Quality And Safety In Healthcare

Patient Safety Incident Disclosure Briefing Note As a quality manager or consultant in healthcare, there will come a time in your career when you will investigate a patient case and realize a preventable error has occurred and a patient has been harmed. In doing so, you will be responsible for the process of disclosure – notifying the patient and/or family of what happened, describing the impact of the error on their health and care path, and apologizing. But you will also not likely be the one actually disclosing. At least two weeks before the assignment is due, students will be issued a case study based on true events. The case involves an adverse event at an organization in which the recently appointed CEO is new to healthcare. Students will prepare a briefing note to the CEO on what is being disclosed, why open disclosure is the right thing to do (referencing the literature and best practices), advise on the process that the organization should follow to disclose, and recommend next steps. The briefing note should: ? Identify the purpose of the briefing note ? Summarize the adverse event ? Describe relevant literature, legislation and best practices ? Provide recommendations for how to disclose (including where disclosure should take place and who should participate) Students are expected to apply relevant concepts and frameworks covered in class and/or in the broader literature in their analysis. The paper must be 5-6 pages, 12 point font, 1 inch margins, 1.5 spaced. Grading rubric for briefing note: Criteria Percentage Purpose of briefing note is clearly identified 5% Adverse event is clearly, concisely, and accurately described 15% Literature, legislation and best practices are relevant, well-described, and thoughtfully applied to the case 30% Recommendations for how to disclose are concrete, thoughtful, well organized, and evidence-informed 40% Overall, the briefing note is well-written (format, punctuation, spelling, grammar, word choice, organization, clarity)