Summary: <p>Medical Error Prevention in Comprehensive Integrated Systems of Care 2017<br> Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP<br> Executive Director: AllCEUs Counselor Education<br> Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery</p> <p>CEUs are available on demand for this video at <a href="https://www.allceus.com/member/cart/index/product/id/698/c/">https://www.allceus.com/member/cart/index/product/id/698/c/</a></p> <p>Objectives<br> ~ Identify medical errors common in a comprehensive integrated system of care including pain management<br> ~ Discuss how pain influences the comprehensive treatment process<br> ~ Identify causes of errors<br> ~ Describe effects of medical errors on the patient and family<br> ~ Identify common documentation and communication errors in multidisciplinary teams<br> ~ Define “medical error”<br> ~ Identify the factors in a credible root cause analysis<br> ~ Identify major signs and symptoms of a medical emergency<br> ~ Describe other interventions designed to prevent harm and to protect patient safety commonly utilized by therapists</p> <p>Definition of “medical error” (NIM)<br> ~ Diagnostic errors<br> ~ Error or delay in diagnosis<br> ~ Failure to use indicated tests<br> ~ Use of outdated therapy<br> ~ Failure to act on results of monitoring or testing</p> <p> </p> <p> </p> <p>~ Treatment<br> ~ Error in the performance of procedure, test<br> ~ Avoidable delay in treatment or in responding to an abnormal test<br> ~ Inappropriate (not indicated) care<br> ~ Type<br> ~ Intensity<br> ~ Breadth/Diversity<br> ~ Duration</p> <p>Medical Errors in Counseling<br> ~ Counselors often work with teams of specialists and support personnel<br> ~ Psychiatrists & Psychologists, Mental health professionals<br> ~ Physicians, Physician’s assistants & Nurse practitioners<br> ~ Nutritionists<br> ~ Physical and occupational therapists<br> ~ Pain management specialists<br> ~ Certified addiction professionals<br> ~ Pastor/ religion/faith leaders<br> ~ Relatives</p> <p>More Medical Errors<br> ~ Prevention<br> ~ Failure to consider multiple causes of symptoms<br> ~ Failure to provide preventative treatment<br> ~ Inadequate monitoring or follow-up of treatment<br> ~ Other<br> ~ Failure of communication<br> ~ Equipment failure<br> ~ Other system failure</p> <p>Documentation & Communication Errors<br> ~ Short hand<br> ~ Poor communication between teams<br> ~ Documentation quality<br> ~ Content<br> ~ Lack of a single point of contact<br> ~ HIPAA Violations<br> ~ Making assumptions without clarification or confirmation<br> ~ Reasons for medications the patient is taking<br> ~ Causes of pain or distress</p> <p> </p> <p>Error Causes<br> ~ Multiple professional involvement. (Too many cooks without a Chef)<br> ~ Misdiagnosis or assignment of a false diagnosis<br> ~ Intimidation<br> ~ Over-treatment<br> ~ Relay false client/patient or their own personal information<br> ~ Inappropriately share or distort information<br> ~ Attempt to treat out of the realm of expertise<br> ~ Do not consult with medical professionals<br> Error Causes<br> ~ Do not thoroughly collect background histories or complete assessments<br> ~ Provide inadequate safety or security of physical environment<br> ~ Recommend inappropriate or dangerous treatment protocol<br> Medical Error Effects<br> ~ Loss of trust drop-out, relapse or symptom worsening<br> ~ Loss of trust that accurate, complete information will be passed<br> ~ Reversal or relapse of mental health and other physical conditions<br> ~ Take incompatible medications due to a lack of communication by the patient’s various providers<br> ~ Abuse medications or take inappropriate medications when multiple causes for emotional or physical pain are not considered<br> Medical Error Effects<br> ~ Lose importan</p>
