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Patient and Families Following Medical Harm. Health Care for All Webinar Linda Kenney March 12, 2014. We all have stories…. Creation of MITSS. 2002 – Medically Induced Trauma Support Services (MITSS), Inc. Mission:
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Patient and Families Following Medical Harm Health Care for All Webinar Linda Kenney March 12, 2014
Creation of MITSS 2002 – Medically Induced Trauma Support Services (MITSS), Inc. Mission: To Support Healing and Restore Hope to patients, families, and clinicians following adverse medical events.
Working Definition Medically Induced Trauma is an unexpected outcome that occurs during medical and/or surgical care that affects the emotional well being of the patient, family member, and/or clinician(s). Adverse Event • Medical Error • Unanticipated Outcome • Known complications • Harm due to medical intervention
Trauma Trauma is a part of the human experience. The trauma response occurs when a person experiences or witnesses a sudden, terrible, and unexpected event which temporarily destroys his/her ability to cope. Trauma is essentially a normal response to an abnormal or extreme event.
What Patients and Families Want Following Adverse Medical Events • Transparent communication in real time • An apology or an acknowledgement • Organizational response to prevent recurrence • Support (unique for each individual)
Patients and families may feel a mix of emotions following an adverse medical event, including: • Sadness • Anger • Mistrust • Isolation • A desire to connect with others • Guilt • Shame • Fear • Grief/Loss • Grateful to survive • Ambivalence
Multifaceted Consequences • Further medical follow-up as a result of event • Chronic pain • Financial strain • Job loss/increased work stress • Child care/parenting burdens • Marital conflict • Death of a loved one
Early on…. • MITSS realized if hospital’s weren’t acknowledging these events, how were going to provide support. • MITSS started to get more involved in what was called “Disclosure and Apology”
MACRMI • Involved early on • After the PFAC’s look at documents, we send it out to the patients and families who have utilized MITSS services • They see things through a specific lens
MITSS Resources & Contact Info. www.mitsstools.org – Downloadable Items • Patient/Family Brochure • LEND Document • Common Reactions to Trauma • Self-care Tips • Child’s Reaction to Trauma Linda Kenney lkenney@mitss.org 617-232-0090 www.mitss.org