Escalation of Care: A Surgical Improvement Initiative

Expiration Date
Jul 16, 2021
Media Format
monograph
MOC Approved
Yes
Activity Type
Online
Est. Duration
1 hour
Credits
CME/CNE: 1.00

$150

Quantity: 1

Target Audience

Surgeons and residents in all surgical specialties, surgical nurses and quality improvement staff. Other interested healthcare practitioners are also welcome to participate.

  • Professional Interaction
  • Quality Improvement

Description

Surgical residents do not always call the attending physician about critical patient events, believing that it is not necessary or that the call will not be welcome. Failure to call for help is associated with failure to rescue, adverse events and claims of medical malpractice. Hospitals and surgical facilities are called upon by the Accreditation Council for Graduate Medical Education to formulate policies about communications between surgeons such as escalation of care, and to incorporate them into resident training. This monograph will review the results of recent studies and multidisciplinary initiatives in a search for lessons in improving surgical communications.

Learning Outcomes/Objectives

Upon completion, you should be able to:

  1. Define “escalation of care” and “failure to rescue” in surgery
  2. Describe findings about “escalation of care” and “failure to rescue” from recent studies in the medical literature
  3. Describe a hospital initiative to improve communication between surgical residents and attendings
  4. Design and implement an initiative at your institution to measure and improve surgical communications that will improve escalation of care and patient safety

Release Date:
July 16, 2018
Expiration Date:
July 16, 2021

Copyright Information

Copyright @ 2018

CME Information

This activity is sponsored by LAMMICO/Medical Interactive.

LAMMICO/Medical Interactive designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accreditation Statement

LAMMICO/Medical Interactive is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CNE Information

LAMMICO/Medical Interactive designates this enduring material for 1.00 contact hour(s). LAMMICO/Medical Interactive is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Learning Assessment

There will be a post test for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Method and Medium

To obtain CME/CNE credit, view the entire online presentation, complete the evaluation and posttest and print your certificate online.

Resident Information

Residents will earn a certificate of completion.

State Requirements

This course may meet specific CME requirements for the following states. It is the user's responsibility to confirm whether content meets the user's state's specific requirements:

  • Connecticut - This activity includes content in Risk Management
  • Massachusetts - This activity includes content in Risk Management
  • Pennsylvania - This activity includes content in Risk Management / Patient Safety
  • Texas - This activity includes content in Ethics and/or Professional Responsibility

MOC Approval Statement

Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory, Escalation of Care: A Surgical Improvement Initiative has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) and/or an MOC Part II Learner Assessment Activity for the following ABMS Member Boards:

MOC Part II CME Activity

  • American Board of Thoracic Surgery
  • American Board of Urology
Note: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement (only). Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Learner Assessment Program Requirements.

Analyzing decades of medical malpractice claim data has led the MI faculty to narrow our focus to pinpoint the most important roots of patient safety issues across a host of medical specialties. When we boil down our collection of risk management education topics, these key concepts most keenly respond to the roots of patient safety issues: 

Risk Management Concept: Cognition - Icon of human head with cog for brain

Cognition

Error in the mental action or process of learning can lead to adverse events stemming from inaccurate or incomplete thinking, perceiving, experiencing, recognizing, remembering and judging. Courses marked with this designation indicate that information presented within that specific education activity will illuminate actionable ways to improve analysis and synthesis of information, diagnosis and clinical decision making. 


Risk Management Concept: Communication - Icon of speech bubbles

Communication

Misunderstandings can lead to adverse events arising from errors in written, verbal and non-verbal information exchange. Courses marked with this designation indicate that concepts presented within that specific education activity will feature actionable ways to improve mutual understanding between healthcare providers and/or between medical professionals and their patients. 


Risk Management Concept: Performance - Icon of spedometer

Performance

Reactive behavior resulting in inaccuracy, incompletion, expensive and untimely tasks can lead to adverse events arising from poor execution of an action and/or fulfillment of a request. Courses marked with this designation indicate that the specific education activity will present realistic ways to apply learning, implement changes in a medical practice, improve competencies, critically assess performance, and utilize and incorporate evidence-based best practices. 


Risk Management Concept: Professionalism - Icon of people

Professionalism

Breach of competency standards and ethical values can result in adverse events stemming from a misunderstanding of professional expectations. Courses marked with this designation indicate that the education activity will clarify professional expectations in an effort to improve advocacy and participation, provider wellness, ethical decisions, cultural competence, professional organization participation, and adherence to patient care guidelines. 


Risk Management Concept: System - Icon of Cogs

System

System errors in medicine primarily consist of interrelated and interdependent components that habitually influence one another, and can often result in adverse consequences. Courses marked with this designation indicate that the education activity will present ways to address legal and regulatory issues, coordination of care and teamwork, electronic health record IT issues, policies and procedures, cost and risk benefits, and quality improvement activities. 

Disclosure Policy

LAMMICO requires planners, speakers, faculty and all those who influence the content of a CME/CNE activity to disclose any financial relationships they have with commercial interests that are relevant to the activity. The disclosures shall be reviewed for any conflict of interest and subject to a mechanism to identify and resolve any conflicts of interest. A disclosure statement of relevant financial relationships will be made to the audience prior to the activity.

Disclosure Statement

The authors, editors, reviewers and planning committee members for this activity have no relevant financial relationships with an ACCME/ANCC-defined commercial interest to disclose.

Author(s)

Ruth Ryan, RN, BSN, MSW, CPHRM - Read Bio

Editor(s)

Karen K. Davis, MA, CPHRM - Read Bio

Medical Expert Reviewer(s)

James E. Brown, MD - Read Bio

Managing Editor(s)

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Lead Nurse Planner

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members (Education Council)

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Geri Cook, RHIA, CPHRM, LAMMICO Risk Management Manager

Carol A. Curran, RNC, MS, OGNP, LAMMICO Senior Perinatal Educator and Medical Interactive Business Specialist

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Karen K. Davis, MA, CPHRM, LAMMICO CME/CNE Writer/Editor

Joseph Tran, Attorney at Law, Legal Counsel – Medical Interactive

Amanda Martin-Sanchez, MEd, BSN, RN, CNOR, LAMMICO CME/CNE Educator

Lynne Vega, RN, LAMMICO Hospital RM Specialist

Lynda Sanders, LAMMICO Continuing Education Specialist

Karen Tong, Patient Representative and LAMMICO Communication Strategist

Risk Management Committee Members

Kenneth E. Brown, MD, MBA

Thomas V. Bertuccini, MD, MBA

Elmore F. Rigamer, MD, MPA

Richard A. Spector, MD, JD

Randall Miller, MD

Pamela J. Parsons, MD

Karl N. Hanson, MD, FAAFP

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Joseph Tran, Attorney at Law, Legal Counsel – Medical Interactive

Geri Cook, RHIA, CPHRM, LAMMICO Risk Management Manager

Carol A. Curran, RNC, MS, OGNP, LAMMICO Senior Perinatal Educator & Medical Interactive Business Development Specialist

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Karen K. Davis, MA, CPHRM, LAMMICO CME/CNE Writer/Editor

Amanda Martin-Sanchez, MEd, BSN, RN, CNOR, LAMMICO CME/CNE Educator

Lynda M. Sanders, LAMMICO Continuing Education Specialist

Electronic Hardware and Software Requirements

To view our online presentations, your computer must meet the requirements below:

Hardware: Participants must have a personal computer with internet connection and speakers or an iOS or Android phone.

Operating System

Windows or Mac OS for desktop computers.

iOS or Android for mobile devices

Browser

Firefox 55 or above

Chrome 60 or above

IE 10 or above

Safari 11 or above

Bandwidth

High Speed or DSL

Web Master Contact Information

For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com