Prevention of Medical Errors:
Patient Safety as a Foundation for Quality Care

Online CE Program
Release Date: 09/01/2004
Expiration Date: 09/01/2007


Sponsored By:

 

 

Course Description
 
This course satisfies the mandatory Florida medical error continuing education requirement through a broad survey of the mandated information for registered nurses, physicians, physician assistants and pharmacists. Specifically it discusses factors that impact the occurrence of medical errors, how to recognize error prone situations, processes to improve outcomes, responsibilities, for reporting, safety needs of special populations, factors important for public education, root cause analysis, error reduction and prevention measures, patient safety processes, medication errors and common missed diagnoses.
 


Objectives
 

As a result of participation in this CPE program, participants will be able to:

  • Satisfy mandatory Florida medical error continuing education requirement through broad survey of the mandated information.
  • Participants by specialty will be able to describe: RNs (64B9): factors that impact the occurrence of medical errors, how to recognize error prone situations, processes to improve outcomes, responsibilities, for reporting, safety needs of special populations, factors important for public education
  • Physicians, physician assistants, pharmacists (64B8, 64B16): root cause analysis, error reduction and prevention measures, patient safety processes; Pharmacist (64B16): medication errors; Physicians (2003 tort reform) common missed diagnoses
 

 

Target Audience
 

Physicians, Physician Assistants, Pharmacists, Nurses.

 



Accreditation
 

Physicians: The University of South Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of South Florida College of Medicine designates this educational activity for a maximum of 2 category 1 credits towards the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.

Pharmacists: The University of South Florida College of Medicine is approved
ACPE Logo by the American Council on Pharmaceutical Education as a provider of continuing pharmaceutical education. This program has been approved for 2 contact hours. Universal program numbers are as follows:

230-000-04-030-H04  - 2 contact hours

To receive continuing education credit, a pharmacist must view the accredited videotaped session and complete the program evaluation and registration forms.

Nurses: This activity for 2 contact hours is provided by the University of South Florida College of Nursing, which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditation. Each nurse should claim only those hours of credit that he/she actually spent in the educational activity.

 


Course Instructions
 

This course has expired and is no longer eligible for continuing education credit. We are in the process of revising the curriculum and renewing the activity. Please continue to check the web site for the updated course. If you have any questions, please contact the Office of Continuing Professional Development at 813-974-4296 or e-mail (cpelist@hsc.usf.edu).



Web References
 

Agency for Healthcare Research and Quality Patient Safety Directory Page (AHRQ) http://www.ahcpr.gov/qual/errorsix.htm

American Academy of Pediatrics Principles of Patient Safety
http://aappolicy.aappublications.org/cgi/content/full/pediatrics;107/6/1473

Assuring Cultural Competence in Health Care
Office of Minority Health
http://www.omhrc.gov/clas/

Florida Law On-line
http://www.flsenate.gov/Welcome

JACHO Adverse Event Disclosure
http://www.jcaho.org

JACHO 2004 Patient Safety Goals
http://www.jcaho.org/accredited+organizations/patient+safety/

JACHO Sentinel Event Information
http://www.jcaho.org/accredited+organizations/ambulatory+care/
sentinel+events/sentinel+event+statistics.htm

JCAHO "Speak Up" program
http://www.jcaho.org/general+public/gp+speak+up/speak+up.htm

Institute of Medicine - Healthcare and Quality (IOM)
http://www.iom.edu/topic.asp?id=3718

Institute for Safe Mediation Practices (ISMP)
http://www.ismp.org/

National Patient Safety Foundation (NPSF)
http://www.npsf.org/

University of South Florida College of Public Health Centers
Florida Health Information Center
Suncoast Developmental Center for Patient Safety Evaluation and Research
http://publichealth.usf.edu/researchcenters.html

Veterans Administration - National Patient Safety Center
http://www.patientsafety.gov/

VISN 8 Patient Safety Center of Inquiry
http://www.patientsafetycenter.com/

 


Print References
 

Agency for Health Care Policy and Research. (1998). Research in action: Reducing errors in health care. AHCPR Pub. No. 98-P018, September 21, 1998.

Ammerman, M. (1998). The root cause analysis handbook. Portland, OR: Productivity.

Baptist Health Systems of South Florida (BHS). (2002). Promoting a culture of safety: A self-study module.

Beurhaus, P.I. (1999). Lucian Leape on the causes and prevention of errors and adverse events in health care. Image: Journal of Nursing Scholarship, 31(3), 281-286.

Bogner, M.S.(1994). (Ed.) Human error in medicine. Hillsdale, NJ: Lawrence Erlbaum Associates.

Cohen, M.R. (2000). (Ed.) Medication errors: Causes, prevention, risk management. Sudbury, MA: Jones and Bartlett Publishers.

Department of Veteran's Affairs (DVA). (1998). Patient safety: Listening to health care employees.

Eisenberg, D.M. et al. (1998). Trends in alternative medicine use in the United States, 1990-1997. Journal of the American Medical Association, 280 (18): 1569-1575.

Institute of Medicine (IOM) Committee on the Work Environment for Nurses and Patient Safety. Page, A. (ed.). (2004). Keeping patients safe: Transforming the work environment of nurses. Washington, DC: National Academy Press.

Institute of Medicine (IOM) Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

Institute of Medicine (IOM) Committee on Quality of Health Care in America, Kohn, L.T, Corrigan, J.M, & Donaldson, M.S. (eds.). (1999). To err is human: Building a better health system. Washington, DC: National Academy Press.

Joint Commission Resources (JCAHO). (2001). Front line of defense: The role of nurses in preventing sentinel events. Oakbrook Terrace, IL: Joint Commission Resources.

Korth, S. (2004). Using root cause analysis to analyze issues of safety. In Youngblood, J. & Hatlie, M.J. (Eds.). The Patient Safety Handbook. Boston, MA: Jones & Bartlett.

Leape, L. et al. (1995). Systems analysis of adverse drug events. Journal of the American Medical Association, 274(1): 35-43.

Moore, C. (2004). Health care literacy and patient safety: The new paradox. In Youngblood, J. & Hatlie, M.J. (Eds.). The Patient Safety Handbook. Boston, MA: Jones & Bartlett.

Reason, J. (1997). Managing the risks of organizational accidents. Brookfield, NY: Ashgate.

Reason, J. (1994). Foreword. In M.S. Bogner (Ed.) Human error in medicine. Hillsdale, NJ: Lawrence Erlbaum Associates.

Reason, J. (1990). Human error. New York, NY: Cambridge University Press.

Spath, P.L. (Ed.) (2000). Error reduction in health care. Chicago, IL: American Hospital Association Press.

Youngblood, J. & Hatlie, M.J. (2004). The Patient Safety Handbook. Boston, MA: Jones & Bartlett.

 


Privacy Policy
 

The University of South Florida Office of Continuing Professional Development (OCPD) has created a privacy policy to demonstrate our commitment to guarding the privacy of our clients. The following statements disclose our practices on gathering and disseminating information for this web site.

The OCPD has security measures in place to protect the loss, misuse, and alteration of the information under our control. The OCPD does not share or sell any individual’s contact information, financial information, or unique identifiers to any commercial supporter, advertiser, or third party without the specific permission of the individual.

If you have any questions regarding the privacy policy, please contact the Office of Continuing Professional Development by phone at (813) 974-1200 or by E-Mail.