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Patient Safety in Psychiatry: Strategies to Improve Systems and Practices

Patient Safety in Psychiatry: Strategies to Improve Systems and Practices

Format

Slide Lecture Series

Time to Complete

2.50 hours

Released

February 28, 2018

Expires

February 28, 2019
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Maximum Credits

2.50 / AMA PRA Category 1 CreditsTM

Accredited Provider



Presented by Johns Hopkins University School of Medicine

In Cooperation With

Medical Logix, LLC.

Commercial Supporter

This activity is supported by an educational grant from Otsuka America Pharmaceuticals, Inc. and Lundbeck.

Program Description

Ensuring patient safety is of utmost concern in psychiatric units, yet measures often fall short of achieving this goal. Standardized procedures and practices are frequently lacking, leading to inconsistencies and deficits in care. Safety is not given priority, all too often, leaving patients vulnerable to the use of restrictive measures such as restraints or seclusion, as well as to the possibility of suicide, elopement, and medication errors. Failure to ensure appropriate handoffs and transitions can compromise the continuity of care and place patients at risk of adverse events. The full range of pertinent issues must be addressed in a systematic fashion in order to improve patient safety. Many strategies are available to reduce deficiencies, and clinicians should be prepared to initiate these solutions to resolve inadequacies, improve overall quality of care, and optimize patient outcomes.

Intended Audience

Psychiatrists, primary care clinicians, nurses, and other specialists involved in the care of patients with psychiatric disorders

Educational Objectives

Upon completion of this educational activity, participants should be able to:

  • Describe approaches to effectively manage aggression or violence in patients with psychiatric disorders
  • Outline factors predictive of suicide and steps that should be taken to decrease the risk of suicide among patients with psychiatric disorders
  • Explain factors contributing to elopement among psychiatric inpatients and how to implement changes aimed at preventing these events
  • Discuss the causes and characteristics of medication errors in the care of patients with psychiatric disorders and identify potential solutions
  • Apply the principles of handoffs and transitions designed to minimize disruptions in the care of patients with psychiatric disorders to reduce the risk of inappropriate treatment

Faculty

Johns Hopkins Chair and Activity Director
Geetha Jayaram, MD, MBA

Associate Professor of Psychiatry and Behavioral Sciences
Johns Hopkins University School of Medicine
Senior Faculty Member
Armstrong Institute of Patient Safety, Public Health, and Nursing
Baltimore, Maryland

Dr. Jayaram has indicated that she has no financial interests or relationships with a commercial entity whose products or services are relevant to the content of her presentations.

Publishing Staff Disclosures

Michael Speidel and Joanne Jeffers, Medical Logix, LLC, have no relationship with any commercial interests whose products or services may be mentioned during this presentation.

Credit

2.50

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 2.50 AMA PRA Category 1 CreditsTM . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Additional Credit Information

American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 CreditTM  from organizations accredited by the ACCME.

American Association of Nurse Practitioners (AANP) National Certification Program accepts AMA PRA Category 1 CreditTM   from organizations accredited by the ACCME.

American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM   from organizations accredited by the ACCME. PAs may receive a maximum of 2.50 AAPA Category 1 Credits for completing this program.

Policy on Speaker and Provider Disclosure

It is the policy of the Johns Hopkins University School of Medicine that the speaker and provider globally disclose conflicts of interest. The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the instructional materials.

Full Disclosure Policy Affecting CME Activities

As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) requires attested and signed global disclosure of the existence of all financial interests or relationships with commercial interest from any individual in a position to control the content of a CME activity sponsored by OCME.

Faculty:
Geetha Jayaram, MD, MBA, has indicated that she has no financial interests or relationships with a commercial entity whose products or services are relevant to the content of her presentations.

Note: Grants to investigators at The Johns Hopkins University are negotiated and administered by the institution which receives the grants, typically through the Office of Research Administration. Individual investigators who participate in the sponsored project(s) are not directly compensated by the sponsor, but may receive salary or other support from the institution to support their effort on the project(s).

Johns Hopkins Statement of Responsibility

The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.

Disclaimer

The opinions and recommendations expressed by faculty and other experts, whose input is included in this program are their own. This enduring material is produced for educational purposes only. Use of the Johns Hopkins University School of Medicine name implies review of educational format design and approach. Please review the complete prescribing information of specific drugs or combinations of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.

Disclosure of Unlabeled Use

The following speaker has disclosed that their presentation will reference unlabeled/unapproved uses of drugs or products:

Geetha Jayaram, MD, MBA: Ketamine

Internet CME Policy

The Office of Continuing Medical Education (OCME) at the Johns Hopkins University School of Medicine is committed to protecting the privacy of its members and customers. Johns Hopkins University School of Medicine OCME maintains its Internet site as an information resource and service for physicians, other health professionals and the public. OCME at the Johns Hopkins University School of Medicine will keep your personal and credit information confidential when you participate in a CME Internet based program. Your information will never be given to anyone outside of the Johns Hopkins University School of Medicine CME program. CME collects only the information necessary to provide you with the services that you request.

Confidentiality Disclaimer for CME Activity Participants

I certify that I am participating in a Johns Hopkins University School of Medicine CME activity for accredited training and/or educational purposes.

I understand that while I am participating in this capacity, I may be exposed to "protected health information," as that term is defined and used in Hopkins policies and in the federal HIPAA privacy regulations (the "Privacy Regulations"). Protected health information is information about a person’s health or treatment that identifies the person.

I pledge and agree to use and disclose any of this protected health information only for the training and/or educational purposes of my visit and to keep the information confidential. I agree not to post or discuss this protected health information, including pictures and/or videos, on any social media site (e.g. Facebook, Twitter, etc.), in any electronic messaging program or through any portable electronic device.

I understand that I may direct to the Johns Hopkins Privacy Officer any questions I have about my obligations under this Confidentiality Pledge or under any of the Hopkins policies and procedures and applicable laws and regulations related to confidentiality. The contact information is: Johns Hopkins Privacy Officer, telephone: 410-735-6509, e-mail: HIPAA@jhmi.edu.

“The Office of Continuing Medical Education at the Johns Hopkins University School of Medicine, as provider of this activity, has relayed information with the CME attendees/participants and certifies that the visitor is attending for training, education and/or observation purposes only.”

Johns Hopkins University School of Medicine
Office of Continuing Medical Education
Turner 20/720 Rutland Avenue
Baltimore, Maryland 21205-2195

Reviewed & Approved by:
General Counsel, Johns Hopkins Medicine (4/1/03)
(Updated 4/09 and 3/14)

myCME privacy policy

Instructions

To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

For CME Questions, please contact the CME Office (410) 955-2959 or e-mail cmenet@jhmi.edu.

If you have any questions relating to your certificate or other issues with this activity, please contact myCME.Support@haymarketmedical.com.

NOTE: Please complete the Clinical Dialogue and the eCase Challenge before clicking the Post-Test button in order to claim full credit of this activity.

Americans with Disabilities Act

The Johns Hopkins University School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs.

Copyright

© All rights reserved - The Johns Hopkins University School of Medicine. No part of this program may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in articles or reviews.

SYSTEM REQUIREMENTS

Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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