SCHOOL OF PUBLIC HEALTH OREINTATION Student Financial Services Student Financial Center
RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.
-
Upload
lindsey-goodman -
Category
Documents
-
view
218 -
download
3
Transcript of RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.
![Page 1: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/1.jpg)
RISK MANAGEMENT AND PATIENT SAFETY
NEW FACULTY OREINTATION AUGUST 14, 2013
![Page 2: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/2.jpg)
WUSM OFFICE OF RISK MANAGEMENT 2
PURPOSE
• PROTECT THE ASSETS OF THE INSTITUTION
• LOSS PREVENTION– MEDRISK TRAINING PROGRAM
• LOSS CONTROL• LOSS FINANCING
![Page 3: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/3.jpg)
WUSM OFFICE OF RISK MANAGEMENT 3
RISK MANAGEMENT STAFF
• DIRECTOR
• MANAGERS– RISK– CLAIMS
• SUPPORT STAFF– INSURANCE VERIFICATION– CREDENTIALING– EDUCATION
![Page 4: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/4.jpg)
WUSM OFFICE OF RISK MANAGEMENT 4
PROFESSIONAL LIABILITY INSURANCE PROGRAM
• COVERAGE– DUTIES OF POSITION– OTHERS WITH WU DEAN
APPROVAL• RESIDENTS - BJH/SLCH• LIMITS 2014 - $6M SIR/$20M/$10M/$10M • VERIFICATION OF INSURANCE
![Page 5: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/5.jpg)
WUSM OFFICE OF RISK MANAGEMENT 5
FACT AND EXPERT WITNESS TESTIMONY
• FACT TESTIMONY– CARE PROVIDED BY WUSM FACULTY
• EXPERT WITNESS TESTIMONY– OPINION TESTIMONY– WUSM CODE OF CONDUCT– EXPERT WITNESS AFFIRMATION
FORM
![Page 6: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/6.jpg)
WUSM OFFICE OF RISK MANAGEMENT 6
STATUTE OF LIMITATIONS
• MALPRACTICE--2 YRS• WRONGFUL DEATH--3 YRS• MINORS--20 YRS; DEATH THEN 3 YRS• EXCEPTIONS
– PSYCHIATRY– CONTINUING TX– PRODUCTS
![Page 7: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/7.jpg)
WUSM OFFICE OF RISK MANAGEMENT 7
EARLY REPORTING
• ACCURATE RECALL
• LEGAL REPORTING REQUIREMENTS
• EARLY PATIENT DISCUSSION
• ACCURATE HX DATA - EXCESS INS
• EVALUATE EXPOSURE
• ADJUST BILLS• DECREASE
FINANCIAL LOSS BY ID TRENDS
• ADEQUATE FUNDING LEVELS
![Page 8: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/8.jpg)
WUSM OFFICE OF RISK MANAGEMENT 8
REQUIRED REPORTS
• DEATH
• PARAPLEGIA, QUADRIPLEGIA, PARALYSIS
• SPINAL CORD
• NERVE INJURY, NEUROLOGICAL DEFICIT
• BRAIN DAMAGE
• TOTAL/PARTIAL LOSS OF LIMB OR USE OF LIMB
• SENSORY OR REPRODUCTIVE ORGAN LOSS OR IMPAIRMENT
• SERIOUS DISFIGUREMENT
![Page 9: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/9.jpg)
WUSM OFFICE OF RISK MANAGEMENT 9
OTHER RISK MANAGEMENT INQUIRIES AND ACTIVITIES
• RECORD REQUEST
• LIEN LETTERS• SUBPOENA• SUMMONS• EARLY
RESOLUTION
• BOARD OF HEALING ARTS
• DEBRIEFINGS• ROOT CAUSE
ANALYSIS• ATTORNEY CALLS
![Page 10: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/10.jpg)
WUSM OFFICE OF RISK MANAGEMENT 10
SUMMONSSUMMONS
![Page 11: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/11.jpg)
WUSM OFFICE OF RISK MANAGEMENT 11
PETITIONPETITION
![Page 12: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/12.jpg)
WUSM OFFICE OF RISK MANAGEMENT 12
SUBPOENA
![Page 13: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/13.jpg)
WUSM OFFICE OF RISK MANAGEMENT 13
BOARD OF HEALING ARTS
![Page 14: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/14.jpg)
WUSM OFFICE OF RISK MANAGEMENT 14
HOW TO REPORT
• WU CALL RM--362-4686 or 362-6956– SAFE LINE—747-SAFE (7233)
• RISK MANAGEMENT PRO—– ELECTRONIC REPORTING SYSTEM (ERS)
– ERS is http://ers.wusm.wustl.edu• WRITE/DICTATE “IN ANTICIPATION OF
LITIGATION”• DISCUSS W/RM, DEPT HEAD, LEGAL COUNSEL• ATTORNEY CLIENT PRIVILEGE
• WU CALL RM--362-4686 or 362-6956– SAFE LINE—747-SAFE (7233)
• RISK MANAGEMENT PRO—– ELECTRONIC REPORTING SYSTEM (ERS)
– ERS is http://ers.wusm.wustl.edu• WRITE/DICTATE “IN ANTICIPATION OF
LITIGATION”• DISCUSS W/RM, DEPT HEAD, LEGAL COUNSEL• ATTORNEY CLIENT PRIVILEGE
![Page 15: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/15.jpg)
WUSM OFFICE OF RISK MANAGEMENT 15
COMMUNICATE AND DOCUMENT
• BE AVAILABLE• GOOD LISTENER• COMMUNICATE
WITH FAMILY MEMBERS
• EDUCATE
• RETURN TELEPHONE CALLS
• BILLS (MEDICARE REQUIREMENTS)
![Page 16: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/16.jpg)
WUSM OFFICE OF RISK MANAGEMENT 16
INFORMED CONSENT
• DUTY OF PHYSICIAN• PATIENT’S DECISION - DON’T PRESSURE• REALISTIC EXPECTATIONS, OWN
LANGUAGE• DO NOT RELY ON STANDARD FORMS
![Page 17: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/17.jpg)
WUSM OFFICE OF RISK MANAGEMENT 17
ELEMENTS
• DEFINE PROBLEM• RISKS, BENEFITS, ALTERNATIVES• ALTERNATIVES -- RISKS AND BENEFITS• LIKELY TO HAPPEN IF UNTREATED• PRESENTED LEVEL OF UNDERSTANDING• CONFIRMATION - ASK PATIENT WHAT
THEY UNDERSTAND WILL HAPPEN
![Page 18: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/18.jpg)
WUSM OFFICE OF RISK MANAGEMENT 18
MEDRISK TRAINING PROGRAM
• PROMOTE PATIENT SAFETY AND DECREASE MEDICAL ERRORS
• SUBSPECIALTY-SPECIFIC TRAINING MODULES
• CME 4-5 HOURS• ON LINE• http://washu.medrisk.com/Medrisk/Welcome/d
efault.aspx
![Page 19: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/19.jpg)
WUSM OFFICE OF RISK MANAGEMENT 19
RISK MANAGEMENTWEB SITE
http://medicine.wustl.edu/risk
• GENERAL INFORMATION• RISK MONITOR PRO – EVENT
REPORTING SYSTEM (ERS)• PROFESSIONAL LIABILITY
INSURANCE• EDUCATION SECTION
![Page 20: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/20.jpg)
WUSM OFFICE OF RISK MANAGEMENT 20
PATIENT SAFETY—WUSM PS Physician Council
• Anesthesiology Andrea Vannucci• Emergency Dept. Chris Carpenter, Richard Griffey, Rob Poirier• Internal Medicine Emily Fondahn, Mike Lane, Myra Rubio • Neurosurgery Paul Santiago• OB/GYN vacant• Ophthalmology David Vollman• Orthopedics Kathryn Keeler • Otolaryngology Brian Nussenbaum• Pediatrics Nikoleta Kolovos, Pele Yu, George Van Hare• Radiation Oncology Imran Zoberi• Radiology James Duncan, Andrew Bierhals• Surgery Doug Schuerer
![Page 21: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/21.jpg)
WUSM OFFICE OF RISK MANAGEMENT 21
• Patient Safety Education
• WUSM Event Reporting System
• Support for Communication of Adverse Events to patients and families
• Event Analysis support: debriefings, root cause analysis, second victim support
• PS/QI Projects based upon high volume or high risk processes with identified failures
PATIENT SAFETY—Patient Safety Office Resources
![Page 22: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/22.jpg)
WUSM OFFICE OF RISK MANAGEMENT 22
Patient Safety Education
• Curriculum available on PS Website
• Speaker’s bureau of WUSM PS Experts available
• Conferences and webinars available on-site
![Page 23: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/23.jpg)
WUSM OFFICE OF RISK MANAGEMENT 23
• http://ers.wusm.wustl.edu
PATIENT SAFETYWUSM Event Reporting System
![Page 24: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/24.jpg)
WUSM OFFICE OF RISK MANAGEMENT 2424
Traditional Voluntary Reporting in Hospitals Lost Opportunities to Learn
Key Findings: Hospital staff did not report 86% of events to incident reporting
systems Physician accounted for less than 2% of reports
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.
January 2012 OEI-06-09-00091
Low physician reporting is problematic because it hinders the ability to identify and mitigate risks. Physicians view health care through a unique lens, which allows them to identify certain types of hazards and certain contributing factors better than others.
Noble, DJ, Pronovost, Underreporting of Patient Safety Incidents Reduces
Health Care’s Ability to Quantify and Accurately Measure Harm Reduction .
J Patient Saf 2010; 6:24
![Page 25: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/25.jpg)
WUSM OFFICE OF RISK MANAGEMENT 25
A Different Approach to Physician Reporting—Stimulated Reporting
M & M cases Patient Safety Triggers: National or Local PS Indicators (AHRQ) IHI Global Trigger Tool PS Triggers (see pocket card)
![Page 26: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/26.jpg)
WUSM OFFICE OF RISK MANAGEMENT 26Click Quick Submit to enter a new event
![Page 27: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/27.jpg)
WUSM OFFICE OF RISK MANAGEMENT 27A Quick Submission takes <30 seconds!
![Page 28: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/28.jpg)
WUSM OFFICE OF RISK MANAGEMENT 28
WUSM Patient Safety Office
• Mary Taylor, JD
747-2933
Robin Woltman (ERSystem)
747-6388
Sharepoint site
http://patientsafety.wusm.wustl.edu
![Page 29: RISK MANAGEMENT AND PATIENT SAFETY NEW FACULTY OREINTATION AUGUST 14, 2013.](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649e6a5503460f94b67a43/html5/thumbnails/29.jpg)
QUESTIONS?