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:
