Critical Incident Management Team Peer Support Program

Slides:



Advertisements
Similar presentations
1 Bridging Terminology and Classification Gaps among Patient Safety Information Systems Andrew Chang, JD, MPH, Laurie Griesinger, MPH, Peter Pronovost,
Advertisements

An Introduction to Patient Safety
Policy & Procedures Manuals for Supportive Housing Anne Cory Corporation for Supportive Housing MHSA Operations TA Call 2/2/11
Ridgeview Ranch Critical Incident Training. Purpose of Reporting Purpose:To promote timely communication of information regarding significant incidents.
Trigger Tools 4 th February 2009 Presenter: Liz Baines.
Faculty And Staff Assistance Program. Objectives Issues We All Face Resource: The Work/Life Program The Value Of CCA How The Work/Life Program Works.
1.  Incident reports should be written only when you are sure that a persons rights have been violated. True False  Full names of consumers should never.
Advanced Directives Directive to Physicians and Family or Surrogates (previously called “Living Will”) A document that states patients wishes for medical.
Faculty Staff Assistance Program FSAP…Promoting Individual and Organizational Health New Faculty Orientation School of Medicine.
Legal Responsibilities of Healthcare Workers Credentialing includes: Accreditation—an evaluation that assures that an organization meets minimum standards.
Revised for 2013 Shannon Hein RN, CPN(C).  published in the Canadian Medical Association Journal in May 2004  Found an overall incidence rate of adverse.
Patient Safety in Mental Health Wednesday 1 st April 2015 Chris Stanbury, Director of Nursing and Governance.
Ethics and Legal Issues. Advance Directives Living Wills –Document that states patients wishes for medical care Medical Power of Attorney –Document giving.
Module 3. Session DCST Clinical governance
Abuse and Neglect Mandatory Reporting The Process of a Report Institutional tips.
1 Disclosures © HIPAA Pros 2002 All rights reserved.
Supporting Quality Care
Policy #C: CHAP CII.7I  To define the reporting, follow-up, and feedback process for incidents involving patients and Ambercare personnel.
Kathy Wire LeadingAge Missouri September 2,
Organizational Change in the Face of Highly Public Errors I. The Dana-Farber Cancer Institute Experience Perspective By James B. Conway and Saul N. Weingart,
Increasing Pharmacists reporting of adverse medication incidents Being Ready for new risks and Opportunities Prepared by Tim Garrett Northern Sydney Central.
Topic 6 Understanding and managing clinical risk.
Expanding the Patient Safety Paradigm: Engaging Minority Communities in Safer Healthcare Deborah Washington, PhD, RN September 11, 2012 AHRQ Annual Meeting.
Bibliography Amoore, J., Ingram, P. (2002, August). Quality improvement report: Learning from adverse incidents involving medical devices. British Medical.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 10Safety Concerns in Healthcare.
The Disruptive Physician Federation of State Physician Health Programs 2010 Annual Meeting Doris C. Gundersen, MD Medical Director Colorado Physician Health.
Cima, R., Kollengode, A., Storsveen, A., Weisbrod, C., Deschamps, C., Koch, M.,... Pool, S. (2009). A Multidisciplinary Team Approach to Retained Foreign.
Copyright © 2006 Elsevier, Inc. All rights reserved Chapter 22 Quality Patient Care.
Disclosure of Medical Errors AND Risk Management
Occurrence Reports. An occurrence report is a document used to record an event when it occurs Occurrences are reported each time an occurrence occurs.
Ethical Boundaries and Practices
CHICAGO DEPARTMENT OF PUBLIC HEALTH OFFICE OF VIOLENCE PREVENTION 2010.
Incident Reports Presented by Pavan & Kurinchi.
Medical Service Professional’s Role in Improving Patient Safety and Decreasing Organizational Legal Risk November 13, 2015.
JCAHO Patient Safety. Background 1999 Institute of Medicine report: “To Err is Human: Building a Safer Health System”  Estimated 44,000 – 98,000 medical.
Module 3. Session 2 Measuring quality in health care.
State Veterans Homes Event Reporting Meeting with Quality Assurance Committee of National Association of State Veterans Homes (NASVH) Valarie Delanko and.
 Promote health, prevent illness/injury  Broad knowledge base needed to meet patient needs in different health care settings.
Learning Outcomes Discuss current trends and issues in health care and nursing. Describe the essential elements of quality and safety in nursing and their.
Sources of Law Relevant to Health Service Management  Constitutions little relevant to management  Statutes many statues that affect malpractice  Administrative.
National Patient Safety Goals 2008 T he University of Toledo Medical Center Toledo, Ohio.
Experiences at JHS and the Ryder Trauma Center Joseph Sharit University of Miami Department of Industrial Engineering.
Ethical & Legal Issues MODULE FIVE:. Objectives: Students will: Understand privacy, confidentiality and ethics as they relate to being a volunteer. Understand.
Welcome to the Seattle Public Schools EMPLOYEE ASSISTANCE PROGRAM An Orientation for Employees.
 Secure resident safety  Assess the resident, provide medical and/or psychosocial treatment as necessary  Examine the resident’s injury and/or psychosocial.
Physician Assistant : Violence in the Workplace Group 5.
To Learn & Develop Christine Johnson Lead Nurse Safeguarding (named nurse) - STFT Health Visitors Roles and Responsibilities in Domestic Abuse.
Patient Safety You Can Make a Difference Patient Safety is in the News HEADLINES … Doctor…cut off wrong leg Sponge left in woman’s body One in.
UNIT 7 seminar! All about HIPAA, confidentiality and PHI!
Just Culture. “Just Culture” aka “Blame- worthy” (Responsibility/Accountability)
QUALITY CARE/NPSG’S NUR 152 Week 16. OBJECTIVES Define quality improvement and the methods used in health care to ensure quality care. State understanding.
Why Should We Screen and What Should We do?
CHAPTER 33 INFORMATION AND ADMINISTRATION CAREERS
Critical Incidents.
HIPAA Pros - Disclosures
Lucrecia Johnson MSW, LSW Mary Bartlett MSW, LISW-S
Legalities in Healthcare
RISK MANAGEMENT and PATIENT SAFETY PROGRAM BASICS
INCIDENT REPORTING.
Black Box Warning What You Need To Know.
Root Cause Analysis Quality and Patient Safety Council
Critical Care I hope to continue my career as a nurse in the critical care setting. The Quality and Safety Education in Nursing (QSEN) practice standards.
פאנל - שקיפות לאחר טעות מרכז המושב: פרופ' מאיר ברזיס המרכז לאיכות ובטיחות קלינית הדסה והאוניברסיטה העברית עו"ד אלונה סיגלר-הרכבי יועצת לחברת "ענבל" הקרן.
Peer Support Patricia Folcarelli RN, PhD,
Relationship Based Care: Family Centered Relationship Based
Orientation & Safety training
Patient Safety Hotline
Health Insurance Portability and Accountability Act
The Myths The Perfection Myth: If I try hard enough I will never make a mistake The Punishment Myth: If we punish those who make mistakes, they will make.
Second Victim-Peer Support Team
Presentation transcript:

Critical Incident Management Team Peer Support Program 3/31/11

Critical Incident Management Team (CIMT) Risk Management Cases Culture Change Reasons for the Team our journey CIMT Education and Process Legal Issues Contact and Oversight Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Risk Management SE and CE Cases: Adverse outcomes Birth injury, stillbirths Permanent harm or deaths from error Medical mistakes Litigation Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Risk Management Cases: Loss of life-even when expected Permanent harm or deaths from violence or trauma Child abuse, elder abuse Devastating complications Angry /violent patients and families Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Culture Change: Patient Safety Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Culture Change: Just Culture Human Error At Risk Behavior Reckless Behavior Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Reason for the team Even the most resilient healthcare professionals are affected Responding to our physicians and staff Institute of Healthcare Improvement (IHI) Second Victim University of Missouri Health System Medically Induced Trauma Support Services (MITSS) The “Joint Commission Journal on Quality and Patient Safety” Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Critical Incident Management Peer Support Volunteer physicians, nurses, and lisw Educated in Critical Incident Management Respond to Colleagues Incidents Sentinel Events Litigation Adverse Patient Outcomes Referral if needed Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Legal and Management Confidentiality and Privilege Program Management / Oversight Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Use of Peer Support System Several individual uses Several group debriefings Referred for further assistance Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

What’s next ? Continued education regarding program Proactively reaching out to those involved Data collection Possible follow up strategies Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

questions: Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251