Recognize, Respond to and Disclose Adverse Events

Teaching methodologies:Academic half day interactive sessions: (click on links for teaching material)

Session 1-2 hours:

• Disclosure of an Adverse Event Case presentation
• Disclosure of an Adverse Event Facilitator Guide 
• Disclosure of an Adverse Event PowerPoint

Session 1-2 hours

• Role play disclosure using the case above or a local case; use residents and faculty (or Standardized Patients if available).
• Use required elements for disclosure to ensure all points are covered.
• Discuss the issues related to apology and use apology act from the appropriate province.
• Discuss ethical and legal implications of disclosure.

Session 1 hour:

• Review the reporting mechanisms available at local site, what happens to the reports and describe recent changes based on reports.

Session 1 hour:

• Describe a root cause analysis- CPSI Root Cause Analysis Framework
• Use local example of analysis of recent event.

Other learning opportunities:

• Attend disclosure meeting (if possible).
• IHI Open School - Available at no cost but you must register with them

Other Resources:

• CMPA Disclosure Booklet
• CPSI Disclosure Guidelines