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December 20, 2018, 12:00 pm – 1:30 pm CT / 1:00 pm – 2:30 pm ET

Respectful Management of Serious Adverse Events:
A 2018 Update

Session Overview

Jim Conway has been a tremendous contributor to what we know about how to handle serious adverse events. An IHI Senior Fellow and frequent speaker on the topic over the years, Jim will provide a 2018 update to the challenges to handling serious adverse events.  Heather Foster RN, a frontline nurse who has championed the cause of “taking the high road” will provide her perspective and serve as a reactor.

A reactor panel of patient advocates and subject specific experts will react to the presentation.

We offer these online webinars at no cost to our participants.

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Webinar Video, and Downloads

Unfortunately, due to a technical issue experienced during the webinar, we do not have a video of this webinar.  We apologize for this inconvenience.  We do, however, have the slides that can be downloaded (see below).

Speaker Slide Set:

Click here to download the combined speakers’ slide set in PDF format – one (1) slide per page.   

To view the file, click the desired link (please note: the files may take several minutes to download). 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.”)

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Registration Information and CE Credit Information

 Register:  This webinar has previously taken place.

  When:  December 20, 2018

       Time:

  • 01:00 PM to 2:30 PM Eastern Daylight Time
  • 12:00 PM to 1:30 PM  Central Daylight Time
  • 11:00 AM to 12:30 PM  Mountain Daylight Time
  • 10:00 AM to a1:30 AM  Pacific Daylight Time

We are accepting questions now that relate to the session topics. Please e-mail any questions related to the specific session to webinars@safetyleaders.org with the session title in the e-mail message header.

  • Questions about the Webinar series?
    E-mail webinars@safetyleaders.org or call 512-473-2370 between 9:00 a.m. and 4:30 p.m. CT.
  • Need technical assistance with registration? Call 512-457-7605 between 9:00 a.m. and 4:30 p.m. CT.

Learning Objectives:

  • Awareness:  Participants will understand and be able to discuss important issues regarding awareness of the latest updates in what to do after a medical error, accident, or adverse event.
  • Accountability:  Participants will understand who may be accountable for responding to, and prioritizing, the opportunities for improvement related to what to do after a medical error, accident, or adverse event.
  • Ability:  Participants will learn about competencies important to responding to a medical error, accident, or adverse event.
  • Action:  Participants will learn what actions they may need to take in order to better respond to a medical error, accident, or adverse event.

CE Participation Documentation

Texas Medical Institute of Technology, approved by the California Board of Registered Nursing, Provider Number 15996, will be issuing 1.5 contact hours for this webinar. TMIT is only providing nursing credit at this time.

To request a Participation Document, please click here.

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Session Speakers and Panelists

James Conway, MS, LFACHE
James Conway, MS, LFACHERespectful Management of Serious Adverse Events
Bio
Heather Foster, RN
Heather Foster, RNTaking the High Road
Bio
Becky Martins
Becky MartinsDiscussion and Reaction to Presentation AND The Voice of Patient & Family
Bio
Dan Ford, MBA, LFACHE
Dan Ford, MBA, LFACHEDiscussion and Reaction to Presentation
Bio
Jennifer Dingman
Jennifer DingmanDiscussion and Reaction to Presentation
Bio
David Marx
David MarxDiscussion and Reaction to Presentation
Bio
C. R. Denham, II, MD
C. R. Denham, II, MDIn the News and Recent Polling
Bio

Related Resources

  1. Health Affairs; November 2018 Effects Of A Communication-And-Resolution Program On Hospitals’ Malpractice Claims And Costs; Available at: https://www.healthaffairs.org/doi/10.1377/hlthaff.2018.0720  
  2. JAMA; Nov. 14, 2018; Institutional Conflicts of Interest and Public Trust; Available at:
    https://jamanetwork.com/journals/jama/fullarticle/2715796  
  3. JAMA; Oct. 26, 2018; Conflicts of Interests, Authors, and Journals; Available at:  https://jamanetwork.com/journals/jama/fullarticle/2712191  
  4. WHO; Dec. 12, 2018; Patient Safety Global Action on Patient Safety; Available at: http://apps.who.int/gb/ebwha/pdf_files/EB144/B144_29-en.pdf  
  5. National Quality Forum. Safe Practice 1: Culture of Safety Leadership Structures and Systems. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at: http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.   
  6. National Quality Forum. Safe Practice 2: Culture Measurement, Feedback, and Intervention. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.   
  7. National Quality Forum. Safe Practice 3: Teamwork Training and Skill Building. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.   
  8. National Quality Forum. Safe Practice 4: Risks and Hazards. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.   
  9. National Quality Forum. Chapter 9: Opportunities for Patient and Family Involvement. IN: Safe Practices for Better Healthcare – 2010 Update: A Consensus Report. Washington, DC: National Quality Forum; 2010. Available at http://www.qualityforum.org/Publications/2010/04/Safe_Practices_for_Better_Healthcare_%E2%80%93_2010_Update.aspx.   

In the News

  1. UCSF; November 30, 2018; Ambulance Response Times Are Worse for Low-Income People; https://www.ucsf.edu/news/2018/11/412421/ambulance-response-times-are-worse-low-income-people 
  2. PNAS; Dec. 11, 2018; Changing Demographics Of Scientific Careers: The Rise Of The Temporary Workforce; https://www.pnas.org/content/115/50/12616  
  3. Modern Healthcare; Dec. 07, 2018; 6 Doctors Charged In Alleged $464 Million Scheme To Prey On Addicts; https://www.modernhealthcare.com/article/20181207/NEWS/181209944  
  4. NPR; Dec. 13, 2018; Nurse Denied Life Insurance Because She Carries Naloxone; https://www.npr.org/sections/health-shots/2018/12/13/674586548/nurse-denied-life-insurance-because-she-carries-naloxone  
  5. CBS; Dec. 17, 2018; Opioid Overdose Deaths Plunge 31 Percent In Ohio County Thanks To Free Narcan; https://www.cbsnews.com/news/opioid-overdose-deaths-plunge-31-percent-ohio-hamilton-county-free-narcan/