Medical Error Prevention for Physicians and Physician Assistants - Parts 1 & 2 - 2.0 Credits

Content
3 modules

Rating

Instructor
SIP ADMIN

Released
27 Aug 2014

Price
$12.99

Description

Medical Error Prevention for Physicians and Physician Assistants

 

Presented by: The Florida Professional Liability Self-Insurance Programs
 

Disclosure Statement: Randall C. Jenkins, Esq., Beth W. Munz, Esq., CPHRM, Stephanie Gann, BS, and Ryan Copenhaver have disclosed that they have no relevant financial relationships.  No one else in a position to control content has any financial relationships to disclose.

 

Requirements for Successful Completion: This CME activity consists of an educational component (slides, audio/online lecture) which is followed by an online post-test.  Certificates are awarded upon successful completion (80% proficiency) of the post-test.  In order to receive credit, participants must view the presentation in its entirety.

 

Release Date: 07/01/2022

Expiration Date: 12/31/2024

 

Target Audience: Primary Care Physicians, Specialty Physicians, Physician Assistants, and Residents.

 

Learning Objectives: As a result of the participation in this activity, participants should be able to: 
1. Define “medical error” and discuss the multiple factors propelling medical error prevention and patient safety efforts.

2. Review Joint Commission and state agency standards, regulations relating to Sentinel/Adverse events, and the processes of Failure Mode and Effect Analysis and Root Cause Analysis.

3. Discuss patient safety origins and Joint Commission Patient Safety Goals.  

 

CME Advisory Committee Disclosure: Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.  All relevant financial relationships have been mitigated.

 

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for continuing Medical Education (ACCME) to provide continuing medical education for physicians.

 

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Contact: If you have any questions please feel free to contact SIPHELP at (352) 273-7006 or at SIPHELP@ad.ufl.edu.

 

Bibliographic Sources:
1. Blanco J, Lewko JH, Gillingham, D. Fallible decisions in management:  Learning from errors.  Disaster Prevention and Management.  1996;5(2):5-11

2. Rooney JJ, Vanden Heuvel  LN, Lorenzo DK.  Reduce Human Error.  Quality Progress.  2002 September;27-36

3. Summary of Code 15 Injuries by Outcomes Reported by Hospitals 2011.  Agency for Health Care Administration.  Florida Center for Health Information and Policy Analysis.  Risk Management Patient Safety Program.

4. Fatal Falls:  Lessons for the Future (2000, July 12). Retrieved September 20, 2010, from The Joint Commission www.jointcommission.org

5. Sentinel Events (SE).  Comprehensive Accreditation Manual for Hospitals:  The Official Handbook.  CAMH Refreshed Core (2011 January). Retrieved from The Joint Commission www.jointcomossion.org

6. Sentinel Events (SE).  Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing.  CAMLAB Refreshed Core (2011 January). Retrieved from The Joint Commission www.jointcomossion.org

7. Sentinel Events and Root Cause Analysis. Retrieved from The Joint Commission www.jointcomossion.org

8. Sentinel Event Data, Root Causes by Event Type 2004-2012. Retrieved from The Joint Commission www.jointcomossion.org/SentinelEventPolicyandProcedures    

9. Hospital National Patient Safety Goals 2012.  Retrieved from The Joint Commission www.jointcomossion.org     

10. Most Frequently Identified Root Causes of Sentinel Events Reviewed by The Joint Commission by Year 2010, 2011 and 2012. Retrieved from The Joint Commission www.jointcomossion.org

11. Maternal Mortality in the United States:  A Human Rights Failure.  AHRP, March 2011

12. Diagnostic Error in Acute Care. Reprinted article: Pennsylvania Safety Advisory, September 2010

13. Has Misdiagnosis of Appendicitis Decreased Over Time? The Journal of the American Medical Association, October 10, 2001.

14. Practice Advisory for Preanesthesia Evaluation. Anesthesiology 2002: Amended by ASA House of Delegates on October 15, 2003: 485-493.

15. McDonald, C., Hernandez, M.B., Goffman, Y., Suchecki, S., Schreier, W. The five most common misdiagnoses: a meta-analysis of autopsy and malpractice data.  The Internet Journal of Family Practice.  Volume 7 Number 2 2009.

16. Gallegos, A.  Communication Failures over diagnostic tests prompting more lawsuits.  American Medical News. http://www.ama-assn.org/amednews/2011/11/14/prse1115.htm

17. Don’t get caught unprepared for ICD-10.  American Health Information Management Association 2012

18. Bratzler, D.W. and Hunt, D.R.  The Surgical Infection Prevention and Surgical care Improvement Projects.  National Initiatives to Improve  Outcomes for Patients Having Surgery.  Clinical Infectious Diseases 2006; 43:322-30

19. Pope, J.V. and Edlow, J.A. Avoiding Misdiagnosis in Patients with Neurological Emergencies. Emergency Medicine International doi:10.1155/2012/949275

20. New Evidence Supports the Role of Specialization in Reducing Diagnostic Error.  PR Newswire Association, June 7, 2011.

21. D.L. Hepner, MD.  The role of testing in the preoperative evaluation. Cleveland Clinic Journal of Medicine 2009  DOI: 10.3949/ccjm.76.s4.04

22. Medical error.  Wikipedia, the free encyclopedia.  http://en.wikipedia.org/wiki/Medical_errors

23. Why Does Misdiagnosis Occur?  http://www.rightdiagnosis.com/intor/why.htm

24. Sentinel Event Alert: Operative and Post-Operative Complications: Lessons for the Future.  Issue 12 – February 4, 2000. Retrieved from The Joint Commission www.jointcomossion.org

25. Acute abdomen.  Wikipedia, the free encyclopedia.  http://en.wikipedia.org/wiki/Acute_abdomen

26. 9133: Medical Error Prevention and Root Cause Analysis. http://www.netce.com/coursecontent.php?courseid=664

27. Anderson, R>E.  Delayed Diagnosis of Cancer.  The Doctors Company  www.thedoctors.com/patientsafety

28. Preventing Malpractice Claims Entailing Misdiagnosis of Cancer. Florida Obstetric and Gynecologic Society http://www.flobgyn.org/display.php?n=45

29. Greco, R.J. and Ranum, D.  Preoperative Pregnancy Evaluation. The ASF Source-Winter/Spring 2012

30. Speak Up.  The Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. Retrieved from The Joint Commission www.jointcomossion.org

31. Max, J.  The Lost Art of the Physical Exam.  Yale Medicine, Winter 2009

32. Care Without coverage: Too Little, Too Late. Institute of Medicine May 2002

33. Ansted, C.J.  In the Shadows of Patient Safety-Addressing Diagnostic Errors in Clinical Practice: Heuristics and Cognitive Dispositions to Respond.  CME Outfitters, LLC

34. Lee, A.  The Process of Clinical Diagnosis: Steps to Evaluate and Manage Any Medical Issues.  January 18, 2009. http://anthony-lee.suite101.com/the-process-of-clinical-diagnosis-a90627

35. Patient Safety Primers: Diagnostic Errors.  Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network. 

36. Zhang, J., Patel, V.L. and Johnson, T.R.  Medical Error: Is the Solution Medical or Cognitive?  Journal of the American Medical Informatics Association Volume 9 Nov/Dec Supplement 2002.

37. Newman-Toker, D.E. and Pronovost P.J.  Diagnostic Errors---The Next Frontier for Patient Safety.  2009 American Medical Association.  (Reprinted) JAMA, March 11, 2009-Vol 301, No. 10

38. Preventive Action: current Loss Trends and Statistics.  Quarterly Risk Management Newsletter for Policyholders of FPIC.  First Quarter 2011 ˜ Vol. 24 No. 1

39. Medical Diagnosis.  Wikipedia, the free encyclopedia.   http://en.wikipedia.org/wiki/Medical_Diagnosis

40. Trowbridge, R. and Salvador, D.  Addressing Diagnostic Errors: An Institutional Approach.  A Newsletter From The National Patient Safety Foundation  Volume 13: Issue 3 2010

Objectives

Learning Objectives: 

As a result of the participation in this activity, participants should be able to:

  1. Define medical error and discuss the factors propelling medical error prevention and patient safety efforts.
  2. Review Joint Commission and State agency standards, regulations relating to Sentinel/Adverse events, process of Failure Mode and Effect Analysis and Root Cause Analysis.
  3. Discuss patient safety origins and Joint Commission Patient Safety Goals.
  4. Provide information on the prevalence of diagnostic errors.
  5. Review the diagnostic process and some of the factors that contribute to missed, wrong or delayed diagnosis and treatment.
  6. Examine the Florida Board of Medicine's current 5 most misdiagnosed conditions and actual case scenarios.

Certificate

By completing/passing this course, you will attain the certificate CME Certificate-MEP Physicians and PAs

Learning Credits

CME
2.0
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