Responding to Adverse Events and Errors

Responding to Adverse Events and Errors 

Hospitals can draw on the experience of other organizations in their efforts to provide safe, high-quality care to patients. Operations management research shows that organizations in vastly different industries have used similar strategies to deliver the value their customers want.

These organizations "tightly couple the process of doing work with the process of learning to do it better as it's being done. Operations are expressly designed to reveal problems as they occur. When they arise, no matter how trivial they are, they are addressed quickly. If the solution to a particular problem generates new insights, these are deployed systematically” (Spear 2005). Indeed, promoting the development of high reliability healthcare organizations is a major priority of organizations such as the Joint Commission (Chassin and Loeb 2011; Joint Commission 2017).

This discipline of "learning while doing" is essential to increasing hospitals' resistance to the inherent complexities of health care that foster errors.



$20.00

Hours: 1.90
REL-AC-APSG-0-AEE

Certificates

Certificates provided by accrediting body (2 Match)

Accreditation Council for Continuing Medical Education

1.75 HOURS


Relias LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Relias LLC designates this enduring material activity for a maximum of 1.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Nurses Credentialing Center

1.9 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.90 contact hours for participating in this course.

Course Details

Course Code: REL-AC-APSG-0-AEE
Hours: 1.9
Type: Online Course
Content Expiration Date: 9/30/2020
Learning Objectives:
Describe appropriate responses to adverse events and medical errors.
Explain the purpose of a root cause analysis, and describe guidelines for the use of this accident investigation tool.
Define the so-called second victim of adverse events and what needs to be done to support these victims.
Describe when and how to disclose information about an error to a patient.

Outline:
Learning While Doing Intro A. Overview Core Concept: Addressing Errors and AE's Workplace Practice A. Concept: Importance of Organizational Support B. Knowledge Check: Importance of Organizational Support C. Concept: Immediate Response D. Knowledge Check: Immediate Response E. Concept: Initiating Response Analysis F. Knowledge Check: Initiating Response Analysis G. Concept: Delving Deeper in Response Analysis H. Knowledge Check: Delving Deeper in Response Analysis I. Concept: Learning Objective Summary Conducting a Root Cause Analysis (RCA) Intro A. Overview Core Concepts: Systematic Nature of RCA A. Concept: Multiple Contributing Factors B. Concept: Bias Can Influence Root Cause Analysis C. Knowledge Check: Bias Can Influence Root Cause Analysis D. Concept: Tools to Assess Contributing Factors E. Concept: Learning Objective Summary Responding to Medical Errors and Patient Injuries Intro A. Overview Core Concepts: Short-Term Responses and Consequences of Errors A. Concept: Successful Reporting Systems B. Knowledge Check: Successful Reporting Systems C. Concept: Support Second Victims of Medical Errors D. Knowledge Check: Support Second Victims of Medical Errors E. Concept: Implement Root Cause Analysis Changes F. Concept: Redesign Processes G. Knowledge Check: Redesign Processes H. Concept: Learning Objective Summary Disclosing Medical Errors Intro A. Overview Core Concepts: Effects of Errors on Patients and Families A. Concept: Patient/Clinician Relationship B. Concept: Challenges of Disclosure C. Knowledge Check: Challenges of Disclosure Core Concepts: How to Conduct Disclosure A. Concept: Full Disclosure B. Concept: Disclosure Sequence and Processes C. Knowledge Check: Disclosure Sequence and Processes D. Concept: Disclosure of Medication Error E. Concept: Learning Objective Summary

Instructor: Saul Weingart, MD, PhD
Disclosure: Saul Weingart, MD, PhD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Lucien Leape, MD
Disclosure: Lucien Leape, MD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; Physicians; in the following settings: Acute Care Facility.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.