HAD3070H

Prerequisite

n/a

Description

This course will cover a number of topic areas including:

• The risk management process (i.e. identification, assessment, mitigation), methods for identifying and ranking top clinical and other risks using data from a range of patient safety and risk management sources
• Strategies for integrating organizational risk management, quality improvement and patient safety activities;
• Methods for identifying, managing and investigating critical incidents, and for implementing and sustaining effective recommendations for improvement;
• Principles and practices for disclosure of adverse events;
• Relevant legislation and regulations (e.g. the public hospital act, disclosure, apology, consent and capacity, etc);
• The rationale and legal protection for quality assurance activities;
• The medical-legal claims process and the effect of claims on patient safety and quality;
• The role of professional colleges in ensuring quality care, and potential issue related to the systems approach to patient safety and implementation of a just culture;
• The role of the coroner in patient safety;
• The role of accreditation in ensuring quality and in influencing organizational priority setting in patient safety and quality.
• The course will include didactic pre-reading, lectures from leading experts, group discussion, and in-class simulations.

Objectives

• Identify and assess the range of clinical and non-clinical risks within a healthcare organization and apply a structured methodology to identify high priority risks requiring leadership and governance attention;
• Recognize the linkage between risk management, quality improvement and patient safety functions and understand how they can be effectively integrated within an organization;
• Categorize the multiple sources of risk management data (including incident reports, critical incident investigations, patient complaints, medical legal claims, M&M reviews, alerts, audits, etc) and outline strategies to obtain actionable information from data mining efforts;
• Recognize the significant laws and regulations which govern healthcare quality and safety;
• Understand the unique relationship between physicians and hospitals and describe the important role of credentialing of healthcare professionals in ensuring quality care;
• Formulate arguments both for and against the protection of quality assurance information in healthcare;
• Understand the civil litigation process and factors which may contribute to an adverse event proceeding to a medical malpractice claim;
• Describe the challenges associated with identifying and managing critical incidents and outline the elements of successful investigation and follow up;
• Outline the rationale for disclosure of adverse events to patients, debate the evidence regarding the effect of disclosure on medical malpractice claims, and analyze and critique disclosure skills;
• Understand the mandate and activities of the coroner’s office, professional colleges, and accreditation, and debate their role in advancing healthcare quality and safety.

Instructors

Evaluation