Anesthesia — Core of Discipline
C24 Providing care for patients who have experienced a patient safety incident
- No patient identification data should be part of the documentation of the observation. - This EPA includes diagnosis, further investigations if indicated and management of a patient safety incident (adverse event or near miss).
- This EPA also includes contributing to a culture of safety.
- Full disclosure to the patient and family is included in this EPA (may be observed in simulation setting), as well as debriefing and reporting to appropriate authorities if indicated.
- Detailed documentation and appropriate reporting of the incident to administrative personnel.
- Key points of discussion with patient and/or family should include
o Planned interventions to mitigate the effects of the complication and anticipated outcome
o An intention to formally review the case, if appropriate, to assess strategies for future prevention of similar events
o Opening of lines of communication with the patient/family, with a promise of further discussion as more information becomes available on review of the case
o An expression of sympathy and, if appropriate, an apology
- The documentation of the observation of this EPA must include narrative comments.
Form
F1: Observation
Milestones
Context Variables
No context variables defined.
Requirements
- Direct observation or chart review and debrief by supervisor Use Form 1 or local alternative. Form collects information on:
- Event type [write in]:
- Disclosure observed: yes; no
- Collect 1 observation of achievement