Source: https://www.experixllc.com/cme/search-results/
Timestamp: 2018-10-22 03:44:52
Document Index: 515598831

Matched Legal Cases: ['art 1', 'art 2', 'art 3', 'art 4', 'art 5', 'art 6']

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Number of Hours: All N/A0.100.250.500.751.001.251.501.752.002.506.0015.00	 Topic: All Topics HIPAAAdministrativeApologyChallenging PatientsClosing Your PracticeDepositionsDiagnosisDocumentationEmployee IssuesHospital Risk ManagementInformed ConsentCross-CulturalMedical RecordsPain ManagementMinorsCommunicationsProfessional CommunicationPractice and Facility ManagementProvider SupportQuality ImprovementRisk ManagementSample FormsTelehealthTermination of CareEMPACOnlineWorkplace Violence	 Specialty: All Specialties AnesthesiologyCardiologyEmergency Medicine DermatologyInternal Medicine Obstetrics and Gynecology Family MedicineGastroenterologyGeriatricsNon-PhysiciansOphthalmologyOrthopedicsPathologyPediatricsPlastic SurgeryProvider Specific General InterestRadiologySurgeryUrology
VBAC Revisited: Avoiding the Swinging Pendulum 1.25 Online
The risks and benefits of VBAC present a complex challenge. Pressures to lower cesarean rates run headlong into the question of whether prompt operative intervention can be guaranteed in an emergency. The reconsideration of previously-established guidelines and appeals from natural childbirth advocates add to the complexity, especially as acceptable risk differs from patient to patient.
How should you counsel women about trial of labor after cesarean?
How should you manage their labor?
In this 1.25 hour webinar, obstetrical leader Dr. Steven L. Clark will address these questions through a reasoned approach to VBAC based on careful patient selection and a focus on patient safety.
A Practice Bulletin published in November 2017 by the American College of Obstetricians and Gynecologists (ACOG) recommends that hospitals doing VBACS need to be able to provide an emergency Cesarean section, revised from an earlier guideline that stipulated “immediately available” personnel for emergency Cesarean.
Additionally, Dr. Clark responds to a question within the webinar about double layer versus single layer uterine closure. His response should be reconsidered in the light of more current studies. You are encouraged to access resources published by ACOG at www.acog.org/More-info/VBAC, and to read the ACOG Practice Bulletin Number 184 by clicking here.
Transitioning Care in the Face of Painkiller Addiction or Abuse 1.00 Online
“I’ll be going out of town next week,” says Mrs. Johnson, “so I’m hoping you can refill my prescription today.” Mrs. Johnson is a long-term patient whom you trust, but this is her second request for an early refill of oxycodone. How should you evaluate her request in light of the 16,000 unintended deaths each year from prescription opioid analgesics?
Every touch point with a patient is an opportunity to consider risks of opioid therapy and to realign management towards best health outcomes. This one-hour webinar offers an ethical framework for evaluation that will also help you to engage patients in conversations that build partnership. You’ll hear examples of dialogue that squarely addresses high-risk situations and options for tapering or alternative treatment.
Please note that the resources included with this course were curremt at the time of the review in February 2018.
Empowering Patients: Tools for Effective Partnership and Behavior Change 1.00 Online
“I run out of breath just walking to the bus stop,” says Michelle. “It’s been like that ever since I started on the diabetes pill. I’m fed up with that pill!”
She’s been your patient for years, but time never allows for a conversation about her climbing weight or aversion to checking blood sugar levels. Now you notice that her hypertension is also edging into the danger zone.
This 1-hour video course demonstrates how Michelle can be engaged as an active participant in her care within the timeframe of a regular office visit. You’ll learn motivation techniques by observing them in the patient interview, and ways to reduce your frustration with challenging patients. See how the patient-provider partnership can develop into an essential process to improve outcomes and reduce costs.
“We are entering a time of great challenge and major change in health care delivery and financing. In such an environment, health care leaders, physicians, and other providers in the trenches must rethink old models and find new ways to achieve their goals.”
“Self-efficacious patients represent a potentially major new resource, and the patient-provider partnership an important vehicle, for improving health care outcomes and controlling costs.” -John Nance, JD, Author, Why Hospitals Should Fly
''I'm Sorry'': The Benefits and Limitations of State Apology Laws (1 hour Monograph) 1.00 Online
After an adverse event, patients look to their physician for empathy and an understanding of what happened. Physicians may defer this difficult conversation for fear of exposing themselves to a lawsuit. Indeed, legal advice in the past often supported a “deny and defend” stance. State apology laws were enacted to protect and promote statements of sympathy, but many do not protect statements of fault or explanations of the event, so physicians must be familiar with the details of their own state law. This monograph seeks to provide the physician with the communication skills and resources to carry out this conversation.
Operative Vaginal Delivery (OVD)-For nurses (1.0 contact hour Video) 1.00 Online
Operative vaginal delivery has a definite time and place in obstetric practice and is associated with reduced maternal complications compared to cesarean section. While vacuum suction now exceeds the use of forceps, the indications and efficacy for them are essentially the same. A case study will be presented that illustrates how to manage risks and pitfalls of operative vaginal delivery and the clinical guidelines that can assist the obstetrician’s decision-making in difficult labors.
Postpartum Hemorrhage: Part I-Prevention Strategies-Nursing Considerations (1.0 Contact hour - Monograph) 1.00 Online
Postpartum hemorrhage (PPH) is only a symptom not a diagnosis. Management delays are linked to diagnostic errors during the immediate postpartum period. In the US, maternal mortality from all causes has dropped over the last 3 decades but death from PPH has risen 26%. As a two part series, Part I presents risk management strategies for the preparation and prevention of PPH that includes new AWHONN guidelines. Part II focuses on management strategies.
Second Stage Labor Management (1 hour Video) 1.00 Online
Surgery Checklists and Patient Outcomes: For Nurses (1 contact hour Monograph) 1.00 Online
One in 10 patients has an adverse event in the hospital, 40% of them related to surgery. The landmark World Health Organization study of 2009 reported a 47% drop in the perioperative mortality rate with the use of the WHO surgical checklist, but subsequent studies have not reported such large improvements. The Joint Commission time-out for preventing wrong patient-wrong site surgeries has not been embraced by OR staff in the US and questions have been raised about its effectiveness. This monograph examines why surgical checklists came about, what research studies have shown about their effectiveness, and what characteristics are associated with success or failure.
AAOS Guidelines OA Knee: RM Review (1 credit Monograph) 1.00 Online
In April 2013, the American Academy of Orthopedic Surgery (AAOS) issued revised guidelines on the treatment of osteoarthritis (OA) of the knee.
Aortic Disease I: Diagnosing Aneurysm (1 credit Monograph) 1.00 Online
Screening for aortic aneurysm is under-utilized. It lacks a high profile awareness campaign, colored ribbon or celebrity fund raiser.
Aortic Disease II: Diagnosing Dissection (1 credit Monograph) 1.00 Online
Aortic aneurysm may develop silently over many years, manifesting rarely but catastrophically as dissection or rupture with high mortality.
APRNs and the Collaborative Practice Agreement: What Physicians Need to Know (1 credit Monograph) 1.00 Online
Physicians considering working with a Nurse Practitioner often ask, “What is a Collaborative Practice Agreement?”, “Will this increase my liability?” and “I’ve been asked to sign off on the NP’s records; what do I do?” This monograph will answer these questions. Working with an APRN can benefit the physician, depending on the needs of the practice, and provided that the risks are managed. This updated risk management guide for physicians will define terms, identify quick-click resources, and explain the steps for successfully managing risk in a working relationship with Advanced Practice Registered Nurses.
Beyond Informed Consent (1.5 credit Video) 1.00 Online
Patients have more choices than ever before about new procedures and treatments. The proliferation of medical news in the popular media fuels unrealistic expectations for a perfect outcome, making a truly Informed Consent more important than ever.
Clinical Practice Guidelines and the Standard of Care (1 credit Video) 1.00 Online
Twenty years ago, the AMA noted an alarming trend by physicians and hospitals: they were treating the terms “standard of care” and “clinical practice guidelines” virtually interchangeably, a trend that has only increased over time.
Cognitive Debiasing Strategies - III (1 credit Video) 1.00 Online
Virtually by definition, physicians have a blind spot for their own biases. This activity, third in a series, aims to foster recognition of how bias derails the diagnostic process, and to arm participants with strategies to counter bias.…
CT Radiation Dosing: What the Ordering Practitioner Needs to Know (1 credit Video) 1.00 Online
Powerful new CT technology has enabled life-saving medical advances.
Diagnosis Error, Part 1: The Basics (1 credit, Monograph) 1.00 Online
Diagnosis Error, Part 2: How Doctors Think - The Cognitive Origins of Diagnosis Error (1 credit, Monograph) 1.00 Online
Diagnosis Error, Part 3: System-Related Factors (1 credit, Monograph) 1.00 Online
Diagnosis Error, Part 4: Learning from Cases - Root Cause Analysis (1 credit, Monograph) 1.00 Online
Mark Graber MD presents. Aviation safety has improved by learning from disasters and near misses. Diagnostic error may benefit from the same approach, but new tools are needed. These include facilitating reports from involved patients and providers; leveraging electronic data; and Root Cause Analysis to examine all of the cognitive, system-related and other causes.
Diagnosis Error, Part 5: Interventions to Reduce - There's a Job for Everyone (1 credit, Monograph) 1.00 Online
Mark Graber MD presents. Diagnosis is ultimately the responsibility of the physician, but the quality of the diagnostic process depends on others, including the patient, family, nurses, and healthcare organizations. Physicians have a role to play in encouraging patients to be an active partner in the diagnostic process and in promoting interventions by the healthcare team, hospital and healthcare organizations.
Diagnosis Error, Part 6: Diagnosis and Health Information Technology (1 credit, Monograph) 1.00 Online
Mark Graber MD presents. Advances in electronic medical records and health information technology have the power to profoundly influence medical diagnosis. They can improve access to information, facilitate communication among providers, provide online tools to construct a differential diagnosis, and identify populations at risk for misdiagnosis. But they can also degrade diagnostic reliability…
Diagnostic Error and Claims: Reducing the Risk (1 credit Video) 1.00 Online
Diagnostic Error has been described as the New Frontier in Patient Safety. Claims data supports this contention. A large study by the Rand Corporation has demonstrated that patient adverse events and medical malpractice claims go hand in hand … and that reducing one can be expected to reduce the other.
Diagnostic Error and Dizziness (1 credit Video) 1.00 Online
David Newman-Toker, MD presents. Dizziness is a common presenting complaint in ambulatory care and the ED, accounting for 10 million visits a year. As a chief complaint, dizziness and vertigo have dozens of possible causes, ranging from benign and self-limiting to immediate and life-threatening.
Diagnostic Error and Stroke (1 credit Video) 1.00 Online
David Newman-Toker, MD presents. 800,000 American are diagnosed with stroke every year. Despite a steep decline in mortality since the 1960’s, stroke is still the 3rd leading cause of death, and it remains the leading cause of serious disability. Stroke is an unfolding event with many different presentations.
Disclosure of Medical Error: A Physician RM Guide (1 credit Video) 1.00 Online
Discussing adverse medical events with patient and family is perhaps the most difficult conversation physicians will undertake. Too often, physicians postpone, delegate or avoid these difficult conversations.
E-Mail Between Physician and Patient (0.25 credit Monograph) 1.00 Online
Communicating with patients by e-mail is rapidly becoming a part of many physicians’ medical practice. It ranks high in patient satisfaction, and at least one study found it to be associated with better patient compliance and better control of chronic conditions.
Early Recognition and Treatment of Severe Sepsis and Septic Shock: A New Paradigm (1 credit Video) 1.00 Online
Severe sepsis is a time-critical emergency. As with stroke, trauma and heart attack, the identification and response to severe sepsis should be urgent and protocol-based. Sepsis is on the increase; mortality rates are high; yet many hospitals lack a coordinated or systematic response to sepsis.
EFM Case Study #1: OP Malpresentation (1 hour Monograph) 1.00 Online
EFM Case Study #2: EFM Triage (1 hour Monograph) 1.00 Online
EFM Case Study #3: Standard Terms and Guidelines (1 hour Monograph) 1.00 Online
EFM Case Study #4: Neonatal Encephalopathy (1 hour Monograph) 1.00 Online
EFM Case Study #5: pH Implications (1 hour Monograph) 1.00 Online
EFM Case Study #6: O2 Therapy (1 hour Monograph) 1.00 Online
EFM-Advanced Lesson 1: Interpretation-Terms & Guidelines (1 credit Video) 1.00 Online
EFM diagnostic error and miscommunication are major causes of perinatal morbidity and mortality, as well as, malpractice claims. Use of the 2008 NICHD terms and guidelines creates a standardized framework for interpretation while reducing errors and omissions. This course is the first lesson of a 3 part series that applies NICHD principles into critical thinking activities to improve retention of key concepts in EFM interpretation.
EFM-Advanced Lesson 1: Interpretation-Terms & Guidelines (for Nurses) (1.0 contact hour video) 1.00 Online
EFM-Advanced Lesson 2: Physiology & Pathophysiology (1 credit video) 1.00 Online
This video improves identification and diagnosis of fetal acid-base imbalance via electronic fetal monitoring (EFM). Use of the NICHD 3-Tier FHR Interpretation System and new ACOG/AAP criteria that define a fetal stress response indicative of an antepartum and intrapartum hypoxic-ischemic event decreases diagnostic error. This course is the second lesson of a 3 part series that applies NICHD principles into critical thinking activities to improve retention of key concepts in EFM interpretation and management.
EFM-Advanced Lesson 2: Physiology & Pathophysiology-For Nurses (1.0 contact hour Video) 1.00 Online
EFM-Advanced Lesson 3: Interventions &amp; Management (1 credit video) 1.00 Online
Mismanagement of electronic fetal monitoring (EFM) data may result in permanent neurologic injury and malpractice claims. This course is the third lesson of a 3 part series that evaluates the benefits and risks of individual interventions, applies ACOG intrapartum management algorithms to various case studies, and examines risks associated with EFM mismanagement.
EFM-Advanced Lesson 3: Interventions & Management-For Nurses (1.0 contact hour Video) 1.00 Online
Failure or delay in labor and delivery management is one of the top risk management issues in the US. This course is the third lesson of a 3 part series that incorporates ACOG and AWHONN intrapartum management guidelines into critical thinking activities that improve practitioner response to abnormal fetal heart rate or uterine contraction patterns.
Emergency Medicine: Risk and Claims (1 credit Monograph) 1.00 Online
The 40,000 emergency physicians in the US practice in a system described variously as broken, in crisis, and in critical condition. This self paced internet monograph will present the comparative claims data for this specialty, review the medical literature, and present the causes and types of diagnostic error in the emergency setting.
EMTALA - What Physicians Need to Know (1 credit Monograph) 1.00 Online
This Internet activity will provide data and analysis of actual claims of EMTALA violations, showing what factors caused the patient claim to win and the hospital to lose.
EMTALA: Regulation and Best Practices for Nurses (1 contact hour Video) 1.00 Online
Hospitals work hard to care for patients and follow the law. But growing patient numbers and declining availability of emergency department services put hospitals at risk for an EMTALA violation.
End of Life Communications: 2 Models 1.00 Online
End of life conversations are difficult for the physician and are often avoided or postponed.
Evaluation and Risk Stratification of Patients with Acute Chest Pain (1 credit Video) 1.00 Online
David Larson MD presents. Chest pain is the second most common presenting complaint in the ED accounting for 6 million visits in the US annually. Of those patients discharged to home, about 4% become cases of missed diagnosis of acute coronary syndrome. This rate can be reduced by making Risk Stratification the primary objective in evaluation.
General Surgery Claims and Case Study (1 credit Monograph) 1.00 Online
On one occasion, a surgeon may make a technical error in the operating room but no claim of medical malpractice follows.
GI Claims I: Informed Consent (1 credit Monograph) 1.00 Online
The informed consent process varies widely across gastroenterology practices. A member survey conducted by the American Society of Gastrointestinal Endoscopy (ASGE) showed that physicians routinely delegated the process to another person 30% of the time. The report also revealed that of the survey respondents who had been sued, 42% involved the informed consent process. Complications of GI procedures are not common, but when they occur, the informed consent process comes under scrutiny. This monograph will provide case examples, claims data, and professional guidelines to assist busy GI practices to systematically embed good patient selection and shared decision making into their informed consent process.
GI Claims II: Deep Sedation (1 credit Monograph) 1.00 Online
Gastroenterology claims for medical malpractice have been historically small compared to other specialties. However, this is fast changing in keeping with the increasing number of GI physicians, facilities, patients, and procedures. This self paced activity will present GI claims data in comparison with other specialties. Recent studies will be reviewed regarding the increased use of deep sedation and the attendant use of anesthesia services for GI endoscopy, the drivers for this trend, the complication risks and patient selection factors for deep sedation, and recommendations for reducing the risk of adverse events and claims.
Incident Reporting: The Clear Picture (1 contact hour Monograph) 1.00 Online
Labor Induction: New Guidelines (1 credit Video) 1.00 Online
Managing Physician Stress, Preventing Burnout (1 credit Video) 1.00 Online
Physicians are under more stress than ever before, much of it due to factors beyond their control. Laurie Drill-Mellum, an emergency medicine physician describes the forces bearing down on physicians, including litigation stress, and techniques for managing the stress before one’s health and relationships are damaged beyond repair. She is joined by Elmore Rigamer, a psychiatrist, in examining the barriers to learning and the characteristic behaviors of those who do learn to manage stress successfully.
NCC EFM Certification Review Course (15 hour Video) 15.00 Online
Nursing Home Patients: Risk Management in Long Term Care (1 credit Video) 1.00 Online
Nursing home patients today are older, sicker, and more frail than ever before. Multiple chronic conditions, reduced mobility and cognition put them at risk for polypharmacy, falls, malnutrition, and pressure ulcers.
Operative Vaginal Delivery and Birth Trauma: A Case Study (1 credit Video) 1.00 Online
Operative vaginal delivery has a definite time and place in obstetric practice and is associated with reduced maternal complications compared to cesarean section.
Ophthalmology: Closed Claims Analysis (1 credit Monograph) 1.00 Online
Polypharmacy in the Elderly: Managing Multiple Medications in the Senior Population (1 credit Monograph) 1.00 Online
The prevalence of many chronic conditions increases with age, and so do the number of medications prescribed to manage them.
Polypharmacy in the Elderly: What Nurses Should Know About Managing Multiple Medications in the Older Adult (1 contact hour Monograph) 1.00 Online
Nurses can help reduce the risks associated with polypharmacy in the elderly population by understanding how aging affects the ability to metabolize drugs, the types of drugs that cause the most problems in older patients, how to assess for drug-related problems, and how to intervene.
Postpartum Hemorrhage Part I: Prevention Strategies (1 credit Monograph) 1.00 Online
Part I presents risk management strategies for the preparation and prevention of postpartum hemorrhage (PPH). Part II will address PPH management during the immediate postpartum period.
Progesterone Use for Preventing Preterm Births (1 credit Monograph) 1.00 Online
The US rate of preterm births is the second highest among developed nations, and the March of Dimes has given the state of Louisiana a grade of “F” in preterm births. Progesterone remains underutilized despite its proven benefit in reducing preterm births among medically eligible women.
Progesterone Use for Reducing Preterm Births for Nurses (1 contact hour Monograph) 1.00 Online
An overview of the implications of and treatment for reducing premature births using progesterone.
Risk and Claims in Cardiology (1 credit Monograph) 1.00 Online
Cardiologists are increasingly finding themselves subject to scrutiny, investigation, audits and medical malpractice claims for cardiac procedures deemed unnecessary after the fact.
Risk and Claims in Cardiovascular Thoracic Surgery (1 credit Monograph) 1.00 Online
Cardiovascular thoracic surgery as a specialty has a good track record in coronary revascularization: reduced mortality, transparent quality measures, and appropriate indications for the procedure.
Risk and Claims in Pediatrics: Case Study in Sepsis (1 credit Monograph) 1.00 Online
Compared to other specialties, pediatricians are not sued very often. But when they are, it tends to be very costly. A diagnostic case study is presented. The rapid development and progression of sepsis in a 12 year old child illustrates the combined impact of systems factors and cognitive bias in diagnosis.
Risk and Claims in Plastic Surgery II: Special Issues (1 credit Monograph) 1.00 Online
This activity includes a review of some special risk issues specific to plastic surgery: smoking, body dysmorphia disorder, the captain of ship effect in multi-specialty surgery claims, malignant hyperthermia, and problems in payment and collections.
Risk Issues in Dermatology: Diagnosing Melanoma (1 credit Monograph) 1.00 Online
The National Cancer Institute estimates more than 76,000 new cases and 9,480 deaths due to melanoma in 2013.
Risk Issues in General Ophthalmology: Retinal Tears (1 credit Monograph) 1.00 Online
Conditions of the retina including retinal tears are the conditions most commonly associated with medical malpractice claims against general ophthalmologists.
Shoulder Dystocia Part I: Identifying and Reducing the Risk (1 credit Monograph) 1.25 Online
Shoulder Dystocia Part II: Maneuvers and Management (1.5 credit Monograph) 1.50 Online
In five minutes or less, a healthy fetus may become acidotic from shoulder dystocia (SD). Updates and additional research outlined in ACOG’s Practice Bulletin #178 offer a new approach to managing SD events while improving patient safety. This is Part II of a two part series and outlines management of SD events.
Surgical Checklists and Patient Outcomes: What's the Verdict? (1 credit Monograph) 1.00 Online
The Joint Commission time-out for preventing wrong patient-wrong site surgeries has not been embraced by surgeons in the US, and questions have been raised about its effectiveness. This monograph examines why surgical checklists came about, what research studies have shown about their effectiveness, and what characteristics are associated with success or failure.
Surgical Readmissions-What Surgeons Can and Can't Do About Them (1 credit Monograph) 1.00 Online
CMS’s Hospital Readmission Reduction Program, previously targeting medical diagnoses, is expanding its reach to surgical procedures, starting with knee and hip replacements in 2015. This monograph will review new peer-reviewed studies about the reasons for surgical readmissions, to what extent readmits are preventable, and whether the SCIP and NSQIP measures have resulted in any improvement.
Uterine Dystocia & Augmentation of Labor: New Guidelines (1 credit Video) 1.00 Online
Who Heals The Healer? Improving Physician Health and Quality of Care (1 credit Video) 1.00 Online
Recent large-scale surveys of physicians show high numbers of respondents endorsing statements of stress and burnout. This video presentation by an emergency medicine physician examines the quantifiable effects of physician stress on the physician’s physiology and on the patient’s quality of care.
The Future is Now: How Physicians Can Thrive through the Transformation of Health Care Delivery 1.00 Online
Physicians who understand the ramifications of medicine’s rapidly-changing practice standards will be better prepared and have a tremendous advantage over their colleagues who are not. With financial compensation tied to quality measures and patient satisfaction, physicians are stressed for time and tools to implement all that is being asked of them. Patient safety pioneer John Nance discusses the substantial steps you can take now to thrive in the new delivery system that is based on value and population health. Learn how you can benefit from this pivotal opportunity to improve your professional practice and satisfaction scores!
An Intraoperative Disaster: Responding to Adverse Outcomes in Anesthesiology 1.00 Online
EFM Case Study #7: Levels of Care and Transport (1.0 hour Monograph) 1.00 Online
Opioid Mortality Epidemic-What Prescribing Physicians Can Do (2 hour Monograph) 2.00 Online
Deaths from opioid overdose have risen to epidemic levels, leading to a proliferation of many regulations and counter-measures, such as the pharmacy drug monitoring programs (PDMPs). This monograph will assess the effectiveness of these measures, review existing clinical practice guidelines, and offer conservative prescribing principles and tools that can best help physicians define their own policies and reduce risk in prescribing controlled substances for their patients.
Should The ED Handoff Be Standardized? An Evidence Based Approach (1 hour Monograph) 1.00 Online
The ED is an error-prone environment, and is perhaps the most handoff-intense setting in all of healthcare. While signout is a point where error may be introduced, it is also a point where error may be caught and corrected. Standardized handoff procedures are used in other high risk industries and have been shown to reduce adverse events, but little research has been done on handoffs in the ED, and few EDs have adopted a standardized handoff procedure. This monograph will review and offer an assessment of what can be learned from the most current studies, resources and tools specific to this procedure and setting.
Specialty: Emergency medicine physicians. Other interested healthcare professionals are also welcome to participate.
Maternal and Neonatal Levels of Care and Transfer Implications (1 hour Monograph) 1.00 Online
A current imbalance in the our perinatal care system has led to inappropriate, unsafe, and lack of transports in clinically relevant patients, as well as, risk of costly EMTALA violations by hospitals and physicians. In an effort to encourage safe transport and balance care within the perinatal care system, ACOG & SMFM established and defined five maternal levels of care in 2015. This monograph compares and contrasts the 2015 maternal and the 2012 AAP neonatal level of care guidelines in detail, their implications on the safe transport of mothers and infants, and recommendations on how to limit EMTALA violations.
Sports Concussion and Closed Head Injury: One Family's Diagnostic Journey (1 credit Video) 1.00 Online
Much of what was thought about the diagnosis and management of concussion and head injury has changed in recent years. This film follows the diagnostic journey of one family and their head-injured son. It aims to identify what physicians of all specialties can do to improve recognition of concussive injury, prevent further harm and promote maximum recovery.
HIPAA Maintenance: Security Risk Assessment 1.00 Online
HEPATITIS C SCREENING, TESTING, AND REFERRAL: What the PCP Needs to Know Now (1 hour Monograph) 1.00 Online
It is estimated that only half of those infected with Hepatitis C Virus in the US are diagnosed and perhaps a third receive treatment. The arrival of new direct-acting antiviral medications with high cure rates has spurred the creation of new guidelines for expanded HCV screening. Primary care physicians are in the best position to carry out screening and testing but may lack experience. This activity will assist physicians in becoming familiar with the new screening guidelines, a testing algorithm, and recommendations regarding referral for treatment.
Ureteroscopic Surgery for Stones: How to Avoid or Manage Complications 1.25 Online
Withholding Life Sustaining Treatment, an Ethical Paradox? (1 hour Monograph) 1.00 Online
Lack of reimbursement has likely provided a barrier to important end-of-life discussions and another obstacle is a lack of knowledge on how to guide patients as they approach the end of their lives and what decisions need to be made about the type of care they want and/or need. As a result, some physicians and patients avoid the topic altogether. This course discusses guidelines to help promote effective dialogue at a time when its needed the most.
EFM Case Study Series #8: Preterm Labor (1 hour Monograph) 1.00 Online
Intimate Partner Violence/Domestic Violence (2 credit Monograph) 2.00 Online
Medical Error Prevention, Analysis, and Common Areas (2 credit Monograph) 1.00 Online
According to the Institute of Medicine Report, there is substantial evidence that 1 in every 10 diagnoses is wrong. To improve the quality of healthcare and patient safety, physicians should know the causes of medical errors (cognitive, system-related, overconfidence) how to find them (root cause analysis), and how to address them. Solutions involve changes made by the physician and the healthcare system. Also patients can play an important role in addressing solutions to medical diagnostic errors. Finally, the Florida Board of Medicine has identified five areas of commonly misdiagnosed medical conditions and these are discussed with examples and possible solutions.
HIPAA Maintenance: Responding to a Breach 1.00 Online
Anesthesia Handoff Communications (1 hour Monograph) 1.00 Online
Handoffs in anesthesiology are very variable and can easily lead to errors, complications and even deaths. This CME module will define the parameters important for safe anesthesia handoffs. Anesthesiologists and CRNAs will understand the different checklists and mnemonics that can be implemented for effective handoff communications.
EFM Case Study #9: Verbal Communication (1 hour Monograph) 1.00 Online
Case Report: Ethics of Informed Consent (1 hour Monograph) 1.00 Online
Ethical codes often reach beyond the legal requirements of informed consent and typically have no tolerance for misrepresentations of educational background, certification status and professional experience. This monograph reviews the legal and medical ethical implications of disclosing the surgical outcome data of an individual surgeon during the informed consent process.
Innovative Surgery: Informed Consent and Ethics (1 hour Monograph) 1.00 Online
Innovative surgical techniques can carry a number of indeterminate risks and unclear benefits. In some cases, innovation blends into research. The surgeon must determine whether a proposed therapy is innovation or research and then tailor the consent discussion accordingly. The consent discussion should include both what is known and what is uncertain about the proposed therapy.
EHR Evolution: Improving Systems, Improving Care 1.00 Online
Did you know that your EHR can detect and manage errors that could lead to patient injury? In this 1-hour webinar, see how a multi-specialty group uses tools within the EHR to streamline practice and improve patient safety. Each of the strategies described in this groups’ examples can be applied to your facility:
Using clinical support tools to cross-reference patient allergies and access up-to-the minute information on drug interactions;
Streamlining the order entry process to provide staff with complete, legible orders;
Using health information exchanges to obtain the most current patient information;
Sharing data among other providers to reduce redundant tests.
Join the growing number of providers who have learned how access to complete and accurate information enhances patient care!
New Developments in C. difficile Infection (1 hour Monograph) 1.00 Online
Clostridium difficile is now the top cause of healthcare acquired infections in the US. There are new developments in the fight against this epidemic: new practice guidelines, new antibiotics, and new tools. Regional multidisciplinary collaboratives and antibiotic stewardship strategies have had some successes in reducing the incidence of C. difficile. Clinicians can benefit from this overview of evidence-based guidelines, new tools, and prescribing alternatives for their patients.
Nephrology and Palliative Care: Discussing End of Life Issues (1 hour Monograph) 1.00 Online
Initiating or forgoing dialysis should be a joint decision with the patient after a discussion of the risks and benefits of dialysis vs. non-dialysis management. However, multiple sources confirm nephrologists find conversations about the various treatment pathways associated with advanced CKD challenging. In addition, talking with patients about poor prognoses and end-of-life issues is difficult, and many physicians, including nephrologists, would like to develop more skills in this area.
EFM Case Study #10: Category II FHR Management (1 hour Monograph) 1.00 Online
EFM Case Study #10: Category II FHR Management - For Nurses (1.0 contact hour - monograph) 1.00 Online
The most frequent OB malpractice allegation, delay in the treatment of fetal distress, involves interpretation and management errors of fetal heart rate patterns (FHR). Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This monograph compares the 2013 expert clinical opinion recommendations with the current ACOG guidelines and offers risk management solutions. EFM Case studies and critical thinking drills are included to improve clinical decision making and reduce claims in this challenging population.
New Developments in C. difficile Infection - For Nurses (1.0 contact hour Monograph) 1.00 Online
HIPAA Update: Release of Information 1.00 Online
We welcome back John Christiansen, a health information technology expert in Seattle, WA. In this 1-hour webinar John will clarify the patient’s right to access PHI, discuss the disclosure requirements for when a patient or a patient’s representative requests copies of records, what information the authorization must contain, and what charges are allowable for copying the records, and how to handle special types of PHI disclosures (i.e. substance abuse records, STD and mental health records).
Colorectal Cancer Screening: New Guidelines, New Options (1 hour Monograph) 1.00 Online
In June 2016, the US Preventive Services Task Force issued a new recommendation for colorectal cancer screening of eligible adults by any of 7 methods, from endoscopy to CT colonography to stool or blood tests. Colonoscopy has been considered by many to be the gold standard for screening, but there are significant barriers to it, and approximately one-third of eligible individuals have never been screened. Physicians and nurses will do well to become conversant with the new USPSTF guideline, as well as the guideline of their own specialty society, the better to advise their patients.
Colorectal Cancer Screening: New Guidelines, New Options - For Nurses (1.0 contact hour - Monograph) 1.00 Online
EFM Case Study #11: Decelerations-Does depth-duration-frequency matter? (1 hour Monograph) 1.00 Online
When interpreting FHR patterns, the presence of decelerations (late, variable, or prolonged) is an abnormal finding. Determining when to intervene once decelerations are observed is difficult. This monograph reviews the past and present science of various deceleration severity scales and offers a simple 60-Rules option to improve clinical decision making. EFM critical thinking drills are included.
EFM Case Study #11: Decelerations-Does depth-duration-frequency matter? - For Nurses (1.0 contact hour - monograph) 1.00 Online
EFM Case Study #12: Chain-of-Authority (1 hour Monograph) 1.00 Online
Differences in clinical opinions regarding the interpretation of EFM data or other clinical factors between two perinatal practitioners can and will happen. Choosing not to share your clinical opinion when indicated or refusing to take into consideration another’s opinion into a patient’s care plan can increase malpractice risk. This monograph defines and outlines the Chain-of-Authority process; EFM critical thinking drills are included.
EFM Case Study #12: Chain-of-Authority - For Nurses (1.0 contact hour - monograph) 1.00 Online
EFM Fundamentals in Practice (4 hour Video) 1.00 Online
Attainment and ongoing maintenance of electronic fetal monitoring (EFM) skills is a requirement of all perinatal practitioners who actively participate in the care of pregnant patients. Lack of proper skills or failure to maintain skill in the interpretation and management of EFM data is a major factor in obstetric medical malpractice claims nationwide. All professional organizations (ACOG, AWHONN, AAP, ACNM) and patient safety advocate organizations (IOM, HI, NQF) support multidisciplinary EFM education and training. This video series is divided into six, 30 minute, modules that include didactic discussions on key topics (Uterine Contraction-UC data, Fetal Heart Rate-FHR data, O2-pH-NICHD Categories, Management, Communication-Documentation, and Patient Safety-Risk Management) and critical thinking drills that assess the novice learner’s understanding of fundamental EFM skills.
EFM Fundamentals in Practice - For Nurses (4.0 contact hour - video) 1.00 Online
Pediatric Asthma Part I: Risks, Burden, Practice Gaps (0.5 hour Monograph) 1.00 Online
Asthma is the most common chronic health condition in children under 18 years old. Low-income, minority and underserved populations are most at risk for poor outcomes. While there have been significant improvements in asthma care, barriers to the implementation of effective treatment remain. This monograph gives an overview of pediatric asthma statistics and practice gaps.
Pediatric Asthma Part I: Risks, Burden, Practice Gaps - For Nurses (0.5 contact hour - Monograph) 1.00 Online
Pediatric Asthma Part II: Guidelines (0.5 hour Monograph) 1.00 Online
Professional practice guidelines—designed to support the decision-making process in patient care—can augment a practitioner’s experience and knowledge. This monograph details components of asthma guidelines from the National Asthma Education and Prevention Program (NAEPP), which focus on four necessary components of asthma care: assessment and monitoring; education; control of environmental factors and comorbid conditions; and medications.
Pediatric Asthma Part II: Guidelines - For Nurses (0.5 contact hour - Monograph) 1.00 Online
Pediatric Asthma Part III: Education for a Partnership in Care (0.5 hour Monograph) 1.00 Online
A partnership between the clinician and the person who has asthma (and the caregiver, for children) is required for effective asthma management. When providers, patients and caregivers work together, patients can better learn self-management skills. Self-management education provided at multiple points of care improves outcomes. This monograph offers strategies for enhanced communication with families of asthma patients.
Pediatric Asthma Part III: Education for a Partnership in Care - For Nurses (0.5 contact hour - Monograph) 1.00 Online
Sinusitis: Diagnosis and Treatment Guidelines (0.5 credit Monograph) 0.50 Online
Slowing Antibiotic Resistance: Strategies for Outpatient Pediatricians (1 hour Monograph) 1.00 Online
Studies of antibiotics provided to US children found that over half of all antibiotic prescriptions in the outpatient setting are given for infections that are likely viral rather than bacterial. In such situations, the medication prescribed has no therapeutic benefit but may have side effects that are inconvenient or harmful. Also, inappropriate antibiotic use speeds the development of resistant bacterial strains to the detriment of public health. Pediatricians and other professionals evaluating and prescribing for children will benefit from strategies that promote antibiotic stewardship.
Nursing Handoff Communications (1.3 contact hour - Monograph) 1.00 Online
Handoffs in nursing occur multiple times every day and the potential exists for miscommunication during interdepartmental patient transfers and shift-to-shift reports. Standardized handoff formats are advocated by numerous stakeholders for patient safety reasons. This monograph will review the nursing literature, regulatory measures and provide recommendations for standardized handoffs from the risk management and patient safety perspective.
Case Report: Consent for the Use of Off-Label Drugs and Devices (1 hour Monograph) 1.00 Online
“Off-label use” is not a phrase that many patients have heard from prescribing practitioners but, when there has been an untoward effect, it has led to claims of malpractice. Many drugs and devices commonly prescribed are used off-label (as defined by the FDA) but this fact is not often disclosed to patients. Legal and ethical considerations for disclosure of FDA status and patient consent are examined in this education to help guide the practitioner.
Prescribing Controlled Substances (1.5 hour Monograph) 1.50 Online
Description: According to the CDC, drug overdose deaths are the leading cause of injury deaths in the US, and this death rate more than doubled from 1999 to 2013. Abused drugs included opioid pain killers, stimulants, -and -depressants, and the majority of these drugs are obtained from physicians by overlapping prescriptions or by patient visits to multiple prescribers. Learning about controlled substances, how they work, how they can lead to addiction, the risks and benefits of these medications, and how patients might use these substances incorrectly will benefit all physicians, helping them to formulate and pursue various approaches to prevent misuse or abuse.
The Problem of Pediatric Vaccine Refusal (1 hour Monograph) 1.00 Online
Escalation of Care: A Surgical Improvement Initiative 1.00 Online
Surgical residents do not always call the attending physician about critical patient events, believing that it is not necessary or that the call will not be welcome. Failure to call for help is associated with failure to rescue, adverse events and claims of medical malpractice. This monograph will review the results of recent studies and multidisciplinary initiatives in a search for lessons in improving surgical communications.
Follow-up for Tests in Ambulatory Care 1.00 Online
Healthcare professionals, especially those in ambulatory care, are well aware that problems with test-result communication are significant; many are dissatisfied with the system they currently use. While the development and implementation of policies and procedures for ensuring dependable test-result management will take some time and effort, carrying out this mission will result in a relatively inexpensive practice improvement that can yield significant patient-safety gains.
Hip Osteoarthritis: A Review of the 2017 AAOS Guideline 1.00 Online
In 2017, the American Academy of Orthopedic Surgeons (AAOS) published its first-ever clinical guideline on the management of hip osteoarthritis. This descriptive CME monograph may serve as an introduction or overview to the guideline and to explain its methodology. It is intended to encourage orthopedists to become acquainted with the entire guideline, to better to explain treatment recommendations to patients and to maintain an evidence-based practice.
Statins: What to Recommend When Guidelines Conflict? 1.00 Online
Guidelines from national organizations are in conflict with each other, and “Statin Wars” are being waged in the medical literature over the expanded use of statins for primary prevention of cardiovascular disease. This monograph aims to review the guidelines, provide criteria and cautions for weighing the evidence, and assist healthcare professionals in advising patients on what to do about statins in the current environment of uncertainty and controversy.