Critical Incident Management Team Peer Support Program

1. Critical Incident Management Team Peer Support Program 3/31/11

2. 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

3. 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

4. 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

5. Culture Change: • Patient Safety Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. questions: Confidential Peer Review Document - Quality Assurance Privilege Privileged Pursuant to Ohio Revised Code Section 2305.24,.25 & .251