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

2. 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 ,.25 & .251

3. 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 ,.25 & .251

4. 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 ,.25 & .251

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

6. 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 ,.25 & .251

7. 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 ,.25 & .251

8. 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 ,.25 & .251

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

10. 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 ,.25 & .251

11. 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 ,.25 & .251

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