN Course
    • Delivered by Mayo and regional faculty on selected US and international locations in partnership with host institution or organizationPre-course needs assessment: Collaborative review of patient care demands, critical care environment, and goals of the participating healthcare team to customize course content, delivery to maximize impact
    • Expert lectures (on-site, remote and/or recorded) on key domains: standardization, implementation science, informatics, quality improvement, education and researchCertain workshop team
    • Hands on workshop containing mentored experiential learning at local simulation facility
      • Admission module
      • Rounding module
      • CERTAIN checklist and decision support
      • Point of care ultrasound as a stethoscope
    • Panel discussion on key topics including shared decision making, prevention of nosocomial complications, end of life care etc.
    • Post-course assessment, commitment to change, and learner satisfaction survey
    • Participants eligible to become recognized as CERTAIN Trainer
    • Future courses: Croatia May 2019, Slovenia, June 2019, China, June 2019, Rochester MN, USA September 2019
  • One year Tele-Education Program
    • Complete CERTAIN course as a prerequisiteCertain workshop team
    • 40 sessions of video interactive case based sessions that will transform your ICU practices in 1 year
    • By using asynchronous online learning, remote simulation training, competency assessment, and in–situ coaching, Tele-Education program is designed to maximize education efficiency and effectiveness, and ultimately improve meaningful patient outcomes.
    • Eligible to be recognized CERTAIN ICU

Based on the 10 years of experience to design, develop and implement innovation solutions to transform ICU practices in hospitals around the world, CERTAIN Program is focused on standardized approach to acutely ill and injured patients.4 The course objectives include: the reason and need to change of current practice of acute care, CERTAIN approach to make the change; tools and technology to enable the change, including clinical informatics and simulation; patient engagement for shared decision marking; communication skills for the clinical team and family members; patient safety and quality improvement principles; change management and implementation science; and clinical research. Participants will also learn from the practical experience of an international group of faculty experts, who have implemented this program in the hospitals across five continents.

Registration closed


Ognjen Gajić

Dr. Gajić practices and teaches critical care medicine at Mayo Clinic in Rochester, Minnesota. He has published more than 300 peer-reviewed articles and book chapters related to critical care medicine. He directs an interdisciplinary clinical research laboratory, METRIC-ePM (Multidisciplinary Epidemiology and Translational Research in Intensive Care, Emergency and Perioperative Medicine (https://www.mayo.edu/research/labs/metric/overview). He served as a founding chair of the Discovery Research Network of the Society of Critical Care Medicine. (https://www.sccm.org/Research/Research/Discovery-Research-Network)

Dr. Gajić's research interest center on the epidemiology, pathophysiology and management of critical illness and injury with a particular focus on enhancing clinical practice using advanced informatics, computer simulation and artificial intelligence. The specific research topics are various including: sepsis, acute respiratory distress syndrome, mechanical ventilation, transfusion, and end of life care. Dr. Gajić and his colleagues have pioneered the concepts of improving critical care and outcomes with intelligent ICU environments: https://ccforum.biomedcentral.com/articles/10.1186/cc11142.


Alejandro Rabinstein

Dr. Rabinstein practices and teaches neurology, with special interest in critical care neurology at Mayo Clinic in Rochester, Minnesota. He has published more than 500 peer-reviewed articles and book chapters related to neurology. His is a member of an interdisciplinary clinical research laboratory, METRIC-ePM (Multidisciplinary Epidemiology and Translational Research in Intensive Care, Emergency and Perioperative Medicine (https://www.mayo.edu/research/labs/metric/overview). Additional projects in which Dr. Rabinstein is engaged include studying the influence of ICU structure (staffing and housestaff education), ICU processes (criteria for determining safety for discharging patients from ICU, evidence based practices of sedation, invasive and noninvasive mechanical ventilation, blood product transfusion and sepsis), ICU outcomes (performance of individual ICUs based on benchmarks derived from severity prognostic models).

Dr. Rabinstein's research and clinical interest center on emergency neurology, stroke, TIA, cerebrovascular diseases, intracerebral hemorrhage, subarachnoid hemorrhage, intracranial aneurysms, acute neuromuscular diseases, acute headaches, medical complications of neurological diseases.


Vitaly Herasevich

Dr. Herashevich is a Professor of Anesthesiology and Medicine in the Department of Anesthesiology and Perioperative Medicine, Division of Critical Care, Mayo Clinic, Rochester, Minnesota. He has been involved in medical informatics for over 20 years, with a specific concentration on applied clinical informatics in critical care and the science of health care delivery. He was born in Belarus, where he earned his M.D. and Ph.D. degrees, and joined the Mayo Clinic in 2006. Later he finished MSc in clinical research at Mayo Clinic and became Certified Professional in Healthcare Management Systems (CPHIMS). He codirects the Clinical Informatics in Intensive Care program as part of a research group that works to decrease complications and improve outcomes for critically ill patients through systematic research and quality improvement. He is interested in studying and developing clinical syndromic surveillance alerting systems ("sniffers"), clinical data visualization (novel patient-centered EMR), and health care predictive and prescriptive ambient intelligence. He is co-inventor of number of technologies including AWARE platform, resulting in technologies commercialization. He has coauthored 85 articles and book Health Information Evaluation. As part of an education effort, Dr. Herasevich developed curriculums and teaches clinical informatics to medical students, residents, fellows at the Mayo Medical School and Mayo Graduate School. He is Fellow of Society of Critical Care Medicine and active within informatics and professional societies serving on a number of committees.

More information at profile web page - http://www.mayoclinic.org/biographies/herasevich-vitaly-m-d-ph-d/bio-20055468


Rahul Kashyap

Dr. Kashyap is an Assistant Professor of Anesthesiology at Mayo Clinic in Rochester, Minnesota. He has published more than a 100 articles and book chapters, his main research interests revolving around the primary goal of "doing the greatest good for the greatest number of people in a timely fashion."  Day-to-day research for Dr. Kashyap includes meaningful use of medical informatics tools and finding ways to improve health care delivery among patients with critical care illness and in need of emergent care. Besides studying patients, Dr. Kashyap studies health care providers as well as the systems used for the above.

His research interests lie in severe sepsis and acute lung injury, also TRALI, acute kidney injury, cerebrovascular disease and disaster management. His research is shining some light on ways to improve early goal-directed therapy (EGDT) and acute lung injury resolution.





Session 1

CERTAIN Approach for Patient Centered Care and Global Adoption Faculty
  Ognjen Gajić



Session 2

  9.45 - 13.00
The CERTAIN Process
Each experience will include faculty explanation, video or live demonstration of CERTAIN best practices, and hands-on learner participation in live, simulation based scenarios

Group A

CERTAIN Admission
CERTAIN Rounding
CERTAIN Ultrasound

Group B

CERTAIN Rounding
CERTAIN Ultrasound
CERTAIN Admission

Group C

CERTAIN Ultrasound
CERTAIN Admission
CERTAIN Rounding


  13.00 - 14.00

Session 3

CERTAIN Approach to Shared Decision Making
Video followed by case based discussion
  Alejandro Rabinstein
  15.00 - 16.00
Tools and Technology to Enable Change
Clinical Informatics
  Vitaly Herasevich
Quality Improvement
  Ognjen Gajić
Clinical Research
  Rahul Kashyap


  16.00 - 16.15

Session 4

  16.15 - 17.15
Case Studies in Critical Care: A Panel Discussion
Case based examples of common ICU challenges and solutions Regional Expert Panelists: Vojka Gorjup, Primož Gradišek, Pedja Kovačević, Nataša Milivojević, Matej Podbregar, Viktor Švigelj