|
Contact: Shara Cohen
415-378-1633
shara@elmexchange.com
Online curriculum provides guidance on approach for physicians
disclosing unexpected outcomes
Rockville, MD - January 7, 2004 - Education
in Legal Medicine (ELM), the leading provider of Internet-based
risk management education for the healthcare industry, today announced
the launch of a new web-based course to educate healthcare providers
about the rationale and technique for disclosing unexpected medical
outcomes.
This course is designed to provide healthcare
providers with a practical understanding of how disclosures can
be made to mitigate the potential damage of an unexpected outcome
or medical error.
The course addresses disclosure from a number
of different perspectives. First, it recognizes the awkwardness
of making a disclosure. It then addresses the legal responsibility
to do so, and the fact that legal protections such as the statutes
of limitations may be abrogated if information is withheld. When
an unanticipated outcome is the result of systemic failures, the
stigma that disclosure is an admission of guilt may be overcome
by teaching physicians a practical and effective method for making
a disclosure.
Course development was undertaken with the
support of Wake Forest University Baptist Medical Center (WFUBMC).
Cynthia Stow, WFUBMC Risk Manager, served as an advisor for course
development, providing important input and critical feedback. The
course has been launched at WFUBMC, which has been using other ELM
courseware since 2002, and is required for all new attending and
resident physicians.
“Disclosing an unexpected outcome can be exhausting
and time-consuming, especially for a healthcare provider who feels
personally helpless or exposed. But just meeting with the patient
and their family makes a real difference when expectations have
not been met,” said Ms. Stow. “This course is critical for physicians
in preparing them for these difficult conversations and making them
more comfortable with their responsibilities. Working with ELM to
develop and customize this to our own needs, has been most beneficial
in addressing patient safety standards and creating a culture of
safety in our organization.”
Patients are more likely to sue a physician
who withholds information that surfaces through another avenue or
if the physician informed them that a mistake did not result in
permanent aftereffects.
Like all ELM Courseware, this new course employs
a problem based learning method. It presents clinical situations
to demonstrate the importance of the disclosure process. It explains
the relationship of this process to important topics including statute
of limitations, fraudulent concealment, and empathic reflection.
For more than 15 years, Education in Legal Medicine (ELM) has provided
a unified educational curriculum for health care providers aimed
at lowering the risk of compensable harm to patients. Its substantive
curriculum provides administrators with a solution to addressing
risk and liability within their organizations, and a CME alternative
not bound by geographic or time constraints. ELM courseware is currently
in use in many of top medical facilities in the country, including
New York Presbyterian, The Johns Hopkins Hospital, Yale-New Haven
Hospital, Westchester Medical Center, and the SUNY system.
|