Patient Safety and Quality Improvement
 Modules  Module 6: Communication and Information Transfer
1. Introduction to Course
2. History of Patient Safety
3. The Science of Human Error
4. The Analysis of Medical Error
5. Evidence-Based Medical Practice
6. Communication and Information Transfer
7. Adverse Patient Outcomes
8. The Role of the Patient and Family
9. Environmental Safety in the Medical Setting
10. Safe Medical Practice In Ambulatory Settings

An Adverse Medical Event Has Occurred

  • DON’T’s
    • Blame others for the event.
    • Have a hallway discussion of the event.
    • Delay talking with the family until all the facts are known.
    • Document emotions and conjectures in the medical record.
    • Make a private written or computer copy of the event.
    DO’s
    • Contact the senior resident and faculty attending
    • Contact UNM HSC Risk Management
    • Dial “0” and obtain their 24-hour pager number
    • Early discussion with patient and family by a senior physician team member
    • File a Patient Safety Net report
 
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