Internal Medicine — Core of Discipline

C8 Caring for patients who have experienced a patient safety incident (adverse event)

Key Features:
- This EPA focuses on all aspects of the care of a patient who has experienced a patient safety incident. This includes specific medical care, disclosure of the event to the patient/family, as well as documentation and reporting of the incident.
- This EPA does not include issues related to quality improvement at the level of the health care system.

Assessment Plan:

Direct observation and/or case review by supervisor

Use Form 1. Form collects information on:
- Setting: clinical; simulation
- Type of event: error; near miss; adverse event
- Disclosure observed: yes; no

Collect 2 observations of achievement
- At least 1 clinical
- At least 1 observation of disclosure
- At least 1 by a faculty member

Milestones

• ME 1.4. Perform clinical assessments that address the breadth of issues in each case

• ME 5.1. Identify the clinical circumstances contributing to an adverse event

• ME 5.1. Intervene to mitigate further injury

• ME 5.1. Identify changes in practice/clinical care to prevent similar events

• COM 3.2. Communicate the reasons for unanticipated clinical outcomes to the patients and disclose patient safety incidents

• COM 3.2. Apologize appropriately for a harmful patient safety incident

• ME 5.1. Report patient safety incidents to appropriate institutional representatives

• P 4.1. Apply strategies to mitigate the personal impact of patient safety incidents