Online Moderated Workshop: Deep Dive into Error Disclosure

Online Moderated Workshop: Deep Dive into Error Disclosure

  • add an accredited certificate for this course here
Purchase Continuing Education Credit: 

Registration

Please note that the next online moderated workshop will take place on Tuesday, May 21, 2019 at 9:00am. To complete the registration process, which also includes completion of a Pre-Questionnaire, please follow the instructions below prior to the workshop date. 

  • Click "Enroll for an Accredited Certificate" above.
  • Select your Learner Type in the dropdown menu that appears. Learner Type options include Physician, Nurse, or General Attendee. Individuals who do not wish to obtain CME credit should select the General Attendee option for the non-continuing education track.  
  • Check the box(es) for the desired Credit Type(s).
  • Click Add to Cart.
  • You will see a message that reads, "Live Online Facilitated Workshop: The Deep Dive into Error Disclosure was added to your cart. Please go to your shopping cart to complete the purchase of this course." Click the "your cart" link to proceed to your payment options.
  • Upon completion and confirmation of payment, you will be enrolled in the workshop.
  • Complete the Pre-Workshop Questionnaire prior to the workshop on Tuesday, May 21, 2019 at 9:00 am. Please note that you must complete this step in order to gain access to the workshop access page.
  • Bookmark the webinar access page upon completion of the Pre-Questionnaire for convenient access on Tuesday, May 2019.
  • Following the live workshop, complete the Post-Questionnaire survey to obtain your certificate of completion and CME credits (if applicable). 

Accreditation


Accredited Course

Cost: $50

Courses that have the CE logo on the image have a designated number of certified continuing education credits associated with the course. These courses have a fee, and upon completion, the learner will receive a certificate with their designated credits which can be used for re-licensure. The continuing education credits available for this course are physician credits, risk management credits and nursing contact hours.

Non-accredited Course

Cost: $25

Individuals who do not wish to obtain CME credit should select the General Attendee option for the non-continuing education track.


Accreditation/Designation Statements

In support of improving patient care, Boston Children's Hospital is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for the healthcare team.

Physician

Boston Children's Hospital designates this live activity for a maximum of 2.00AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Risk Management

Advancing Relational Learning Worldwide: Disclosure and Apology Part II - Moderated Workshop meets the requirements of 2.00 Risk Management Credit as prescribed by the Massachusetts Board of Registrations in Medicine and defined in 243 CMR 2.06(5)(d) I. 

Nurse

Boston Children's Hospital designates this activity for 2.00 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Course Information

The Online Moderated Workshop: Deep Dive into Error Disclosure is part of a 3-module based course, Disclosure and Apology after Medical Error and Adverse Events, that can be taken either as a stand-alone module or as part of the full course. Full course details can be found on the course group page.

Next Workshop: Tuesday, May 21 at 9:00am.

Delve deeply into disclosure and apology in this interactive online workshop led by Harvard Medical School experts in bioethics and communication. In this 2-hour workshop, you will learn how to prepare for these difficult disclosure and apology conversations. You will watch a realistic enactment video of a disclosure and apology scenario, be able to contribute to guided discussions, and learn from our faculty and workshop participants nationally and worldwide.

Course Format

Moderated online live workshop. By the end of this workshop you will:

  • Better understand patient, family, and clinician perspectives after adverse events and medical error
  • Reflect on skills to improve open, honest, and compassionate communication after harmful events
  • Explore how to implement best practices in disclosure conversations with patients and families
  • Discuss approaches to disclosure and apology across a range of cases

Harvard Medical School experts in bioethics and communication facilitate this interactive online workshop. Enrollment is capped at 50 participants in order to offer everyone the opportunity for input, participation, and questions during discussions.

About Disclosure and Apology after Medical Errors and Adverse Events

Disclosure and apology conversations after medical errors and adverse events are vital to safer, high-quality healthcare. However, speaking with patients or their families after a medical error or an adverse event is one of the most difficult conversations a clinician can have. Most clinicians have little or no training in how to prepare for and conduct these conversations. This Disclosure and Apology course equips you with the tools, skills, confidence, and practice needed to conduct these difficult conversations and to help you seek appropriate support when you need it.

Visit the course group page.

Instructional Time

2 hour, 00 minutes

Target Audience

  • Physicians
  • Trainees
  • Nurses

Expiration Dates

  • Released: April 23, 2019
  • Reviewed: April 29, 2019
  • Expires: April 23, 2021

Privacy Policy

Access the Boston Children's Hospital CME Privacy Policy here.

Learning Objectives

By taking all three modules of the Disclosure and Apology After Medical Error and Adverse Events course, you will be able to:

  • Describe why disclosure and apology is the right thing to do
  • Identify professional barriers to disclosure and apology
  • Recognize the emotional impacts of medical errors and adverse events on patients, families and clinicians
  • Identify the challenges and benefits of disclosure and apology conversations for patients, families and clinicians
  • Describe the TRACK core relational values for disclosure and apology
  • Apply suggested guidelines and tips for preparing for, holding and debriefing/follow up after disclosure and apology conversations
  • Describe the role and importance of disclosure coaches and use/recommend their use
  • Identify key personal and institutional steps necessary for meaningful disclosure and apology conversations
  • Recognize that the patients and families may still be angry, even if conversations go well
  • Assess approaches to disclosure and apology across the range of error cases in pediatrics
  • Evaluate whether, how and what to disclose for each case
  • Recognize the importance of support and fair resolution for both clinicians and patients
  • Examine the range of support available to clinicians across settings
  • Assess support in own setting
  • Examine the role of peer support and determine its essential features
  • Describe the features of a “just culture” for clinicians
  • Identify the sequence of errors that occurred in the example case
  • Critique the opportunities and challenges posed by technology for medical error and effective communication
  • Compare attitudes and practices on disclosure and apology in the example setting with those in own country/setting

 Visit the full course group page for more information.

Contributors

Course Director(s)

Donna Luff, PhD
Associate Director, Institute for Professional and Ethical Practrice
Assistant Professor in Anesthesia, Harvard Medical School

Christine Rachwal, RN, MSN, CCRN
Nurse Practice Specialist, Cardiovascular Intensive Care Unit
Faculty, Institute for Professional and Ethical Practice

Robert D. Truog, MD
Frances Glessner Lee Professor of Medical Ethics, Anaesthesia, and Pediatrics
Director, Center for Bioethics, Harvard Medical School
Senior Associate in Critical Care Medicine

Author(s)

Marisa Brett-Fleegler, MD
Associate Physician in Medicine, Assistant Professor in Pediatrics
Harvard Medical School

Stephen Brown, MD
Director, Institute for Professionalism and Ethical Practice
Staff Physician in Radiology
Boston Children's Hospital
Associate Professor of Radiology
Harvard Medical School

David Browning, MSW, LICSW, BCD, FT
Co-Founder, Institute for Professionalism and Ethical Practice
Boston Children's Hospital

Eric Fleegler, MD, MPH
Associate Physician in Medicine, Assistant Professor in Pediatrics
Harvard Medical School

Christine Rachwal, RN, MSN, CCRN
Nurse Practice Specialist, Cardiovascular Intensive Care Unit
Faculty, Institute for Professional and Ethical Practice

Robert D. Truog, MD
Frances Glessner Lee Professor of Medical Ethics, Anaesthesia, and Pediatrics
Director, Center for Bioethics, Harvard Medical School
Senior Associate in Critical Care Medicine

 

Disclosures

In accordance with the disclosure policy of Boston Children's Hospital and the standards set forth by the Accreditation Council for Continuing Medical Education, course planners, speakers and content reviewers list below any relevant relationships they or their spouse/partner have to companies producing, marketing, re-selling or distributing health care goods or services consumed by or used on patients.

Course Director(s)

No disclosures to report:

Donna Luff, PhD; Christine Rachwal, RN, MSN, CCRN; Robert D. Truog, MD

Author(s)

No disclosures to report:

Marisa Brett-Fleegler, MD; Stephen Brown, MD; David Browning, MSW, LICSW, BCD, FT; Eric Fleegler, MD, MPH; Christine Rachwal, RN, MSN, CCRN; Robert D. Truog, MD

Course Reviewer(s)

No disclosures to report:

Robert Graham, MD; Erin Ward, MsEd, CAS

Commercial and Financial Support Disclosure

This program receives no commercial support.