Transcript ABMS PPT

ABMS Patient Safety Programs
®
ABMS® Patient Safety Improvement Program
ABMS® Patient Safety Foundations
ABMS® Quality Improvement in Practice
ABMS Patient Safety Programs
» ABMS has developed three online programs that provide leading
edge content in patient safety and quality improvement (QI)
• ABMS® Patient Safety Improvement Program
 Comprehensive program providing patient safety curriculum, quality
improvement fundamentals, performance improvement activities
• ABMS® Patient Safety Foundations
 Foundation level curriculum in key patient safety areas
• ABMS® Quality Improvement in Practice
 Quality improvement fundamentals and performance improvement
activities
» Programs are approved for AMA PRA Category 1 credit
» Programs satisfy ABMS Maintenance of Certification® (ABMS
MOC) requirements based on individual Member Board criteria
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Goals and Objectives
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The ABMS Patient Safety programs enable healthcare
professionals to
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Learn essential knowledge, skills and attitudes about patient safety
Apply the principles to improve care in their own clinical
environments
Measure individual progress on changes made and provide feedback
Integrate acquired QI skills into local and national patient safety
activities
Programs originally developed to satisfy ABMS MOC
requirements, but are valuable resources for all healthcare
providers regardless of MOC engagement or status
ABMS program development; alignment with other initiatives
» ABMS program development
• Based on current research and best practices
• Guided by a blue ribbon advisory panel
• Developed by subject matter experts in patient safety and quality
improvement
• Use evidence-based clinical performance measures
» ABMS programs align with major initiatives
• Joint Commission National Safety Goals
• World Health Organization Patient Safety Solutions
» ABMS programs address all six ABMS/ACGME competencies
• Medical Knowledge, Professionalism, Communication & Interpersonal Skills,
Patient Care, Systems-Based Practice, Practice-Based Learning and
Improvement
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Program Highlights
» ABMS programs
• Engage the learner using dynamic, Web-based technologies
• Are self-contained with resource documents to guide through all exercises
and activities
• Include documents, sample forms, transcripts and references that may be
printed and retained for future reference
• Adapt to different learning styles
» ABMS programs are applicable to
• Clinicians, staff, leadership and administrators across the healthcare continuum
• All physician profiles, including
 Primary Care, Surgery/Proceduralist, Consultative, Non-Practicing
• All clinical environments, including
 In-patient, ambulatory, office practice
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Program modules and options
Four key modules provide specific training and content
Patient safety scenarios
Real cases illustrate common
patient safety errors; e.g.:
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Delayed diagnosis
Medication overdose
Wrong patient/ site
Communication failures
System failures
Quality improvement
fundamentals
Patient safety curriculum
Improvement activities
Four sections:
· Epidemiology of Safety and
Harm
· Systems Approach to
Improving Patient Safety
· Communication
· Safety Culture
Tools and resources to learn
and apply QI methods to
improve clinical performance:
Includes pre- and postknowledge self-assessment
Includes pre- and postknowledge self-assessment
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Planning tools
Assessment tools
Evaluation tools
Apply to any discipline or
setting:
· Hand Hygiene
· Medication Lists
· Allergy Lists
· Critical Test Results
· Correct Person/ Site
· Safer Prescriptions
· Discharge Communication
Case simulations available
Three programs use different combinations of modules
ABMS® Patient Safety
Improvement Program
(20 AMA PRA Category 1 Credits)
ABMS® Patient Safety
Foundations
(2.5 AMA PRA Category 1 Credits)
ABMS® Quality Improvement
In Practice
(20 AMA PRA Category 1 Credits)
Patient safety scenario (choose 1)
Patient safety curriculum
4 sections
Quality improvement fundamentals
Patient safety curriculum
(4 sections)
Quality improvement fundamentals
Improvement activity (choose 1)
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Improvement activity (choose 1)
Program contents, CME and ABMS MOC
ABMS®
Patient Safety
Improvement
Program
ABMS®
Patient Safety
Foundations
Core Curriculum Sections (Epidemiology,
Systems, Communication, Safety Culture)
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Quality Improvement Fundamentals
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Performance Improvement Activities
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ABMS®
Patient Safety Portfolio
ABMS®
Quality
Improvement
in Practice
Content Included
AMA PRA Category 1 Credit
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Practicing Physicians
20 1
2.5 2
20 1
Non Practicing Physicians
7.5 2
2.5 2
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ABMS® Maintenance of Certification
(ABMS MOC)
Part IV 3
Part II 3
Part II 3
Part IV 3
1 - Based on AMA PRA Category 1 Guidelines for Performance Improvement Activities
2 - Based on AMA PRA Category 1 Guidelines for Enduring Activities
3 - Based on individual ABMS Member Board requirements
Improvement activities
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Clinicians with direct patient care choose from:
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Clinicians not providing direct patient care (e.g. retired; administrators;
researchers) choose from:
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2.
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Hand Hygiene
Medication Reconciliation
Allergy List
Critical Test Results Communication
Correct Site / Patient / Procedure
Safer Prescription and Order Writing
Discharge Planning
Safer Prescription and Order Writing (non-practicing version)
Critical Test Results Communication (non-practicing version)
Improvement activity structure
» Improvement activities include
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Case presentation (online)
Initial measurement using de-identified practice data (online)
 Results benchmarked against national standards
 Immediate feedback provided
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Development/ implementation of improvement activity in the
clinician’s practice setting (offline)
Re-measurement using de-identified practice data (online)
 Results benchmarked against national standards
 Immediate feedback provided
» All instructions and resources to develop and
implement improvement activities are included
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Patient Safety Improvement Program
Thank You.
For more information, please contact:
HealthStream
(800) 521-0574
[email protected]
ABMS
(312) 436-2600
[email protected]
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Appendices
» About ABMS
» About ABMS Maintenance of Certification (ABMS
MOC)
» ABMS Patient Safety Programs Appendix
• Curriculum Objectives
• Improvement Activity Objectives
• Sample Errors Illustrated
» Contributors
• Advisory Committee
• Content Development Team Leaders
About American Board of Medical Specialties (ABMS)
» ABMS…
• is a not-for-profit organization comprising 24 medical
specialty Member Boards (www.abms.org)
• establishes standards for physician specialty certification
and Maintenance of Certification (ABMS MOC)
• communicates information about these standards to
support the public’s quest for safe, high-quality healthcare.
• serves as a unique and highly influential voice in the
healthcare industry, bringing focus and rigor to issues
involving specialization and certification in medicine
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What is ABMS Maintenance of Certification (ABMS MOC)?
» ABMS MOC is a process designed to
document that physician specialists, certified
by one of the Member Boards of ABMS,
maintain the necessary competencies to
provide quality patient care.
» ABMS MOC assures that the physician is
committed to lifelong learning and
competency in a specialty and/or
subspecialty using a process that is designed
to keep certification continuous.
Competency Mapping
ABMS/ACGME Competency
Covered in ABMS Patient Safety Improvement
Program
1. Medical Knowledge
 Yes
2. Professionalism
 Yes
3. Communication &
Interpersonal Skills
 Yes
4. Patient Care
 Yes
5. Systems-Based Practice
Yes
6. Practice-Based Learning and
Improvement
Yes
5 multiple choice knowledge assessments in
patient safety curriculum and QI fundamentals
Throughout curriculum and improvement
activities
Patient safety curriculum, critical test results
communication and discharge planning
Overall program objective to improve
patient care
Systems curriculum and improvement
activities
Participation in QI activity in practice
Patient Safety Improvement Program Appendix
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Curriculum Objectives
Improvement Activities by Physician Profile
Improvement Activity Objectives
Sample Errors Illustrated
Patient Safety Curriculum Objectives
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Epidemiology of Safety and Harm
• Identify issues creating a national focus on patient safety
• List common types, causes of adverse events
• Define a system for classifying errors
Systems Approach to Patient Safety
• Define a system
• Identify workarounds and their effects on system
• Identify healthcare system layers that impact care
• Distinguish between error mitigation and error recovery
Patient Safety Curriculum Objectives
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Communication
• Recognize role that communication plays in patient safety
• Identify barriers that affect patient/practitioner communication
• Apply steps for disclosure of adverse events to patients
• Improve information transfer from practitioner to practitioner
Safety Culture
• Identify safety culture elements (beliefs, attitudes, values, risk and
safety)
• Identify the value of learning in creating, sustaining patient safety
• Recognize relationship between reporting and learning
Improvement Activity by Physician Profile
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Improvement Activity Objectives
» Hand Hygiene
• Ensure use of appropriate hand hygiene for every patient
encounter.
» Medication reconciliation
• Ensure that accurate and complete information on all
patient medications is updated at every encounter.
» Allergy list
• Ensure that accurate and complete information on patient
allergies is updated at every encounter.
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Improvement Activity Objectives
» Critical Test Results Communication
• Improve the timely and effective communication of critical
test results, including:
 Reporting of information by specialties that provide results
 Tracking and follow-up of results by specialties that receive them
» Correct Person / Site / Procedure
• Implement key changes to improve communication and
prevent surgical errors in person, site, or procedure
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Improvement Activity Objectives
» Safer Prescriptions and Medication Orders
• Avoid the use of terms from the Joint Commission’s
Official “Do Not Use” List when writing prescriptions or
medication orders
» Discharge Planning
• Improve provider-patient communication at the time of
discharge from the hospital
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Sample Errors Illustrated in Scenarios
Scenario #1
» “Sylvia”
• 42-year-old female presented to the emergency
department with a two day history of headache, neck pain,
and photophobia
» Errors illustrated:
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HIV testing without informed consent
Delayed diagnosis
Drug prescribed despite known allergy
Wrong medication dosage
Lack of a robust system for lab result follow up
Sample Errors Illustrated in Scenarios
Scenario #2
» “Allison”
• 2-year old with a history of prematurity, chronic lung
disease and asthma, and congestive heart failure after
Tetralogy of Fallot Repair
» Errors illustrated:
• Medication overdose
• Lack of computerized physician order entry to alert the
error at initial order
• Shortage of trained personnel
• Computer system failure (technology)
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Sample Errors Illustrated in Scenarios
Scenario #3
» “Joan Morris”
• 67-year-old female admitted to the interventional
radiology service for cerebral angiography
» Errors illustrated:
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Wrong patient
Communication failures
Technology (computer) incompatibility between units
Flawed informed consent process
Sample Errors Illustrated in Scenarios
Scenario #4
» “Ms. Sinclair”
• 30-year-old woman notices an abnormality on a monthly
self-breast exam
» Errors illustrated:
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Abnormal test report delay
Wrong site surgery
No tumor board presentation
Communication failures
Inadequate test reporting systems and wrong site surgery
prevention systems
Program Development
» Advisory Committee of Patient Safety subject matter experts
Peter B. Angood, MD
James P. Bagian, MD, PE
Paul Barach, MD, MPH
David W. Bates, MD, MSC
Eric Coleman, MD, MPH
David M. Gaba, MD
Paula Griswold, MS
Kerm Henriksen, PhD
John Hickner, MD, MSc
Lucian Leape, MD
Eric Marks, MD
Marlene Miller, MD, MSc
Niraj Sehgal, MD, MPH
Ajit K. Sachdeva, MD
» Content development teams led by curriculum and QI subject matter
experts
Carole M. Lannon, MD, MPH
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Julie K. Johnson, MSPH, PhD