Family-Centered Care (FCC) and Patient Safety Thursday, June 21, 2007 12:00 – 1:00 p.m. EDT. Moderator: Erin R. Stucky, MD, FAAP Pediatric Hospitalist Children’s Specialists of San Diego Rady Children’s Hospital San Diego, California.
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Erin R. Stucky, MD, FAAP
Children’s Specialists of San Diego
Rady Children’s Hospital
San Diego, California
The AAP CME program aims to develop, maintain, and increase the competency, skills, and professional performance of pediatric healthcare professionals by providing high quality, relevant, accessible and cost-effective educational experiences. The AAP CME program provides activities to meet the participants’ identified education needs and to support their lifelong learning towards a goal of improving care for children and families (AAP CME Program Mission Statement, August 2004).
The AAP recognizes that there are a variety of financial relationships between individuals and commercial interests that require review to identify possible conflicts of interest in a CME activity. The “AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities” is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities by identifying and resolving all potential conflicts of interest prior to the confirmation of service of those in a position to influence and/or control CME content. The AAP has taken steps to resolve any potential conflicts of interest.
All AAP CME activities will strictly adhere to the 2004 Updated Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support: Standards to Ensure the Independence of CME Activities. In accordance with these Standards, the following decisions will be made free of the control of a commercial interest: identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content, selection of educational methods, and evaluation of the CME activity.
The purpose of this policy is to ensure all potential conflicts of interest are identified and mechanisms to resolve them prior to the CME activity are implemented in ways that are consistent with the public good. The AAP is committed to providing learners with commercially unbiased CME activities.
The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AAP designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This activity is acceptable for up to 1.0 AAP credit. This credit can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Fellows of the American Academy of Pediatrics.
This webinar is approved by the National Association of Pediatric Nurse Practitioners (NAPNAP) for 1.2 NAPNAP contact hours of which 0.0 contain pharmacology (Rx) content. The AAP is designated as Agency #17. Upon completion of the program, each participant desiring NAPNAP contact hours should send a completed certificate of attendance, along with the required recording fee ($10 for NAPNAP members, $15 for nonmembers), to the NAPNAP National Office at 20 Brace Road, Suite 200, Cherry Hill, NJ 08034-2633.
The American Academy of Physician Assistants accepts AMA PRA Category 1 Credit(s)TM from organizations accredited by the ACCME .
Upon completion of this activity, you will be able to:
Steven E. Krug, MD, FAAP the Physicians’ Foundation for Health Systems Excellence.
Head, Division of Emergency Medicine, Children’s Memorial Hospital
Professor of Pediatrics, Northwesten University Feinberg School of Medicine
John M. Neff, MD, FAAP the Physicians’ Foundation for Health Systems Excellence.
Professor of Pediatrics
Director, Center for Children with Special Health Care Needs
University of Washington/Children’s Hospital & Regional Medical Ctr.
American Academy of Pediatrics
Safer Health Care for Kids Webinar
June 21, 2007
Steven E. Krug, MD
Chair, AAP Committee on Pediatric Emergency Medicine
Professor of Pediatrics, Northwestern University Feinberg School of Medicine
Head, Division of Emergency Medicine, Children’s Memorial Hospital
Source: Kizer KW. Patient safety: a call to action. A consensus statement from
the National Quality Forum. Medscape General Medicine 2001; 3:1-11.
Source: American College of Emergency Physicians. Patient safety in the emergency
department environment report, 2001. Available at: http://www.acep.org.
Source: Institute of Medicine. Crossing the quality chasm: a new health system
for the 21st century. Washington, DC: National Academies Press, 2001.
Source: Institute of Medicine. Emergency care for children: growing pains,
Washington, DC: National Academies Press, 2006.
#1 - Be an active member of your child’s health team
Source: Agency for Healthcare Research and Quality. 20 Tips to Help Prevent
Medical Errors in Children. Patient Fact Sheet. AHRQ Publication No. 02-P034,
2002. Rockville, MD. Available at: www.ahrq.gov/consumer/20tipkid.htm
Source: Institute for Family Centered Care. Core principles of family-centered
heath care. Advances in Family Centered Care 1998; 4:2-4.
Source: Emergency Nurses Association. Assessment of family-centered care
in the emergency department. 2001. Available at: http://www.ena.org.
Source: AAP Committee on Pediatric Emergency Medicine & ACEP Pediatric Committee.
Patient and family centered care and the role of the emergency physician providing care to
a child in the emergency department. Pediatrics 2006; 118:2242-4.
Source: Eppich WJ, Arnold LD. Family member presence in the pediatric
emergency department. Current Opinion in Pediatrics 2003; 15:294-8.
(1) Emergency Medical Services for Children. Guidelines for
providing family-centered care. 2000.
Source: Guzzetta CE, Clark AP, Wright JL. Family presence in emergency medical
services for children. Clinical Pediatric Emergency Medicine 2006; 7:15-24.
Source: Reason JT. Human Error. Cambridge University Press, 1990
Source: AAP Committee on Pediatric Workforce. Ensuring culturally effective pediatric
care: implications for education and health policy. Pediatrics 2004; 114:1677-85.
Performance of a Lifetime
Source: Institute of Medicine. Health literacy: a prescription to end confusion.
Washington, DC: National Academies Press, 2004
Source: Pratt SL, Davis LM, Hunter J. Family centered care for children in the
Hospital. Cochrane Database of Systematic Reviews, 2007.
Source: Muething SE, Kotagal UR, et al. Family-centered bedside rounds: a new
approach to patient care and teaching. Pediatrics 2007; 119:829-32.
Safer Health Care for Kids
John Neff MD
Center for Children with Special Needs
Children’s Hospital and Regional Medical Center
Gain an Understanding of the:
Practitioners Role is to Coordinate Appropriate Professional Guidance Family Centered Care Understand Specific Safety Concerns and Guidelines for the Child Obtain Input from Child’s Specialty Providers
Those children who have or are at an increased risk for a chronic
physical, developmental, behavioral
or emotional condition and who require health and related services of a type or amount beyond that required by children generally
Parents and their primary care providers in the medical home will know the child better than the hospital team
Primary care providers can help by empowering both parents to be advocates for their child and by informing the hospital team that the families are knowledgeable
about their child’s needs
Parents can work out with their medical home providers to develop a care note book with specific items that will make a hospital experience safer (preferably electronic format)
Parents can bring this care note book to the hospital and be sure that the admitting physicians see it, are familiar with the child and incorporate the material into hospital records and orders.
Parents can serve as helpful monitors on the care the child is receiving in the hospital
(Use Check List for Guidance)
Family-Centered Care (FCC) and Patient Safety
June 21, 2007