Medical Error Prevention in Comprehensive Integrated Systems of Care 2014 Updated for 2016.. Take the on-demand version of this CEU Course for $6 Here.

Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP

Identify medical errors common in a comprehensive integrated system of care including pain management
Discuss how pain influences the comprehensive treatment process
Identify causes of errors
Describe effects of medical errors on the wellbeing of the patient and family
Identify common documentation and communication errors in multidisciplinary teams
Offer a definition of “medical error” as described by the institute of medicine
Identify the factors that must be included in a credible root cause analysis
Identify major signs and symptoms of a medical emergency
List pharmacological components of pain management
Describe other interventions designed to prevent harm and to protect patient safety commonly utilized by therapists

Medical errors in counseling and an integrated system of care
Counselors often work with teams of specialists and support personnel
Psychiatrists & Psychologists
Physician’s assistants & Nurse practitioners
Mental health professionals
Physical and occupational therapists
Pain management specialists
Certified addiction professionals
Pastor/ religion/faith leaders

Error Causes
Multiple professional involvement. (Too many cooks without a Chef)
Misdiagnosis or assignment of a false diagnosis
Relay false client/patient or their own personal information.
Inappropriately share or distort information.
Attempt to treat out of the realm of expertise.
Do not consult with medical professionals.
Do not thoroughly collect background histories or complete assessments.
Provide inadequate safety or security of physical environment.
Recommend inappropriate or dangerous treatment protocol.
Medical Error Effects
Loss of trust  drop-out, relapse or symptom worsening
Loss of trust that accurate, complete information will be passed
Reversal or relapse of mental health and other physical conditions
Take incompatible medications due to a lack of communication by the patient’s various providers
Abuse medications or take inappropriate medications when multiple causes for emotional or physical pain are not considered
Lose important wraparound services due to poor team communication or lack of necessary paperwork
Lose family support if psychological and financial assistance is withdrawn or reduced through lack of follow-up with insurance or completed recommendations by any team member(s).

Effects cont…
Lose the ability to feel psychologically or physically safe.
Experience anxiety about new or particular environmental settings, and/or the introduction of new professionals, as well as treatment protocols when proper protocols are not followed/referrals made
Place themselves in unnecessary physical or emotional danger because of their inability to use sound judgment
Worsen existing or create new physical or mental health conditions
Experiencing trauma as a result of medical error can cause mental health clients to develop acute stress issues
Take unnecessary personal risks
Cause harm to self or others
In an integrated, comprehensive system of care, it is important to ensure appropriate and effective documentation
Medical errors can occur in many settings
A medical error causes or has the potential to cause physical, psychological, social or financial harm to a client
Medications can be both the solution and the cause of problems
Professionals must be aware of the signs of medical emergencies
A comprehensive risk management plan is essential to the prevention of medical errors
An effective root cause analysis examines the identifiable and preventable causes of problems
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