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SaferCare Texas PSO: 2023-25 Adverse Event Reporting
"Patient safety is everyone’s business. Medical accidents cause suffering to our patients and their relatives, waste huge amounts of money, and are a cause of stress, anxiety, and burnout in clinical staff. Improving safety is not a question of ‘trying harder', but of learning from our mistakes. To do that we need to identify where we go wrong." (Fetherston 2015) Learning from past experiences and developing system-based processes to prevent future events improves patient safety. Adverse Event Reporting is one of the best ways for an organization to examine current practices and make changes proactively. An important element of any Adverse Event Reporting System is capturing near misses as well.
Target Audience
This activity is intended for physicians, physician assistants, nurse practitioners, pharmacists, social workers, licensed professional counselors, and public health professionals.
Learning Objectives
When you complete this module, you will be able to:
- Define adverse events and their most common classifications.
- Outline the importance of reporting adverse events.
- Identify steps to report and follow up when an adverse event occurs.
- Analyze how the healthcare team can work together to report, investigate, and improve when adverse events happen.
Disclosures
In accordance with the appropriate accrediting bodies, all planners, teachers, and authors with control over activity content are required to disclose to the provider any relevant financial relationships (those held by the person, currently or within the last 24 months) with ineligible interests. Accredited providers are required to provide this information to learners before the start of an activity. The University of North Texas Health Science Center at Fort Worth Division of Academic Innovation's office planning team nor the subject matter experts have anything to disclose.
Primary Contributors
Katie McKinley, MHA
Senior Clinical Risk Services Manager
HSC Health
Melissa Calvin, PMP
Clinic Project Manager
HSC Health
Tracy Chamblee, PhD, APRN, PCNS-BC, CPPS, CPHQ, FCNS
Patient Safety and Quality Executive
Safer Care of Texas/HSC Health
Ashlyn Aguiniga, PharmD, BCACP
Associate Professor/Clinical Pharmacist
University of North Texas Health Science School of Pharmacy and HSC Health
Rosa Amaya, LVN
Family Medicine Clinic Operations Manager
HSC Health
Revision Contributors and Reviewers
Jennifer Barrow, MSN
Clinical Executive
SaferCare Texas
Justin Burton, MBA, BSN, RN, CPPS, CPHQ, NE-BC
Patient Safety and Quality Executive
SaferCare Texas
David Farmer, PhD, LPC, LMFT, FNAP
Executive Director, Interprofessional Practice and Behavioral Health
University of North Texas Health Science Center at Fort Worth, Division of Clinical Innovation, Assistant Professor of Medical Education and Health System Sciences
Maryssa Vasquez, LMSW
Social Worker II, Department of Family Medicine
HSC Health
Damon Schranz, DO
Family Medicine Medical Director
University of North Texas Health Science Center at Fort Worth, TCOM, Assistant Professor
Instructional Design
Original: Brenda Wilson, MS, CHCP
Senior Instructional Designer
CE & Assessment Department, Division of Academic Innovation, University of Texas Health Science Center at Fort Worth
Revisions: Traci Butler Carroll, MEd, CTC
Instructional Designer
University of North Texas Health Science Center at Fort Worth, Division of Academic Innovation
In support of improving patient care, The University of North Texas Health Science Center at Fort Worth is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing Education for the healthcare team.
As a Jointly Accredited Organization, The University of North Texas Health Science Center at Fort Worth is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit.
American Osteopathic Association
The University of North Texas Health Science Center at Fort Worth is accredited by the American Osteopathic Association to award continuing medical education to physicians.
National Board of Public Health Examiners
This activity is approved for 0.75 credit(s) accepted by the National Board of Public Health Examiners' Certified Public Health (CPH) recertification program.
Texas Administrative Code
The University of North Texas Health Science Center at Fort Worth certifies this activity meets the requirements for continuing education for Texas-licensed Professional Counselors and Texas-licensed Marriage and Family Therapists.
Designation Statements
Physicians
The University of North Texas Health Science Center at Fort Worth designates this program for a maximum of 0.75 contact hour of AOA Category 2B CME credits and will report CME and specialty credits commensurate with the extent of the physician's participation in the activity.
The University of North Texas Health Science Center at Fort Worth designates this activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Pharmacist
This knowledge-based activity has been assigned UAN JA0004637-0000-23-019-H05-P and will award 0.75 contact hour of continuing pharmacy education credit in states that recognized ACPE Providers.
Statements of participation will indicate hours and CEUs based on participation and will be issued online at the conclusion of the activity. Successful completion includes completing the activity, its accompanying evaluation and/or posttest (score 70% or higher) and requesting credit online at the conclusion of the activity.
Credit will be uploaded to CPE Monitor, and participants may print a statement of credit or transcript from their NABP e-profile. HSC complies with the Accreditation Standards for Continuing Pharmacy Education.
Nurses
The University of North Texas Health Science Center at Fort Worth is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. This activity provides up to 0.75 contact hours(s).
Certified Public Health Professionals
This activity provides 0.75 contact hours.
Social Workers
Social Workers completing this course receive 0.75 contact hour of continuing education credits.
Licensed Professional Counselors
This activity provides 0.75 contact hours.
Certificate of Attendance
The University of North Texas Health Science Center at Fort Worth certifies this activity for 0.75 hours of participation.
Available Credit
- 0.75 ACPE Pharmacy
- 0.75 AMA PRA Category 1 Credit™
- 0.75 ANCC
- 0.75 AOA Category 2-B
- 0.75 ASWB Credit
- 0.75 Certified Public Health (CPH)
- 0.75 HSC Participation
Price
Required Hardware/software
Technical Requirements
This activity is best experienced using the most current browser (or one back) of Firefox, Chrome, Safari, Internet Explorer, or Microsoft Edge. For all activities featuring audio, you must have a sound card and speakers. To view graphic images and references that appear in separate "pop-up" windows, you must have JavaScript and session cookies enabled on your computer. Adobe Acrobat Reader may be required for certain activities.