Domain 6: Recognize, Respond to and Disclose Adverse Events

Last modified by Lisa Stromquist on 2012/11/28 22:02

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KEY COMPETENCIES

- Recognize the occurrence of an adverse event or close call -

- Mitigate harm and address immediate risks for patients and others affected by adverse events and close calls -

- Disclose the occurrence of an adverse event to the patient and/or their families as appropriate and in keeping with relevant legislation - 

-  Report the occurrence of an adverse event or close call -

- Participate in timely event analysis, reflective practice and planning for prevention of recurrence -

ELEMENTS

Knowledge

Health care professionals who effectively recognize, respond to, and disclose adverse events have an understanding of:

  • The definition and recognition of adverse events and close calls
  • Current professional obligations, legislation and policies for the reporting of adverse events
  • Correct processes of disclosure

Skills

Health care professionals who effectively recognize, respond to, and disclose adverse events:

  • Provide honest, timely, effective communication about the facts of the adverse event
  • Provide care and support to both patients and health care professionals affected by the event
  • Differentiate between an outcome related to the natural progression of disease and an adverse event

Attitudes

Recognizing, responding to, and disclosing adverse events requires:

  • Moral-ethical reasoning and decision-making around adverse events
  • A commitment to the primacy of the patient–health care professional relationship
  • Acceptance of the obligation to disclose the occurrence of adverse events in keeping with current legislation and policies
  • Willingness to participate in event analysis and continuous quality improvement

RECOMMENDED ACTION

RECOMMENDED ACTION KEY PRACTICES LINKS TO ROPs  

Provide honest, timely, effective communication about the facts of the adverse event

  • Safety reporting policies and procedures
  • Have disclosure policy and procedures
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Provide care and support to both patients and health care professionals affected by the event

  • Crisis Intervention Support is available for teams
  • DV/SAT  (Domestic violence/Sexual Assault treatment program) available on site 
  • Supports for managing adverse events available at off hours
  • Ethics consultations available
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Differentiate between an outcome related to the natural progression of disease and an adverse event

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Tags: disclosure
Created by Lisa Stromquist on 2012/07/16 21:28