Critical Incident Management Team Peer Support Program

3/31/11

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Critical Incident Management Team(CIMT) • Risk Management Cases• Culture Change • Reasons for the Team

– our journey

• CIMT Education and Process• Legal Issues• Contact and Oversight

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Risk Management SE and CE Cases:

• Adverse outcomes • Birth injury, stillbirths • Permanent harm or deaths from error • Medical mistakes • Litigation

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Risk Management Cases:

• Loss of life-even when expected• Permanent harm or deaths from violence or

trauma • Child abuse, elder abuse • Devastating complications• Angry /violent patients and families

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Culture Change:

• Patient Safety

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Culture Change:

• Just Culture – Human Error – At Risk Behavior – Reckless Behavior

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Reason for the team

• Even the most resilient healthcare professionals are affected

• Responding to our physicians and staff• Institute of Healthcare Improvement (IHI)

– Second Victim – University of Missouri Health System – Medically Induced Trauma Support Services (MITSS)

• The “Joint Commission Journal on Quality and Patient Safety”

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Critical Incident Management Peer Support

• Volunteer physicians, nurses, and lisw • Educated in Critical Incident Management • Respond to Colleagues Incidents

– Sentinel Events– Litigation – Adverse Patient Outcomes

• Referral if needed

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Legal and Management

• Confidentiality and Privilege• Program Management / Oversight

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

Use of Peer Support System

• Several individual uses • Several group debriefings • Referred for further assistance

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

What’s next ?

• Continued education regarding program • Proactively reaching out to those involved • Data collection • Possible follow up strategies

Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

questions: