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CSI:ME Case Studies In Medical Errors

CSI:ME Case Studies In Medical Errors Banner

  • Overview
  • Faculty
  • Support
  • Begin


Date & Location
Thursday, November 15, 2018, 12:00 AM - Monday, November 15, 2021, 12:00 AM PST

Overview
Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Department of Quality and Clinical Effectiveness at Stanford Health Care.

This CME activity aims to improve the practicing physicians’ and other health care providers’ knowledge about the types of medical errors that can occur and different methods of mitigating and/or preventing these events from occurring by utilizing The Joint Commission guidelines and standards pertaining to the National Patient Safety Goals.  The activity is a web-enabled, interactive program that permits the participant to work on medical events by investigating and analyzing root causes and/or contributing factors to comprehend how medical errors can occur. These are the skills that can be utilized on a daily basis by healthcare providers to ensure safe patient care. 

Intended Audience

This course is designed to meet the educational needs of physicians and nurses and other interested allied health professionals in all specialties.

Registration
  Release Date: November 15, 2018
  Expiration Date: November 15, 2021
  Estimated Time to Complete: 1.25 Hours
  CME Credits Offered: 1.25
  Registration Fee: FREE

Credits
AMA PRA Category 1 Credits™ (1.25 hours), Non-Physician Participation Credit (1.25 hours)


Objectives

At the conclusion of this activity, participants should be able to:


    1. Integrate NPSG requirements in clinical practice in the areas of patient identification, Universal Protocol, labeling and medication reconciliation.
    2. Develop practical skills to improve team communication and apply these skills when medical errors occur and to prevent medical errors in the future, i.e. immediate feedback.
    3. Evaluate root causes and contributing factors that lead to various medical errors.
    4. Develop skills to apply in practice the appropriate procedures or steps to assure that such events are prevented in the future.

    Accreditation
    The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The Stanford University School of Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    The American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. Please check with your state’s credentialing board for their requirements.

    Additional Information

     

    Cultural and Linguistic Competency

    The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: http://lane.stanford.edu/portals/cultural.html

    Bibliography


    Institute of Medicine “To Err is Human” report:  http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf

    Chassin M and Loeb J, “The Journey to High Reliability”  The Milbank Quarterly, Vol. 91, No. 3, 2013 (pp. 459–490)
    https://www.jointcommission.org/assets/1/6/Chassin_and_Loeb_0913_final.pdf

    National Patient Safety Foundation. RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015.
    http://www.ihi.org/resources/Pages/Tools/RCA2-Improving-Root-Cause-Analyses-and-Actions-to-Prevent-Harm.aspx

    Joint Commission Sentinel Event Policy and Procedure
    https://www.jointcommission.org/sentinel_event_policy_and_procedures/

    Joint Commission Hospital National Patient Safety Goals 2018
    https://www.jointcommission.org/assets/1/6/2018_HAP_NPSG_goals_final.pdf

    Heidi B. King, MS, CHE, James Battles, PhD, David P. Baker, PhD, Alexander Alonso, PhD, Eduardo Salas, PhD, John Webster, MD, MBA, Lauren Toomey, RN, BSBA, MIS, and Mary Salisbury, RN, MSN.  “TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety”, Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools).  Henriksen K, Battles JB, Keyes MA, et al., editors.

    Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug.
    https://www.ncbi.nlm.nih.gov/books/NBK43686/

    Martin A Makary and Michael Daniel, “Medical error—the third leading cause of death in the US”’
    BMJ 2016;353:i2139 (Published 03 May 2016)
    https://www.bmj.com/content/353/bmj.i2139

    More bibliographic information can be found in the Resources and References section.


    The registration form for this activity is currently unavailable.



    Disclosures

    The following planners and author have indicated that that they have no relationships with industry to disclose relative to the content of this activity:

    Joseph Hopkins, MD, MMM
    Clinical Professor, Medicine - Primary Care and Population Health
    Associate Chief Medical Officer
    Stanford Health Care
    Course Director

    Steven Chinn, DPM, MS, MBA
    Administrative Director, Accreditation and Regulatory Affairs
    Interim Patient Safety Officer
    Stanford Health Care

    Clinical Associate Professor
    Division of Primary Care and Population Health
    Department of Medicine
    Stanford School of Medicine
    Co-Course Director
    Author



    Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.

    CSI:ME on edX
    INSTRUCTIONS: Click "Launch Website" to begin this course on edX.org.  At the end of the course with successful completion, an evaluation and claim credit url link will be provided to you to access the Stanford Center for Continuing Medical Education MY CE Portal with more detailed instructions.  
    Launch Website


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