2023 Department of Medicine Grand Rounds | Adverse Event Management
Hospital systems have traditionally used a "wall of silence" or "deny and defend" approach to events rather than a collaborative "communication and resolution" program. Three reasons for this is lack of training, fears of lawsuits, difficulty of discussions.
Most providers have not been trained in safety event management. The idea of reporting events frightens many providers who fear malpractice and career harms, but reporting is crucial to safety. Providers are often lacking in skills to empathetically communicate after events, mitigate harm, and to participate in root cause analysis. Further, many lack skills in recognizing provider distress. Increased skills in all these areas improves system learning and patient safety and mitigates provider and patient harm after events. These programs also reduce malpractice expenses globally.
Physicians, NP, PA, RNs and allied fields from pharmacy to other clinicians to management.
- Incorporate harm communication planning and delivery skills.
- Participate fully in event reporting and positive safety culture.
- Demonstrate ability to participate in event review.
- Identify effective and ineffective methods for system change.
- Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics).
Virtual Meeting- Zoom
Ian Jenkins, MD, SFHM Professor of Medicine, UCSD Health System
Presenter: Dr. Jenkins has indicated no relevant financial relationships.
Planner: Dr. Jay Varughese has indicated no relevant financial relationships.
This presentation and/or comments will provide a balanced, non-promotional, and evidence-based approach to all diagnostic, therapeutic and/or research related content.
CME Committee/Reviewer Nothing to Disclose: Daneng Li, MD
ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
CREDIT DESIGNATION: City of Hope designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The following credit type(s) are being offered for this course:
• AMA PRA Category 1 Credit™ 1.0
The following may apply AMA PRA Category 1 Credit™ for license renewal:
Registered Nurses: Nurses may report up to 1.0 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.
Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.
- 1.00 AMA PRA Category 1 Credit™City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
City of Hope designates this 2023 Department of Medicine Grand Rounds | Adverse Event Management for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 Attendance