Medical & Legal Aspects of the Electronic Health Record 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, Nurses, and Residents. Learning Objectives: As a result of the participation in this activity, participants should be able to: 1. Describe the financial incentive program under the HITECH ACT. 2. Relate the uses and users of the clinical record; the difference between an EMR and EHR; and what constitutes a legal health record. 3. Avoid or minimize risk factors by applying professional recognized EHR, documentation, and security recommendations. 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 1 AMA PRA Category 1 Credit™. 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. Silow-Carroll, Sharon; Edwards, Jennifer N. and Rodin, Diana: Using Electronic Health Records to Improve Quality and Efficiency: The Experiences of Leading Hospitals; The Commonwealth Fund Publication, July 2012 www.commonwealthfund.org 2. Amatayakul, Margret; Work, Mitch: “Best Practices in Electronic Health Records”; The American Health Information Management Association (AHIMA) 3. Keris, Matthew P.: “A View From The Trenches: Discovery Issues With Electronic Medical Records”; Risk Rx, The University of Florida Health Science Center Self-Insurance Program Publication, Volume 8, No.1 January-March 2011 http://www.sip.ufl.edu/riskrx.php 4. AAMC Compliance Officer’s Forum “Electronic Health Records in Academic Medical Centers”; Compliance Advisory 2/Appropriate Documentation in and EHR: Use of Information That Is Not Generated During the Encounter for Which the Claim is Submitted: Copying/Importing/Scripts/Templates; Association of American Medical Colleges, July 11, 2011 5. Dimick, Chris; “Documentation Bad Habits: Shortcuts in Electronic Records Pose Risk”: AHIMA http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1 6. Hoffman, Jock, CRICO; “Hits and Misses” https://www.rmf.harvard.edu/Clinician-resources/Article/2008/SPS-HITS-and-Misses 7. Mangalmurti, Sandeep; Murtagh, Lindsey and Mello, Mechelle: “Medical Malpractice Liability in the Age of Electronic Health Records”; The New England Journal of Medicine November 2010 8. Ash, Joan; Berg, Marc and Coiera, Enrico: “Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information System-related Errors”; Journal of American Medical Information Association 11: 104-112 doi: 10.1197/jamia.M1471; http://jamia.bmj.com/content.11/2/104.full.html 9. Kern, Steven: “Hidden Malpractice Dangers in EMRs; New England Journal Medicine, December 3, 2010 http://medscape.com/viewatricle/589724 10. Richman, Donnaline: “Legal Pitfalls of Electronic Medical Records”; Dateline, A Newsletter for MLMIC www.mlmic.com 11. Young, Roxanne; “Copy-and-Paste”; American Medical Association http://jama.jamanetwork.com May 24, 2006 12. Dolan, Gina and LaSalle, Lori: “Pitfalls of Documentation in the Age of EHR”; The Health Law Partners 13. Sitting, Dean and Singh, Hardeep: “A fed-flag-based approach to risk management of HER-related safety concerns”; American Society For HealthCare Risk Management Volume 33, Number 2 14. Related Articles on Malpractice and Templates 2009-2012; http://www.praxisemr.com/templates_and malpractice_articles.html 15. “Feds eye crackdown on cut-and-paste EHR fraud”; Modern Healthcare December 10, 2013 http://www.modernhealthcare.com/article 16. Volpe, Anthony; “Liability Pitfalls of Electronic Medical Records”; Quality Matters, a Medical Group of Ohio Publication Spring 2011 17. Christie, J. S. “Chris: “Electronic Discovery For HealthCare Providers”; Bradley Arant Rose & White LLP www.bradleyarant.com 18. “Problem List Guidance in the EHR” AHIMA http://library.ahima.org 19. Dougherty, Michelle: “How Legal is You’re her?, Identifying Key Functions That Support a Legal Record”; Journal of AHIMA 79, no. 2 (February 2008): 24-30 20. Graham, Judith and Dizikes: “Baby’s death spotlights safety risks linked to computerized systems”; Chicago Tribune|June 27, 2011 21. Augelio, Tom: “Medication Error Proves Fatal”; CRICO www.rmf.harvard.edu/Clinician-Resources/Article/2011 22. Micheal Vigoda, MD, MBA, and David Lubarsky, MD, MBA,: “Failure to Recognize Loss of Incoming Data in an Anesthesia Record-Keeping System May Have Increased Medical Liability”; Anesth Analog 2006 23. Elisabeth Belmont, Esq; Samantha Chao, Alisa Chestler, Esq; Steven Fox, Esq,; Marilyn Lamar, Esq,; Kristen Rosati, Esq; Edward Shay, Esq; Dean Sitting, PhD, and August Valenti, MD: “Minimizing HER-related Serious Safety Events”: Part of AHLA’S Public Interest Series www.healthlawyers.org/publicinterest 24. “Medicare and Medicaid HER Incentive Program Basics”: www.cms.gov/Regulations-and-Guidance/Legislation 25. AHIMA Workgroup on Electronic Health Records Management: “The Strategic Importance of Electronic Health Records Management- Appendix A: Issues in Electronic Health Records; Management”: Journal of AHIMA 75, #9 (October 2004) 26. “Electronic health record”; Widipedia, the free encyclopedia http://en.wikipedia.org/wiki/Electronic_health_record 27. Menachemi, Nir and Collum, Taleah: “Benefits and drawbacks of electronic health record systems”; Risk Management and Healthcare Policy, published online May 11, 2011, http://www.ncbi.nlm.nih.gov/pmc/articles.PMC3270933 28. AHIMA, “EHRs as the Business and Legal Records of Healthcare Organizations (Updated). Appendix A: Issues in Electronic Health Record Management.” (Updated November 2010) http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1 29. “The Legal Electronic Health Record”: 2011 by the Healthcare Information and Management System Society (HIMSS), www.himss.org 30. AHIMA e-HIM Work Group on Defining the Legal Health Record: “The Legal Process and Electronic Health Records”; Journal of AHIMA 76, no. 9 (October 2005): 96A-D 31. AHIMA e-HIM Work Group on the Legal Health Record: “Update: Guidelines for Defining the Legal Health Record for Disclosure Purposes”; Journal of AHIMA 76, no. 8 (September 2005): 64A-G 32. AHIMA e-HIM Work Group on Maintaining the Legal HER: “Update: Maintaining a Legally Sound Health Record-Paper and Electronic”; Journal of AHIMA 76, no. 10 (November-December 2005): 64A-L 33. Lawrence Shulman MD, Robert Miller MD, Edward Ambinder MD, Peter Paul Yu MD and John Cox DO MBA: “Principles of Safe Practice Using an Oncology HER System for Chemotherapy Ordering, Preparation and Administration, Part 2 of 2”; American Society of Clinical Oncology, Journal of Oncology Practice, Volume 4, Issue 5 2008 34. “The Problem List beyond Meaningful Use”; Journal of AHIMA, April 6, 2011; http://journal.ahima.org/2011/04/06/the-problem-list-beyond-meaningful-use/ 35. Alicia Gallegos: “Medical charting errors can drive patient liability suits”: American Medical Association, http://ww.amednews.com/article/20130325/professional/130329979/5/ 36. “Feds eye crackdown on cut-and-paste HER fraud”: Modern Healthcare, published December 10, 2013; http://www.modernhealthcare.com/article/20131210/NEWS/312109965/ 37. “Do EHRs Increase Liability”: White Paper by: Larry Ozeran, MD and Mark R. Anderson, FHIMSS, CPHIMS; mra@acgroup.org or lozeran@clinicalinformatics.com 38. AHIMA’s Legal Medical Record Task Force: “Legal Documentation Standards: AHIMA’s Long-Term Care Health Information Practices & Documentation Guidelines” http://ahimaltcguidelines.pbworks.com/w/page/46501133 39. AHIMA: “Managing the Transition from Paper to EHRs” (Updated November 2010)”Data Integrity”: Wikipedia, the free encyclopedia; http://en.wikipedia.org/wiki/Data_integrity Read more
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Medical Error Prevention for Dentists and Dental Hygienists Presented by: The Florida Professional Liability Self-Insurance Programs Disclosure Statement: The Florida Professional Liability Self-Insurance Program has 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: 03/01/2023 Expiration Date: 03/31/2025 Target Audience: Dentists, dental residents and dental hygienists 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. 2. Discuss how agency regulations impact health care facility and provider operations. 3. Know the difference between a sentinel and adverse events. 4. Describe the process of Root Cause Analysis. 5. Identify factors that contribute to missed, wrong, or delayed diagnosis and treatment and avoid noncompliance with Board of Dentistry rules and regulations through review of actual case scenarios. Credit: This course has been approved by the Florida Board of Dentistry as satisfying the 2-hour medical error continuing education licensure renewal requirement. Course participants 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. Gallegos, A. Communication Failures over diagnostic tests prompting more lawsuits. American Medical News. http://www.ama-assn.org/amednews/2011/11/14/prse1115.htm 2. Schiff, G.D., Kim, S., Abrams, R., Cosby, K., Lambert, B., Elstein, A.S., Hasler, S., Krosnjar, N., Odwazny, R., Wisniewski, M.F. and McNutt, R.A. Diagnosing Diagnosis Errors: Lessons from a Multi-Institutional Collaborative Project. Advances in Patient Safety: Volume 2. 3. Schiff, G.D. Minimizing Diagnostic Error: The Importance of Follow-up and Feedback. The American Journal of Medicine, 2008, Volume 121 (5A), S38-S42. 4. Medical error. Wikipedia, the free encyclopedia. http://en.wikipedia.org/wiki/Medical_errors 5. Why Does Misdiagnosis Occur? http://www.rightdiagnosis.com/intor/why.htm 6. Max, J. The Lost Art of the Physical Exam. Yale Medicine, Winter 2009 7. Care Without coverage: Too Little, Too Late. Institute of Medicine May 2002 8. Ansted, C.J. In the Shadows of Patient Safety-Addressing Diagnostic Errors in Clinical Practice: Heuristics and Cognitive Dispositions to Respond. CME Outfitters, LLC 9. 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 10. Patient Safety Primers: Diagnostic Errors. Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network. 11. 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. 12. 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 13. Preventive Action: current Loss Trends and Statistics. Quarterly Risk Management Newsletter for Policyholders of FPIC. First Quarter 2011 ˜ Vol. 24 No. 1 14. Medical Diagnosis. Wikipedia, the free encyclopedia. http://en.wikipedia.org/wiki/Medical_Diagnosis 15. Trowbridge, R. and Salvador, D. Addressing Diagnostic Errors: An Institutional Approach. A Newsletter From The National Patient Safety Foundation Volume 13: Issue 3 2010 16. Access to Health Services – Healthy People http://www.healthypeople.gov/202/topicsobjectives2020/overview.aspx?topicid=1 17. Schiff, G.D. Commentary: Diagnosis Tracking and Health Reform. American Journal of Medical Qual9ty 1994 9: 149, DOI: 10.177/0885713X9400900403 18. Manski, Richard J.: Statistical Brief # 368: Dental Procedures, United States 1999 and 2009. April 2012 19. First Professionals Insurance Company, Preventive Action: Dental Malpractice Claim Analysis. First Quarter 2011-Volume 24 No. 1 20. American Dental Association, Council on Dental Practice: General Guidelines For Referring Dental Patients. Revised June 2010 21. American Dental Association, Council on Dental Practice/Division of Legal Affairs: Dental Records. 2010 22. Charangowda, B.K., Dental Records: An Overview. Journal of Forensic Dental Sciences. Jan-Jun 2010 Read more
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Medical Error Prevention for Nursing Presented by: The Florida Professional Liability Self-Insurance Programs Disclosure Statement: The Florida Professional Liability Self-Insurance Program has 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: 03/01/2023 Expiration Date: 03/31/2025 Target Audience: Nurses and Specialty Nurses. Learning Objectives: As a result of the participation in this activity, participants should be able to: 1. Discuss the multiple factors propelling medical error prevention and patient safety efforts. 2. Review Joint Commission standards relating to Sentinel Events. 3. Distinguish between Failure Mode and Effect Analysis and Root Cause Analysis 4. Recall the difference between the Joint Commission’s Sentinel Event and Florida’s definition of adverse event. 5. Discuss patient safety origins and National Patient Safety Goals. 6. Differentiate between adverse drug event and adverse drug reaction. 7. Describe some of the most common drugs involved in adverse drug events. 8. Recognize the importance of staying within a licensee’s scope of practice. 9. Describe the 5 right of delegation. 10. Relate circumstances under which to initiate the chain of command. 11. Discuss the importance of timely, adequate and accurate medical record documentation. Credit: Approved for by the Florida Board of Nursing as satisfying, 2 CNE hour, licensure requirement. Course participants 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. The Defensible Medical Record; http://www.thedoctors.com/KnowledgeCenter/PatientSafety/articles/CON_ID_000319 2. NursingCenter’s In the Round: 8 rights of medication administration; http://www.nursingcenter.com/Blog/post/2011/05/27/8-rights-of-medication-administration 3. Patient safety organization; http://en.wikipedia.org/wiki/Patient_safety_organization 4. The LEAPFROG GROUP; http://www.leapfroggroup.org/about_leapfrog 5. Galvin, Robert S.; Delbanco, Suzanne; Nilstein, Arnold and Belden, Greg: Has The Leapfrog Group Had An Impact On The Health Care Market? http://content.healthaffairs.org/content/24/1/228.full 6. Centers for Medicare & Medicaid Services: Hospital-Acquired Conditions; http://www/cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond 7. The Joint Commission: Summary Data of Sentinel Events Reviewed by The Joint Commission; www.jointcommission.org/sentinel_event.aspx 8. EndoNurse: Medication Safety: What You Can Do To Prevent Errors; http://www.endonurse.com/articles/2008/07/medication-safety-what-you-can-do-to-prevent-errors 9. American Nurses Credentialing Center; http://www.nursingcredentialing.org/ 10. Medication Administration Safety-Patient Safety and Quality-NCBI Bookshelf: Chapter 37 Medication Administration Safety; http://www.ncbi.nlm.nih.gov/books/NBK2656/?report=printable 11. Nursetogether: Documentation: Impact on Quality of Care; http://www.nursetogether.com/Career/Career-Article/itemid/522.aspxz 12. Nursing Center: The legalities of nursing documentation; http://www.nursingcenter.com/Inc/journalarticle?Article_ID=959265 13. Nursetogether: Understanding the Different Scope of Nursing Practice; http://www.nursetogether.com/DesktopModules/EngagePublish/printerfirendly.aspz?itemID 14. EyeNet Magazine: Burling-Phillips, Leslie; Practice Perfect: Compliance & Risk Management Documentation and EHRs: Avoid Some Common Pitfalls http://www.aao.org/publications/eyenet/201004/practice_perf.cfm 15. Nursing 2008|March: Austin, Sally AND BGS CPC-A JD: 7 legal for safe nursing practice; www.nursing2008.com 16. American Nurse Today: Reising, Deanne L. PhD RN ANCS-BC ANEF: Make your nursing care malpractice-proof; http://www.americannursetoday.com/article.aspx?id=8644&fid=8612 17. Modern Medicine: Morgn, Diana W., RN MS: Legally Speaking-Going Up the chain of command; http://www.modernmedicine.com/news/legally-speaking-going-chain-command 18. Nursing January 2003; Advice on avoiding lawsuits; http://journals.lww.com/nursing/Fulltext/20203/01001/Advice_on_avoiding_lawsuits.11.aspx 19. Working Nurse: Clavreul, RN PHD: The Nursing Chain of Command; http://www.workingnurse.com/articles/the-nursing-chain-of-command 20. Neonatel Network: Smalls, Harriet Twiggs, BSN NNP-BC JD: Nursing Liability and Chain of Command, Vol 28, No. 6, November/December 2009 21. CNA Healthpro and Nurses Service Organization; Understanding Nurse Liability, 2006-2010: A Three-part approach Read more
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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 Read more
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Medical Malpractice Litigation in Florida Presented by: The Florida Professional Liability Self-Insurance Programs Disclosure Statement: The Florida Professional Liability Self-Insurance Program has 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: 07/01/2021 Expiration Date: 12/31/2023 Target Audience: All Physicians, Physicians Assistants, and Health Care Providers. Learning Objectives: As a result of the participation in this activity, participants should be able to: 1. Understand the components of Florida’s pre-suit process. 2. Appreciate the beginning pre-trial stages of a medical malpractice lawsuit. 3. Recognize the steps in the pleading and discovery phases of a lawsuit. 4. Cite the stages of a trial and the jury verdict process. 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 1 AMA PRA Category 1 Credit™. 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. Florida Statute 766.106. Read more
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Medication Error Prevention for Pharmacy and Pharmacy Technicians Presented by: The Florida Professional Liability Self-Insurance Programs Disclosure Statement: The Florida Professional Liability Self-Insurance Program has 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: 07/01/2021 Expiration Date: 06/30/2023 Target Audience: Pharmacists and Pharmacy Technicians Learning Objectives: As a result of the participation in this activity, participants should be able to: 1. Explain the difference between Medication Error, Adverse Drug Event and Adverse Drug Reaction. 2. Discuss the multiple factors propelling medication error prevention and patient safety efforts. 3. Review Joint Commission standards, state and federal agency regulations relating to Sentinel/Adverse Events, process of Failure Mode and Effect Analysis and Root Cause Analysis. 4. Discuss patient safety origins and Joint Commission patient safety goals. 5. Provide information on adverse drug events and current insurance claims data. 6. Examine common causes of medication errors, consumer and provider barriers and error prevention strategies. 7. Review Florida Board of Pharmacy actual case scenarios and actions. Credit: This two-hour course has been approved by the Florida Board of Pharmacy as satisfying the two hour medication error prevention licensure renewal requirement. Course participants 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. Taylor, Ellen, AIA, MBA, EDAC; Keller, Amy, March, EDAC. Creating Safer and More Efficient Pharmacies through Evidence-Based Design. JPSW May/June 2012 2. Nebeker, Jonathon R., MS, MD; Barach, Paul, MD MPH; Samore, Matthew H., MD; Clarifying Adverse Drug Events: A Clinician’s Guide to Terminology, Documentation and Reporting. Annals of Internal Medicine http://analls.org/article.aspx?articleid=71754 3. Aspen, Philip; Wolcott, Julie; Bootman, J. Lyle; Cronenwett, Linda R.; Editors; Preventing Medication Errors: Quality Chasm Series 4. Peterson, G. M., PhD, FSHP; M. S. H. Wu and Bergin, J. K., BPharm MBA; Pharmacists’ attitudes towards dispensing errors: their causes and prevention. Journal of Clinical Pharmacy and Therapeutics (1999) 5. Rashidee, Ali, MD, MS; Hare, Juliana, BSN, MPH, CPHQ; Chen, Jack, MS; Kumar, Sanjaya, MD, MSc, MPH; High-Alert Medications: Error Prevalence and Severity. Data Trends http://www.psqh.com/julyaugust-2009/164-data-trends-html 6. McCarthy, Kevin, R.Ph. Medication Errors and Public Safety: Tragic Consequences When the System Breaks Down; PharmCon Inc. May 16, 2011 7. Gianutsos, Gerald, PhD, JD; Identifying Factors That Cause Pharmacy Errors USPharmacist.com; http://www.uspahamacist.com/continuing_education/ceviewtest/lessonid/105916/ December 1, 2008 8. O’Donnell, James T., PharmD, MS, FCP, ABCP, FACN, CNS, RPh; Pharmacist Practice and Liability; Journal of nursing Law, Volume 10, Number 4, 2005 9. Prevention Medication Errors; Institute of Medicine of the National Academies July 2006 10. Prescription Errors and Their Legal Consequences: Best Practices for Prevention http://www.pharmqd.com/node/82705/lesson 2011 11. Nair, Rama P., RPh; Kappil, Daya, RPh; Woods, Tonja M., PharmD 10. Strategies for Minimizing Dispensing Errors January 2010 http://www.pharmacytimes.com/publications/issue/2010/January2010/P2PDispensingError 12. ISMP Warns that Emphasizing Speed in Community Pharmacy Prescription Dispensing can Lead to Errors Medical News Today, June 7, 2011 13. Prevention of Adverse Drug Events in Hospitals; www.uptodate.com September 2012 14. Cina, Jennifer L., Pharm.D.; Gandhi, Tejal K., MD, MPH; Churchill, William, MS, RPh; Fanikos, John, MBA, RPh; McCrea, Michelle, RPh; Mitton, Patricia; Rothschild, Jeffrey M., MD, MPH; Featherstone, Erica; Keohane, Carol, RN; Bates, David W., MD, MSc; Poon, Eric G., MD, MPH; How Many Hospital Pharmacy Medication Dispensing Errors Go Undetected? Joint Commission In Journal On Quality And Patient Safety February 2006/Volume 32/Number 2 15. Zafar, Atif, MD; Hickner, John, MD; Pace, Wilson, MD; Teirney, William, MD; Ad Adverse Drug Event and Medication Error Reporting System for Ambulatory Care (MEADERS) AMIA Annual Symposium Proceedings Archive, 2008 16. Eramo, Lisa A; How to Avoid CPOE Pitfalls For The Record, Volume 22, Number 15, http://www.fortherecordingmag.com/archives/081610p10.shtml 17. Grasha, Eric M.; Discovering Pharmacy Error: Must Reporting, Identifying and Analyzing Pharmacy Dispensing Errors Create Liability for Pharmacists? Ohio State Law Journal, Volume 63:1419 (2002) 18. Van der Siis, Heleen, MSc, RPh; Aarts, Jos, PhD, Vulto, Arnold, MSc, RPh, PhD; Berg, Marc, MD, MA,PhD; Overriding of Drug Safety Alerts in Computerized Physician Order Entry, Journal of the American Medical Informatics Association, 2006 Mar-Apr 19. Vivian, Jesse C., BS Pharm, JD: Criminalization of Medication Errors USPharmacist.com 2009;34(11):66-68 20. Prescription for Improving Patient Safety: Addressing Medication Errors A report from The Medication Errors Panel, Pursuant to California Senate Concurrent Resolutions 49 (2005) March 2007 21. Kehone, Carol A., BSN, RN; Bates, David W., MD, MSc; Medication Safety, Obstetrics and Gynecology Clinics of North America 35 (2008) 22. Guidelines on Preventing Medication Errors in Pharmacies and Long-Term Care Facilities Through Reporting and Evaluation ascp Guidelines 23. Aronson, Jeffrey K.; Medication Errors: Definitions and Classification British Journal of Clinical Pharmacology 2009 June 24. Kesselheim, Aaron S.; Cresswell, Kathrin; Phansaldar, Shobha; Bates, David W.; Sheikh, Aziz: Clinical Decision Support Systems Could Be Modified To Reduce ‘Alert Fatigue’ While Still Minimizing The Risk Of Litigation. Health Affairs/December 2011 25. Cheung, Ka-Chun; Bouvy, Marcel L.; De Smet, Peter A. G. M: Medication Errors: The Importance of Safe Dispensing. British Journal of Clinical Pharmacology 2009 June 26. ISMP’s List of Confused Drug Names, Institute for Safe Medication Practices June 2011 27. ASHP Guidelines: Minimum Standard for Pharmacies in Hospitals 28. Physical Environments That Promote Safe Medication Use, 2010 The United States Pharmacopeial Convention 29. The Mechanical Errors, Pharmacists Mutual Companies 30. FDA and ISMP Work to Prevent Medication Errors, Institute for Safe Medicaation Practices 31. ISMP Warns that Emphasizing Speed in Community Pharmacy Prescription Dispensing Can Lead to Errors, Institute for Safe Medication Practices, June 6, 2011 32. ISMP’s List of Error-Prone Abbreviations, Symbols and Dose Designation, Institute for Safe Medication Practices 33. Santell, John P.; Hicks, Rodney W.; McMeekin, Judy and Cousins, Diane D.; Medication Errors: Experience of the United States Pharmacopeia (USP) MEDMARX Reporting System. The Journal of Clinical Pharmacology July 1, 2003 Read more
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