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Consent, End of Life, and Disclosure

 Session Audio File and downloads
Audio File   
Click here to listen to the recording of the "Consent, End of Life, and Disclosure (Practices 2-4)" Webinar. The recording is 33MB and will take 5-10 minutes to load. To save to your hard drive, right-click on the link and choose "Save Target As." (In some browsers it might say "Save Link As.") (33MB)

Slide Set:   
To view the file, click the desired link. To save to your hard drive, right-click on the link and choose "Save Target As." (In some browsers it might say "Save Link As.")
Click here to download Slide Set.

Related Resources:   
Risk Management Pearls on Disclosure of Adverse Events

 Session Overview
This 90-minute session will be composed of a 30-minute briefing regarding Practices and Leapfrog Survey questions, a 30-minute roundtable discussion of implementation issues, and a 30-minute Q&A period. Renowned educators and subject matter experts Tom Gallagher, MD, Lee Taft, JD, and Gail Nielsen, in the fields of informed consent, life-sustaining treatments, disclosure practices, and healthcare literacy, will guide you in special informational sessions about the importance and implementation of these revised and new Safety Recommendations. Jennifer Dingman, a national patient safety advocate, will provide the patient and family perspective.

 Key Topics Discussed:
  1. Dimensions of Disclosure
  2. Review of Disclosure
  3. Practical ways to introduce Disclosure
  4. Resources available for Disclosure
  5. Tying Disclosure to your organizational values
 Register:
Click here to register for our Web Seminar Series.

 When:   August 14, 2:00 p.m.-3:30 p.m. ET
We are accepting questions now that relate to the session topics. Please e-mail any questions related to the specific session to katie_hartsell@tmit1.org with the session title in the e-mail message header.
  • Questions about the Webinar series? E-mail help@safetyleaders.org or call 512-473-2370 between 9:00 AM and 4:30 PM CT.
  • Need technical assistance with registration? Call 512-457-7657 between 9:00 AM and 4:30 PM CT.
 Introduction
Charles R. Denham, MD, Chairman, Texas Medical Institute of Technology (TMIT)
 Speakers
Thomas H. Gallagher, MD

Thomas Gallagher, MD, is a general internist who is an Associate Professor in the Departments of Medicine and Medical History & Ethics at the University of Washington.

Dr. Gallagher received his medical degree from Harvard University, Cambridge, MA, completed his residency in Internal Medicine at Barnes Hospital, Washington University, St. Louis, MO, and completed a fellowship in the Robert Wood Johnson Clinical Scholars Program, UCSF.

Dr. Gallagher has a long-standing research interest in the ethical and communication dimensions of conflicts of interest, research ethics, and disclosure of medical errors and adverse events. His work in error disclosure received the 2004 Best Published Research Paper of the Year award from the Society of General Internal Medicine. He is supported by career development awards from the Agency for Healthcare Research and Quality and the Greenwall Foundation Faculty Scholars in Bioethics program.

Dr. Gallagher is an active member of many professional organizations, including the American College of Physicians (Fellow), the American Society of Law, Medicine, and Ethics, the Society of General Internal Medicine, and the American Society of Bioethics and Humanities.

 
Lee Taft, JD

Lee Taft is a nationally recognized expert on apology and its role in the transformative processes of repentance, forgiveness, and reconciliation. Lee was a dually-board-certified trial specialist in Texas for twenty years before entering Harvard Divinity School in 1996. Upon his graduation from Harvard in 1999, he was named Acting Dean of Students, and, in 2000, the Yale Law Journal published his essay on the role of apology in law. After presenting at Children's Medical Center in Dallas on the role of apology in the wake of medical error, he wrote "Apology and Medical Error," an essay that quantifies the ethical and financial benefits of apology in the wake of adverse, unanticipated outcomes. In his consulting practice, he designs systems to maximize institutional preparedness for crisis, and provides solutions to individuals and organizations facing crisis in the wake of error by focusing on reconciliation as a litigation strategy, corporate objective, and ethical opportunity.

 
Jennifer Dingman

Jennifer Dingman founded PULSE of Colorado in 1996 after losing her mother to a series of medical errors.

PULSE was created as a support group for victims of medical error. After her mother's death, Jennifer learned how difficult it was to find a place to discuss her frustrations with the system and to feel comfortable doing so. She and several other family members of deceased victims of medical errors held the first PULSE support meeting in February 1996. PULSE also provides educational material for consumers. One of the major goals of PULSE is to teach consumers how to avoid medical errors and how to partner with their providers. Jennifer strongly believes in the philosophy of patient engagement and education. Engagement of the consumer is the best and most effective way to achieve better quality in any industry. Engagement promotes partnerships that will actually put the consumer and provider on equal ground. PULSE has, since 1996, grown into a large national network with chapters in many states.

 
Gail Nielsen, BSHCA, FAHRA, RTR

Gail Nielsen is the Patient Safety Administrator for the Iowa Health System. In this position, she is responsible for a 10-hospital collaborative patient safety improvement effort that is changing culture to improve patient safety and spreading successful interventions across system hospitals. She is also the System's improvement advisor for IHS's collaboration efforts in conjunction with the IMPACT Network: Patient Safety, Flow Through Acute Care, and Office Practice and Outpatient Settings. She is the Collaborative Director of the System's Falls Prevention Collaborative. Mrs. Nielsen is a Safety Scholar of the Institute for Healthcare Improvement (IHI) and Project Manager for IHI's Quantum Leaps Community on Falls. She is a member of the Workgroup for the CDC Grant-supported Iowa Patient Safety Demonstration Project. In the Spring of 2004, Mrs. Nielsen was named a Merck Scholar at the IHI and the Harvard School of Public Health. She is a faculty member at the IHI and speaks nationally on patient safety issues.



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