|Healthcare Quality||Duty Hours and Fatigue|
|CLER Preparation Matrix||12/4/14|
|Quality, Safety, and Healthcare Systems in Psychiatry||12/4/14|
|QMC CLER Reference Card||12/12/14|
|Psychiatry Overall Organization Chart||12/4/14|
IN OUR SITE MANUALS, MAKE SURE TO UPDATE:
- How to report patient safety events, safety resources and roles
- Quality improvement priorities
- I-PASS and transitions of care policies and procedures
- Information on supervision expectations and progressive autonomy
WHEN YOU HAVE SERVICE LINE ROUNDS (INCLUDING GROUP SUPERVISION, GROUP DIDACTICS, OR MULTI-DISCIPLINARY TEAM ROUNDS FOR FTC; WEEKLY TEAM MEETINGS FOR KBHS), MAKE SURE TO REGULARLY ASK:
- Any safety events to report and discuss?
- Root cause analyses or other activities that include analysis, as well as formulation and implementation of actions
- Specialty-specific data on quality metrics and benchmarks
- Is there a culture supportive of requesting assistance?
- How is supervision going?
- Does the clinical site/department provide residents/fellows with a supportive culture for requesting assistance?
- Are supervision policies and procedures followed?
- Are there any patient care vulnerabilities due to workload, and if so, how can we address them?
- Have there been issues with resident/fellow fatigue?
WHEN YOU HAVE WALK ROUNDS OR OTHER FORUMS WHERE YOU INTERFACE WITH OTHER MEDICAL SPECIALTIES (E.G., CL SERVICE), MAKE SURE TO:
- Collaboratively develop patient care plans with other specialists
WHEN YOU HAVE WALK ROUNDS OR TEAM ROUNDS (E.G., FTC ROUNDS) WHERE PATIENTS/FAMILIES ARE PART OF THE MEETINGS, MAKE SURE TO PERIODICALLY ASK:
- Do you know the names and roles of the attending physicians and residents/fellows taking care of you?
- Do you feel that you have adequate contact with the attending physicians?
- Do you feel that you have adequate contact with the resident/fellow team?
WHEN YOU ARE SIGNING IN OR SIGNING OUT, MAKE SURE TO ALSO DISCUSS:
- Strategies for improving transitions of care