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Continuing Education

When clinics and hospitals need education on a specific topic, we have a number of existing programs to choose from. In addition, custom education program can be developed as needed.

Whether online (available 24/7/365) or on-site, our accredited courses are designed to meet your clinical and operational needs.


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Don't Leave Me Standing Here Alone: Making the Case for Peer Support 1.00 Online
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A recent study reports that one out of every three medical providers will experience an adverse patient safety event this year. When a mistake results in patient injury, members of the care team suffer physically and emotionally. Even a near miss may negatively affect the ability to function at full competence. Learn what you can do to help a colleague return to delivery of confident patient care, and to implement a peer support program where you work.
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Safeguarding Your Practice: Understanding the Final HIPAA-HITECH Rules 1.00 Online
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September 23, 2013, was the deadline when all hospitals, clinics, and practices must meet all requirements of the HIPAA Final Rule that January. The Department of Health and Human Services (HHS) initiates audits to ensure that everyone meets their HIPAA obligations. This self-directed online learning module has been designed to address the federal government's final rules on HIPAA privacy, security, and enforcement as well as the HITECH Act and the Breach Notification Rule.
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Managing Category II Fetal Heart Rate Patterns: A Standardized Approach 1.00 Online
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When this webinar was originally produced in 2013, obstetrical patient safety leader Steven L. Clark, MD had just designed an algorithm reflecting the synthesis of medical evidence and current scientific thought on interpreting  category II fetal heart rate tracings. Early in 2016, the American Journal of Obstetrics and Gynecology published a study substantiating that this algorithm has resulted in earlier delivery of infants with significant metabolic acidosis. 

In his webinar, Dr. Clark explains and demonstrates the algorithm.  Through examples of challenging fetal strips you will learn how to use this simple tool to make your best decisions and achieve compliance with the standard of care in managing these difficult deliveries.  
Specialty: Obstetrical providers and nurses

Informed Consent: More Than Just a Form 1.00 Online
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National data indicates that more than one-third of all malpractice claims and lawsuits allege a failure to obtain informed consent. The truth is patients are not as informed as physicians think. A recent study showed that actually only 40 percent of patients think the informed consent they signed reflects their actual understanding of the procedure and its risks and benefits. Informed consent is a process, not just a piece of paper, and good informed consent practices have measurable benefits. Patients have a better understanding of the procedures and/or treatments proposed, improved patient satisfaction, improved patient compliance, and better clinical outcomes. This one-hour webinar will help physicians better understand informed consent as a process and its importance to both themselves and their patients.
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Septic Stone Management: a True Urologic Emergency 1.00 Online
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A 50-year-old mother of three presents to her primary care physician with increasingly severe left flank pain. By the end of the day she will have gone to the emergency room with worsening symptoms, and although effective treatment is begun by the following morning, it is too late to prevent an extensive hospital stay and multiple amputations. How might this patient’s sepsis have been recognized earlier, with better coordination among the physicians involved?
 
The incidence of sepsis is dramatically increasing, with infection a major source of mortality in stone disease. In this 1-hour webinar course, Dr. Glenn Preminger, Chief of Urology at Duke University, gives you a short checklist to keep “hot stones” on your radar, introduces a treatment algorithm, and demonstrates efficient multi-disciplinary communication.
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HIPAA Maintenance: Daily Habits for the Health Care Team 1.00 Online
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The Health Insurance Portability and Accountability Act (HIPAA) became law in 1996. Two decades later, the HIPAA Privacy and Security Rules remain challenging for many practices. In 2012 the Office for Civil Rights (OCR) of the US Department of Health and Human Services (HHS) completed an audit of 61 hospitals and clinics and found that 98% had at least one security finding or observation, that 80% did not have a complete and accurate risk assessment, and that in general, smaller clinics (10-50 providers) had a more difficult time addressing the requirements than did larger entities. Why do practices still struggle? 
 
The cost and effort in complying with the HIPAA regulations surpasses any immediate visible and tangible result. Unfortunately, we tend to put off prevention in favor of production, where working harder and faster seems to produce “more” visible results. This self-study course will help you understand some of the legal and technology terms, and help guide you through the broad and complicated rules to developing a day-to-day privacy and security compliance program.
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VBAC Revisited: Avoiding the Swinging Pendulum 1.25 Online
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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.
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HIPAA Maintenance: Document Control and Quality Improvement 1.00 Online
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Medical records are the legal record of care. Billing and accounting records are the heart of the clinic’s finances. HIPAA’s documentation requirements similarly address the privacy and information-security aspect of the practice. As the first step toward implementing safeguards specified in HIPAA’s Security Rule, the Department of Health and Human Services requires organizations to conduct a risk analysis. But what does a risk analysis entail, and what do you absolutely have to include in your report?

This 1-hour, on-line self-study course will discuss:
  • the role of written information-security policies and procedures
  • how keeping your documentation under control helps you ensure the protection of Protected Health Information (PHI)
  • prepares you for audits and investigations
  • how quality improvement methods can help you with HIPAA compliance
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Transitioning Care in the Face of Painkiller Addiction or Abuse 1.00 Online
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“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 some of the resources included with this course may have been revised since the original publication in 2015 or may no longer be available.
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Risk Management Fundamentals: Strategies for Reducing Risk in Your Practice 1.50 Online
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Claims data, supported by national trends, reveal increasing liability associated with basic risk management issues in medical practice: pain management, electronic medical records, communication among providers, physician-patient communication, incomplete documentation, medical-legal issues relating to the informed-consent process, HIPAA compliance, medical identity theft, and the impact of social media. This one and a half hour course is intended to close the gap between best practice and common practice.
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No Perfect Answer: Partnering for a Shared Decision 1.00 Online
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Shared decision making and evidence-based medicine are both essential to quality health care, yet the interdependence between these two approaches is not generally appreciated. Doctors and patients should cooperate in a joint decision-making process that incorporates the doctor’s medical knowledge and the patient’s values and preferences. However, it is difficult for a physician to understand those values and preferences when the patient may not consciously understand them or be able to articulate them.
 
This is where the development of decision aids has helped. Resources such as booklets and videos demonstrate how a procedure is performed, what to expect during recovery, and how real people have adapted to prescribed treatments and procedures.
 
This one-hour course incorporates videos contrasting a patient visit using the traditional approach with the same visit using shared decision-making and decision aids. The course includes a dynamic presentation on the principles of shared decision-making by Dr. David Arterburn, a pioneer in research and use of decision aids.
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Causes and Consequences: Malpractice Issues in Radiology 1.00 Online
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In the ever-changing world of medicine, expectations are increasing, and tolerance for error is diminishing. Not surprisingly, failure to diagnose is the most common claim against radiologists— 14.83 claims per 100 person-years. Error traps need to be uncovered and highlighted: documentation concerns in electronic medical records, communication issues between providers, and calling unexpected findings. Additionally, how do we determine the relationship between practice guidelines and standards of care?

In this 1-hour webinar, Dr. Jeffrey Robinson will help radiologists better understand what types of errors are being made. He will also provide tools and technology strategies to help prioritize findings and improve documentation and communication between referring providers. The net effect, ultimately, is to provide better, safer care to patients.
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Empowering Patients: Tools for Effective Partnership and Behavior Change 1.00 Online
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“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

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''I'm Sorry'': The Benefits and Limitations of State Apology Laws (1 hour Monograph) 1.00 Online
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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.

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Operative Vaginal Delivery (OVD)-For nurses (1.0 contact hour Video) 1.00 Online
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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.

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Postpartum Hemorrhage: Part I-Prevention Strategies-Nursing Considerations (1.0 Contact hour - Monograph) 1.00 Online
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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.

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Second Stage Labor Management (1 hour Video) 1.00 Online
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Surgery Checklists and Patient Outcomes: For Nurses (1 contact hour Monograph) 1.00 Online
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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.

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AAOS Guidelines OA Knee: RM Review (1 credit Monograph) 1.00 Online
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In April 2013, the American Academy of Orthopedic Surgery (AAOS) issued revised guidelines on the treatment of osteoarthritis (OA) of the knee.

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Aortic Disease I: Diagnosing Aneurysm (1 credit Monograph) 1.00 Online
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Screening for aortic aneurysm is under-utilized. It lacks a high profile awareness campaign, colored ribbon or celebrity fund raiser.

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Aortic Disease II: Diagnosing Dissection (1 credit Monograph) 1.00 Online
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Aortic aneurysm may develop silently over many years, manifesting rarely but catastrophically as dissection or rupture with high mortality.

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APRNs and the Collaborative Practice Agreement: What Physicians Need to Know (1 credit Monograph) 1.00 Online
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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.

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Beyond Informed Consent (1.5 credit Video) 1.00 Online
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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.

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Clinical Practice Guidelines and the Standard of Care (1 credit Video) 1.00 Online
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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.

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Cognitive Debiasing Strategies - III (1 credit Video) 1.00 Online
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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.…

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CT Radiation Dosing: What the Ordering Practitioner Needs to Know (1 credit Video) 1.00 Online
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Powerful new CT technology has enabled life-saving medical advances.

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Diagnosis Error, Part 1: The Basics (1 credit, Monograph) 1.00 Online
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Diagnosis Error, Part 2: How Doctors Think - The Cognitive Origins of Diagnosis Error (1 credit, Monograph) 1.00 Online
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Diagnosis Error, Part 3: System-Related Factors (1 credit, Monograph) 1.00 Online
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Diagnosis Error, Part 4: Learning from Cases - Root Cause Analysis (1 credit, Monograph) 1.00 Online
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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.

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Diagnosis Error, Part 5: Interventions to Reduce - There's a Job for Everyone (1 credit, Monograph) 1.00 Online
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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. 

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Diagnosis Error, Part 6: Diagnosis and Health Information Technology (1 credit, Monograph) 1.00 Online
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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…

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Diagnostic Error and Claims: Reducing the Risk (1 credit Video) 1.00 Online
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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.

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Diagnostic Error and Dizziness (1 credit Video) 1.00 Online
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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.

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Diagnostic Error and Stroke (1 credit Video) 1.00 Online
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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. 

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Disclosure of Medical Error: A Physician RM Guide (1 credit Video) 1.00 Online
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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.

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E-Mail Between Physician and Patient (0.25 credit Monograph) 1.00 Online
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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.

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Early Recognition and Treatment of Severe Sepsis and Septic Shock: A New Paradigm (1 credit Video) 1.00 Online
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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.

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EFM Case Study #1: OP Malpresentation (1 hour Monograph) 1.00 Online
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EFM Case Study #2: EFM Triage (1 hour Monograph) 1.00 Online
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EFM Case Study #3: Standard Terms and Guidelines (1 hour Monograph) 1.00 Online
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EFM Case Study #4: Neonatal Encephalopathy (1 hour Monograph) 1.00 Online
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EFM Case Study #5: pH Implications (1 hour Monograph) 1.00 Online
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EFM Case Study #6: O2 Therapy (1 hour Monograph) 1.00 Online
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EFM-Advanced Lesson 1: Interpretation-Terms & Guidelines (1 credit Video) 1.00 Online
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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.

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EFM-Advanced Lesson 1: Interpretation-Terms & Guidelines (for Nurses) (1.0 contact hour video) 1.00 Online
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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.

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EFM-Advanced Lesson 2: Physiology & Pathophysiology (1 credit video) 1.00 Online
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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.

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EFM-Advanced Lesson 2: Physiology & Pathophysiology-For Nurses (1.0 contact hour Video) 1.00 Online
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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.

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EFM-Advanced Lesson 3: Interventions & Management (1 credit video) 1.00 Online
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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.

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EFM-Advanced Lesson 3: Interventions & Management-For Nurses (1.0 contact hour Video) 1.00 Online
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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.

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Emergency Medicine: Risk and Claims (1 credit Monograph) 1.00 Online
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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.

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EMTALA - What Physicians Need to Know (1 credit Monograph) 1.00 Online
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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.

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EMTALA: Regulation and Best Practices for Nurses (1 contact hour Video) 1.00 Online
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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.

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End of Life Communications: 2 Models 1.00 Online
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End of life conversations are difficult for the physician and are often avoided or postponed.

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Evaluation and Risk Stratification of Patients with Acute Chest Pain (1 credit Video) 1.00 Online
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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.

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General Surgery Claims and Case Study (1 credit Monograph) 1.00 Online
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On one occasion, a surgeon may make a technical error in the operating room but no claim of medical malpractice follows.

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GI Claims I: Informed Consent (1 credit Monograph) 1.00 Online
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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.
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GI Claims II: Deep Sedation (1 credit Monograph) 1.00 Online
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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.
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Labor Induction: New Guidelines (1 credit Video) 1.00 Online
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Managing Physician Stress, Preventing Burnout (1 credit Video) 1.00 Online
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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.
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NCC EFM Certification Review Course (15 hour Video) 15.00 Online
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Nursing Home Patients: Risk Management in Long Term Care (1 credit Video) 1.00 Online
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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.

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Operative Vaginal Delivery and Birth Trauma: A Case Study (1 credit Video) 1.00 Online
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Operative vaginal delivery has a definite time and place in obstetric practice and is associated with reduced maternal complications compared to cesarean section.

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Polypharmacy in the Elderly: Managing Multiple Medications in the Senior Population (1 credit Monograph) 1.00 Online
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The prevalence of many chronic conditions increases with age, and so do the number of medications prescribed to manage them. 

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Polypharmacy in the Elderly: What Nurses Should Know About Managing Multiple Medications in the Older Adult (1 contact hour Monograph) 1.00 Online
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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.

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Postpartum Hemorrhage Part I: Prevention Strategies (1 credit Monograph) 1.00 Online
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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.

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Progesterone Use for Preventing Preterm Births (1 credit Monograph) 1.00 Online
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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.

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Progesterone Use for Reducing Preterm Births for Nurses (1 contact hour Monograph) 1.00 Online
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An overview of the implications of and treatment for reducing premature births using progesterone.

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Risk and Claims in Cardiology (1 credit Monograph) 1.00 Online
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Cardiologists are increasingly finding themselves subject to scrutiny, investigation, audits and medical malpractice claims for cardiac procedures deemed unnecessary after the fact.

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Risk and Claims in Cardiovascular Thoracic Surgery (1 credit Monograph) 1.00 Online
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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. 

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Risk and Claims in Pediatrics: Case Study in Sepsis (1 credit Monograph) 1.00 Online
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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.

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Risk and Claims in Plastic Surgery II: Special Issues (1 credit Monograph) 1.00 Online
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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.

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Risk Issues in Dermatology: Diagnosing Melanoma (1 credit Monograph) 1.00 Online
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The National Cancer Institute estimates more than 76,000 new cases and 9,480 deaths due to melanoma in 2013.

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Risk Issues in General Ophthalmology: Retinal Tears (1 credit Monograph) 1.00 Online
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Conditions of the retina including retinal tears are the conditions most commonly associated with medical malpractice claims against general ophthalmologists.

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Shoulder Dystocia Part I: Identifying and Reducing the Risk (1 credit Monograph) 1.25 Online
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Shoulder Dystocia Part II: Maneuvers and Management (1.5 credit Monograph) 1.50 Online
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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.

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Surgical Checklists and Patient Outcomes: What's the Verdict? (1 credit Monograph) 1.00 Online
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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.

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Surgical Readmissions-What Surgeons Can and Can't Do About Them (1 credit Monograph) 1.00 Online
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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.

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Uterine Dystocia & Augmentation of Labor: New Guidelines (1 credit Video) 1.00 Online
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Who Heals The Healer? Improving Physician Health and Quality of Care (1 credit Video) 1.00 Online
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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.

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The Future is Now: How Physicians Can Thrive through the Transformation of Health Care Delivery 1.00 Online
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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!
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An Intraoperative Disaster: Responding to Adverse Outcomes in Anesthesiology 1.00 Online
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It was to have been a routine surgery to remove a ureteral stone from a patient in good overall health. Would you have known what to do in the face of the unexpected complications that developed?
 
The case discussed in this 1-hour webinar really happened, both in the operating room and in the courtroom. Anesthesiologist Eric Stoler draws on his experience reviewing malpractice claims to guide you through the dos and don’ts of responding to a bad outcome. From what to say to the patient and family, to resources for personal and professional support, this webinar gives you the key communication and documentation skills that can prevent a lawsuit or otherwise bolster your defense. You will leave the course feeling assured and empowered if an adverse outcome does occur.
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EFM Case Study #7: Levels of Care and Transport (1.0 hour Monograph) 1.00 Online
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Should The ED Handoff Be Standardized? An Evidence Based Approach (1 hour Monograph) 1.00 Online
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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
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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.
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Sports Concussion and Closed Head Injury: One Family's Diagnostic Journey (1 credit Video) 1.00 Online
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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.

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HIPAA Maintenance: Security Risk Assessment 1.00 Online
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Through its audit process, the Office for Civil Rights continues to find deficiencies in the way that medical practices handle HIPAA compliance programs. Theft or loss of unencrypted electronic systems and media containing protected health information is an ongoing problem. Cases continue to occur where patient records are left unprotected and where unauthorized access may be gained. Headlines of large penalties levied against health-care organizations for security breaches continue to populate the media.

The Department of Health and Human Services requires organizations to conduct a risk analysis as the first step toward implementing the safeguards specified in the HIPAA Security Rule and ultimately achieving HIPAA compliance.

What does a risk analysis entail, and what do you absolutely have to include in your report? This one-hour webinar will provide an overview of the scope and requirements of a security risk analysis, as well as resources to help you develop an organized, day-to-day security and privacy program.
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HEPATITIS C SCREENING, TESTING, AND REFERRAL: What the PCP Needs to Know Now (1 hour Monograph) 1.00 Online
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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.
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Ureteroscopic Surgery for Stones: How to Avoid or Manage Complications 1.25 Online
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You are beginning a ureteroscopy on a male patient with a 6mm impacted mid-ureteral calculus when unexpectedly, you encounter difficulty in gaining access proximal to the stone.  Do you know all of your options at this critical point?
 
 Access to the ureter, impacted stones, and careful follow up of complicated cases are paramount to resolving ureteral calculi and to preventing the loss of renal units. In this webinar, Dr. Gerhard Fuchs, an internationally recognized expert in the treatment of stone disease, reviews his safe and proven techniques in the treatment of renal and ureteral calculi.  Through illustrations and case examples he discusses safe access to the ureter, how to negotiate impacted stones, treatment of renal pathology, and how to manage complications when they occur.
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EFM Case Study Series #8: Preterm Labor (1 hour Monograph) 1.00 Online
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Intimate Partner Violence/Domestic Violence (2 credit Monograph) 2.00 Online
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HIPAA Maintenance: Responding to a Breach 1.00 Online
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In our electronic world, breaches of PHI are inevitable, and the natural reaction is one of panic and uncertainty. Organizing and implementing breach notifications is stressful, burdensome, and expensive, and a breach may only be the presenting problem for more fundamental security issues. HIPAA’s Breach Notification Rule provides guidance by mapping out a plan of action.
 
Health-care organizations need to implement reasonable and appropriate safeguards that meet the practice’s environment and patient population. Use of the HIPAA Security Rule will put in place clear procedures to prevent, detect, contain, and correct security violations. This one-hour webinar will help bridge the gap between knowledge and implementation.
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Building a Workplace Violence Program: An Introduction 1.00 Online
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The statistics are alarming:
  • Almost 75% of all workplace assaults between 2011 and 2013 happened in health care settings;
  • 80% of emergency medical workers will experience violence during their careers;
  • 78% of emergency department physicians nationwide report being the target of workplace violence in the past year;
  • 100% of emergency department nurses report verbal assault, and 82.1% report physical assault during the last year;
  • 40% of psychiatrists report physical assault;
  • The rate of workplace violence among psychiatric aides is 69 times higher than the national rate of workplace violence;
  • 61% of home health-care workers report violence annually; and
  • Family physicians are also at high risk, although limited data exist in the outpatient setting.
Health care providers and staff in hospitals, nursing homes, and other health care settings face significant risks of workplace violence, which can refer to any physical or verbal assault toward a person in a work environment. Violence in health care facilities takes many forms and has different origins, such as verbal threats or physical attacks by patients, gang violence in an emergency department (ED), and a distraught family member who may be abusive or even become an active shooter, a domestic dispute that spills over into the workplace, coworker bullying, and much more.
 
Workplace violence comes with a high cost. First and foremost, it harms workers—often both physically and emotionally—and makes it more difficult for them to do their jobs. Employers also bear several costs. A single serious injury can lead to workers’ compensation losses of thousands of dollars, along with thousands of dollars in additional costs for overtime, temporary staffing, or recruiting and training a replacement. Even if a worker does not have to miss work, violence can still lead to hidden costs, such as higher turnover and deterioration of productivity and morale.
 
This one-hour webinar will help define workplace violence, the risk factors specific to health care, and strategies you can develop to deal with them.


 Occupational Safety and Health Administration, Preventing Workplace Violence: A Road Map for Healthcare Facilities, U.S. Dept. of Labor, December 1, 2015, accessed May 25, 2016, www.osha.gov/Publications/OSHA3827.pdf.
 
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Anesthesia Handoff Communications (1 hour Monograph) 1.00 Online
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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. 

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EFM Case Study #9: Verbal Communication (1 hour Monograph) 1.00 Online
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Case Report: Ethics of Informed Consent (1 hour Monograph) 1.00 Online
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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.

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EHR Evolution: Improving Systems, Improving Care 1.00 Online
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Electronic data has the ability to detect and manage errors and help providers learn from potential safety events. In this 1-hour webinar, see how one organization implemented strategies to use clinical decision support tools to provide the latest information about drugs and drug interactions, cross-referencing patient medication allergies; how they use computerized physician order entry systems to streamline the order entry process that provides staff with complete, legible orders; how they use health information exchanges to access current patient information where and when it is needed; and how they use their EHR data to reduce health care costs by reducing the performance of redundant tests because the information can be shared among other providers.
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HIPAA Update: Release of Information 1.00 Online
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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).
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Prostate Cancer: Screening, Biopsy, and Management 1.25 Online
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When it comes to screening and diagnosis of prostate cancer, we’re still in the “Good, the Bad, and the Ugly” of the wild west. The good is that 50% fewer men are dying of prostate cancer. The bad is that we face a pandemic of over-diagnosis and over-treatment. And the ugly? Unfounded screening and treatment patterns promoted within urology, primary care, and even the U.S. Preventive Services Task Force.
 
In this 1.25-hour webinar, Dr. Scott Eggener walks you through the landscape of PSA, pointing out the components of smart screening that will minimize over-detection. He demonstrates best practice related to novel bio markers through case examples, including what you need to discuss with your newly-diagnosed patients. Finally, he reviews medico-legal considerations and strategies for active surveillance that encompass transition to inactive surveillance. The webinar concludes with a short Q & A that highlights important issues, featuring Dr. Ernest Sussman, Vice President of Risk Management at SCRUBS Risk Retention Group.
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Coping with the Realities of Dental Injuries 1.00 Online
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Many anesthesiologists aren't familiar identifying problems with teeth, surrounding tissues, and intraoral prostheses, and documentation of the exam or injury, when it occurs, is often not included in the EMR. Anesthesiologists need to recognize problems with patient dentition; teeth, surrounding tissues, and intraoral prostheses. They also need to better advise patients, preoperatively, about the risks of dental trauma and employ strategies to reduce the risk of dental injuries to patients.
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Risk Management Fundamentals: Strategies for Reducing Risk in Your Practice 2.00 Print/DVD
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Claims data, supported by national trends, reveal increasing liability associated with basic risk management issues in medical practice: pain management, electronic medical records, communication among providers, physician-patient communication, incomplete documentation, medical-legal issues relating to the informed-consent process, HIPAA compliance, medical identity theft, and the impact of social media. This two-hour printed self-study course is intended to close the gap between best practice and common practice.
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