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Adverse Events and Medical Errors: Response and Analysis
This course will address the importance of reporting errors for prevention of future adverse events and improved patient safety, as well as the role of root cause analysis (RCA) as an investigation tool for identifying the underlying systems failures that may have led to the error. It will also examine the benefits and barriers to reporting and the role of healthcare culture in reporting. Finally, it will explain the basic process of reporting that is common in most healthcare organizations.
Describe the systems approach to medical errors and how it increases the likelihood that errors are reported.
Understand the benefits of reporting errors, especially the importance of reporting errors for patient safety improvements.
Identify the barriers to reporting errors and the role that healthcare culture plays.
Explain the basic process of reporting errors in a healthcare organization.
Explain the purpose of RCA, and describe the guidelines for the use of this investigation tool.
Disclosure of Unforeseen Outcomes
Medical errors and unanticipated outcomes not only have the potential for devastating consequences, but they are a relatively common occurrence in healthcare. Accordingly, providers must be well-versed in understanding the basic steps of disclosing these events to patients and their families, as well as the legal ramifications of such action. Fortunately, there are models and ethical frameworks that help guide these decisions and conversations, but every provider must determine the approach that is best for their practice.
Understand the basic steps of the disclosure process, the ethical frameworks for disclosure, and the pragmatic, regulatory, and legal reasons for disclosure.
Explore the emotional and psychological effects of medical errors on providers and patients.