Target Audience

Physicians, Patient safety leads, risk management leads, claims staff, legal counsel, clinical leads, CMOs, CNOs, key people involved in root cause analysis (RCAs) or event reviews, C-Suite, physicians, nurses, patient safety leads, risk management leads.

Series OVERVIEW

The intent of the summer Candor training series is to familiarize network hospitals with the early disclosure process, Communication and Optimal Resolution (Candor). Candor is a powerful tool that works to maintain relationships with patients and families after an adverse event through immediate and frequent communication. It provides care for the caregiver and creates a culture of learning and process improvement throughout the facility.

Through this training series Iowa Healthcare Collaborative, Iowa Medical Society, Iowa Hospital Association and MedStar Institute for Quality and Safety will guide hospitals through the various elements of the Candor process and provide the tools needed for effective implementation at their facility.

Workshop Description

During this interactive and experiential workshop the attendees will use actual de-identified cases of medical harm to work through all of the processes associated with the principled approach to patient harm. This will include event reporting, system activation, immediate and ongoing communication with patients, families, loved ones and the care team, event review and resolution.

Learning Objectives

• Describe the comprehensive, principled and systematic approach to harm from event through resolution.
• Explain the interconnectedness of all of the domains of the response to harm.
• Use empathic communication skills at all points of contact.

Agenda

PROGRAM NOTES

Dress for the conference is business casual. Layered clothing is recommended for your comfort.

HANDOUT INFORMATION

These are paperless workshops. You will be notified via email when the handouts are available online, with a direct link to access the files. Paper copies of handouts will not be available onsite at the conference.

Resources

• AHRQ Building the Business Case for Candor Worksheet 
• AHRQ Gap Analysis Process 
• AHRQ Candor Event Checklist
• AHRQ System-Focused Event Investigation and Analysis Guide
• AHRQ Communication Assessment Guide
• AHRQ Disclosure Checklist
• AHRQ Care for the Caregiver Implementation Guide

Speakers

Bruce Lambert, PhD, received his doctorate in speech communication from the University of Illinois at Urbana-Champaign. He is professor in the Department of Communication Studies and director of the Center for Communication and Health at Northwestern University. His research focuses on health communication, patient safety and medical liability reform. Lambert is the principal investigator on a five-year grant, funded by the Agency for Healthcare Research and Quality, to study techniques for preventing wrong-drug and wrong-patient errors. He is president of BLL Consulting and Pharm IR, firms that solve problems involving health, communication and technology. He blogs about communication at howcommunicationworks.com.

Carole Hemmelgarn, MS, has worked in healthcare for 30 years. She holds a master’s degree in healthcare ethics from Creighton University and a master’s degree in the field of patient safety leadership from the University of Illinois Chicago where she is an adjunct professor teaching in the master’s program. She is on the Patient and Family Engagement committee for Solutions for Patient Safety and the Patient and Family Advisory Council for Quality and Safety at MedStar Health. Hemmelgarn is involved in patient safety work across the country. Her passion resides in the area of communication and resolution programs, health care communication, storytelling in healthcare and the aftermath endured by providers, patients and families when medical harm transpires.

Timothy McDonald, MD, JD, is president for the Center for Open and Honest Communication at the MedStar Institute for Quality and Safety and a professor of law at Loyola University – Chicago. Dr. McDonald is a physician-attorney whose research has focused on the principled approach to patient harm with an emphasis on reporting of patient safety events, the use of simulation and human-factors analysis and providing open and honest communication following harm events. His federally funded research has focused on these domains and their impact on improving the quality of care while mitigating medical liability and other legal-related issues.

Disclosures

Relevant to the content of this educational activity, the following individuals have no conflict of interests with commercial interest companies to disclose.

• Jennifer Brockman, Planning Committee Member
• Kate Carpenter, Planning Committee Member
• Martin Hatlie, Planning Committee Member
• Bruce Lambert, PhD, Speaker
• Carole Hemmelgarn, MS, Speaker
• Timothy McDonald, MD, JD, Speaker
• Dennis Tibben, Planning Committee Member