CLER Preparation

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:

  • Signouts
  • Transfers
  • Strategies for improving transitions of care
General Resources Posted
I-PASS Patient Handoff 8/21/14