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Adverse Events and Medical Errors: Response and Analysis
This course will address the importance of reporting errors for prevention of future adverse events and improved patient safety, as well as the role of root cause analysis (RCA) as an investigation tool for identifying the underlying systems failures that may have led to the error. It will also examine the benefits and barriers to reporting and the role of healthcare culture in reporting. Finally, it will explain the basic process of reporting that is common in most healthcare organizations.
Describe the systems approach to medical errors and how it increases the likelihood that errors are reported.
Understand the benefits of reporting errors, especially the importance of reporting errors for patient safety improvements.
Identify the barriers to reporting errors and the role that healthcare culture plays.
Explain the basic process of reporting errors in a healthcare organization.
Explain the purpose of RCA, and describe the guidelines for the use of this investigation tool.
Controlled Substances: Chronic Pain Management
Chronic pain is a common condition for which healthcare providers often prescribe controlled substances, such as opioids. Prescription opioids can alleviate pain in certain patients, but the risk of misuse, abuse, and overdose means providers need to evaluate the risks and benefits for each patient. This course will educate healthcare providers on the role of prescription opioids along with other therapies for chronic pain, using recommendations from current national guidelines.
The goal of this course is to educate healthcare providers on methods for the safe and responsible use of controlled substances for the management of chronic pain.
Indicate treatment options for patients with chronic pain.
Identify safe strategies to initiate or change opioid analgesics.
Name patient factors and characteristics that can make prescribing opioids unsafe.
Creating a Welcoming and Safe Healthcare Environment
All staff must be aware of the importance of creating a welcoming and safe healthcare environment. This includes knowing what must be present for such an environment to exist. In this course, you will learn best practices for creating a healthcare environment that best serves the safety needs of the people who are receiving services and makes them feel welcome.
Describe a welcoming and safe healthcare environment.
Explain how a welcoming and safe healthcare environment can improve the healthcare experience.
Identify at least three practices that promote a welcoming and safe healthcare environment.
Culture and Pain Management: Cultural Competence
Health inequities in pain management are prevalent across different healthcare settings. The cultural, ethnic, and social differences influence patients’ and providers’ perceptions and responses to pain. Several studies report higher incidences of pain, disability, and suffering in women and people of color compared to non-Hispanic White people. This course covers influential sociocultural factors grouped into the patient, the provider, and systemic factors. This course helps healthcare professionals become familiar with cultural differences associated with pain perceptions and management. Pain variables such as culture, religion or ethnicity are not part of standardized pain scales. Healthcare workers need to provide culturally competent care to their patients by asking about specific practices, beliefs, and values regarding pain that impacts the patient’s quality of life.
The goal of this course is to provide nurses, physicians, and social workers with an overview of cultural sensitivity in the management of pain.
Identify cultural factors influencing the patient’s perception and expression of pain.
Recall strategies for reducing barriers in pain assessment and promoting management decisions to respond to a patient’s pain in a culturally sensitive manner.
Drug Diversion, SUD, and Pain Management
Safely managing pain for the people in your care requires you to be knowledgeable about pain management recommendations. It is important to understand the risk factors for misuse and substance use disorder (SUD) as well as the signs that someone has a SUD and how to treat it. Unfortunately, SUD is one of the drivers of drug diversion. Therefore, it is also critical that you understand drug diversion tactics and behaviors so you can help prevent it. The goal of this course is to educate healthcare providers in all settings on pain management and preventing substance use disorder and diversion.
Discuss drug diversion and related drug diversion behaviors and activities.
Identify various classifications of medications that are diverted or misused.
Describe screening and assessment tools helpful in identifying substance use disorders.
Recognize nonpharmacological and pharmacological treatments of substance use disorders.
Explain options for pain management.
HCAHPS: Transitions of Care and Discharge
Improving hospital processes surrounding discharge and transitions of care can reduce adverse events and readmissions. Process improvements may also lead to better patient adherence to the treatment plan and their overall experience with care. Healthcare professionals must understand care coordination and transitions of care and how they impact HCAHPS survey results.
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a national standardized survey required for hospitals participating in Centers for Medicare & Medicaid Services (CMS) programs. Survey results are linked to hospital reimbursement from CMS.
Identify the impacts of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and Hospital Value-Based Purchasing (HVBP) programs on healthcare organizations.
Categorize transitions of care, care coordination, and discharge planning.
Select strategies to improve interprofessional teamwork.
How to Assess and Treat Opioid Use Disorder
Opioid use disorder (OUD) is a chronic but treatable disease. The problematic use of available and accessible opioids in the community contributes to rising numbers of deaths caused by overdose, compounding a public health crisis. Behavioral health professionals are well poised to address preventable deaths caused by OUD by learning about the factors involved in its development, symptoms, and effective person-centered and recovery-oriented treatments.
Identify the contributing factors, signs, and symptoms of OUD.
Apply evidence-based tools to screen and assess individuals for OUD diagnosis and treatment planning.
Determine the best evidence-based OUD treatment approaches to promote recovery-oriented care.
Preventing and Handling Crisis Situations
Healthcare professionals often encounter patients experiencing agitation or displaying hostile behavior during their careers. De-escalation is a set of approaches and techniques used to assist patients in self-calming to avoid incidents of harm to self, others, or property. Professionals should understand escalation and physiological responses to threats. After determining the risk of escalation, healthcare professionals can use various aspects of verbal communication, such as tone and pitch, and nonverbal communication skills to defuse potentially hostile situations and apply the least restrictive interventions.
Describe what de-escalation is and why it is important.
Recall how to use de-escalation to prevent a crisis from developing.
Indicate specific approaches you can use during a crisis to help individuals return to pre-crisis levels of functioning and prevent harm.
Prevention of Adverse Events and Medical Errors
The prevalence of medical errors correlates with increased risk of patient harm in the healthcare setting. Since most errors are related to systems issues/failures and not to inadequate care by providers, it is critical to understand the breadth of the problem and the best ways to prevent adverse events and medical errors to improve patient safety.
Examine the relationship between adverse events, medical errors, and patient safety.
Identify the barriers to improving patient safety through reducing errors.
The Opioid Epidemic: Implications for Healthcare
The Opioid Epidemic is a major public health crisis, leading to widespread addiction, overdose, and death. This course provides a comprehensive overview of the epidemic, covering the classification and pharmacology of opioids, the mechanisms of addiction, and the societal impact of opioid misuse.
Participants will learn how opioids interact with the nervous system, the progression from prescription misuse to illicit drug use, and key public health interventions aimed at mitigating the crisis. The course will also explore clinical management strategies, including opioid overdose response, withdrawal treatment, and harm reduction approaches like naloxone distribution and treatment.
Describe the historical and societal impact of the opioid epidemic.
Recognize the presentation and management of patients with opioid use disorder.
Explain the classification and pharmacology of key opioids.
The Use of Opioids During Pregnancy
Americans are using opioids at an alarming rate, whether through prescriptions or illegal means. Parallel to this problem is the use of opioids during pregnancy.
The goal for this course is to present RNs, PAs, physicians, and entry-level drug and alcohol counselors in inpatient or outpatient settings with best practices for identifying and managing pregnant women who are using opioids.
Recognize the risks and complications related to opioid use disorder during pregnancy.
Identify evidence-based treatment recommendations for opioid use disorder during pregnancy.
The Use of Root Cause Analysis
Within any healthcare organization, there are systems, policies, and procedures that can be improved or events that could have been prevented. A root cause analysis is a tool that helps healthcare organizations improve their systems by using a team process of discovery. When you understand how to use a root cause analysis, you can apply it to create better solutions, prevent adverse events, and create more effective and efficient systems. This course discusses what a root cause analysis is and how to use it.
Describe how a root cause analysis can be used proactively and reactively.
Treating Opioid Use Disorders Among Adolescents and Young Adults
Opioid misuse is a leading cause of unintentional injury and death among adolescents and young adults (Hudgins et al., 2019). More than 80% of adolescents who die from an opioid overdose do so accidentally, reflecting in part their lack of understanding and underestimation of the dangers inherent in the misuse of opioid medications (World Health Organization [WHO], 2023).
Along with the increased risk of lethal overdose, adolescents who misuse prescription opioids are at increased risk of severe medical complications that necessitate emergency treatment, progression to drugs with even greater potential for lethality such as heroin, and the development of a substance use disorder (Davis et al., 2020).
The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human services with information on the development, prevalence, and treatment of opioid use disorders in adolescent and young adult populations.
Define the scope of opioid use and opioid use disorders among individuals aged 13 to 25.
Recognize the unique characteristics of screening, assessment, and treatment planning for adolescents and young adults who use opioids.
List evidence-informed practices for treating opioid use disorders in adolescents and young adults.