Patient Safety: Disclosure of Medical Errors and Risk Mitigation

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Presentation transcript:

Patient Safety: Disclosure of Medical Errors and Risk Mitigation Susan D. Moffatt-Bruce, MD, PhD, Francis D. Ferdinand, MD, James I. Fann, MD The Annals of Thoracic Surgery Volume 102, Issue 2, Pages 358-362 (August 2016) DOI: 10.1016/j.athoracsur.2016.06.033 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Critical event response: when an unanticipated event occurs, the critical event officer (CEO) is paged. The CEO then ensures the patient’s safety and engages the attending physician. This starts a series of notifications to facilitate the ultimate goal of disclosure and system improvement. The Stress Trauma and Resilience (STAR) program is activated to minimize the “second victim” effect. The Annals of Thoracic Surgery 2016 102, 358-362DOI: (10.1016/j.athoracsur.2016.06.033) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions