Overview
In this course, we’re going to describe and advocate a patient-centered approach to use when things go wrong. This approach to adverse events and medical error centers on the needs of the patient, but it is also the best way to address the needs of a caregiver in the wake of an adverse event.
In Lesson 1, we’ll discuss what caregivers should say — and how to say it — immediately after such an event occurs. Because, as you’ll see through several examples, communication is important. You’ll also learn who should handle this initial communication and who else may need to be notified about the event.
Lesson 2 offers suggestions for when and how to communicate with a patient after an adverse event, including recommendations for crafting an effective, sincere apology when it is warranted.
In Lesson 3, you’ll hear some caregivers describe how terrible they felt after an adverse event occurred in a patient’s care. You’ll learn what kind of support caregivers may need after an adverse event, including counseling, time off, and involvement on improvement teams. You’ll also learn why sometimes caregivers don’t receive the necessary support after something goes wrong and how some organizations are working to improve this.
Estimated Time of Completion: 1 hour 15 minutes
Lessons
- Lesson 1: Responding to an Adverse Event: A Step-by-Step Approach
- Lesson 2: Communication, Apology, and Resolution
- Lesson 3: The Impact of Adverse Events on Caregivers: The Second Victim Course
Course Objectives
After completing this course, you will be able to:
- Describe four steps to take following an adverse event.
- Explain how to communicate effectively about bad news and when you should apologize.
- Discuss the impact of adverse events on providers.
Continuing Education
In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.
The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity is approved to award 1.25 credit(s) toward Certified Professional in Patient Safety (CPPS) recertification.
This activity/program is approved by NAHQ® for 1.25 CPHQ CE credits.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
- 1.25 Medical Knowledge MOC point(s) in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
- 1.25 MOC point(s) in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program
- 1.25 point(s) in the CME component of the American Board of Anesthesiology's redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. (Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.)
- 1.25 point(s) in the American Board of Ophthalmology's Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting MOC credit.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to satisfy the Lifelong Learning requirements for the American Board of Ophthalmology's Maintenance of Certification program.
Successful completion of this activity, which includes participation in the evaluation component, offers Lifelong Learning (MOC Part 2 CME) point(s) for the following boards:
- American Board of Anesthesiology (ABA)*
- American Board of Allergy & Immunology (ABAI)
- American Board of Colon & Rectal Surgery (ABCRS)
- American Board of Pathology (ABPath)
- American Board of Psychiatry & Neurology (ABPN)*
- American Board of Plastic Surgery (ABPS)*
- American Board of Nuclear Medicine (ABNM)
- American Board of Thoracic Surgery (ABTS)
- American Board of Urology (ABU)
*Approved as a Foundational Patient Safety Activity for ABA, ABPN, and ABPS
Successful completion of this activity, which includes participation in the evaluation component, offers Self-Assessment (MOC Part 2 SA) point(s) for the following boards:
- American Board of Family Medicine (ABFM) (15pts)**
- American Board of Pediatrics (ABPed) (20pts)**
- American Board of Ophthalmology (ABOP)
- American Board of Orthopedic Surgery (ABOS)
- American Board of Radiology (ABR)
- American Board of Physical Medicine and Rehabilitation (ABPMR)
**ABPed and ABFM diplomates are required to complete all the selected courses within an activity to collect MOC activity points.
It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting MOC credit.
As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.25 general continuing education credits.
Members of the College of Family Physicians of Canada are eligible to receive Mainpro+ Certified, Certified Assessment, or Non-Certified credits for participation in this activity due to reciprocal agreement with the American Academy of Family Physicians.
The AAFP has reviewed PS 105: Responding to Adverse Events and deemed it acceptable for up to 1.25 Enduring Materials, Self-Study AAFP Elective credit(s). Term of Approval is from 06/20/2024 to 06/20/2025. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For Hamad Medical Corporation Open School users, a DHP licensed practitioner can claim Category 2—Self- Directed Learning—Clinical Practice—Completing Self-Learning Modules by uploading their certificate to the CPD ePortfolio.