Catalog Number : ncd1425
Title : The Impact of Disruptive Behavior on Patient Safety: What Hospitals Need to Know about the New Joint Commission Standards
Speaker : Sue Dill

Webplay Recording Date : 2-10-2010
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

This program will cover the Joint Commission Sentinel Event Alert on Disruptive Behavior. It will also cover the disruptive behavior standard that is found in the leadership chapter. This standard becomes effective on January 1, 2009 and hospitals and medical staffs continue to wrestle with implementation and compliance. This program will discuss what is needed to help comply with this standard including how to draft up a code of conduct, policies and procedure, develop a process for reporting and acting on disruptive behavior and education of staff and physicians.

The Joint Commission Standard on disruptive behavior will help hospitals understand the effects that disruptive behavior have on patient safety. These behaviors can be displayed by any health care employee including: management, clinical/administrative staff, volunteers, licensed independent practitioners, medical staff and governing body members. In addition, there are various categories, such as: verbal or non-verbal, the use of rude language, threatening manners, or even physical abuse. With this in mind, it is imperative that health care leaders be prepared to address such disruptive behavior at any level. Hospitals will be provided tips to implement a code of conduct and tips to implementing a process such as having a special incident report.

This program will also contain the March 2009 American Medical Association (AMA) guidance in developing a code of conduct in the medical staff bylaws. The AMA has issued a model code of conduct and a new definition of disruptive behavior. In this audio conference, Sue Dill Calloway, RN, BSN, JD will help hospital leaders to create a process and structure to allow a culture of quality and safety to flourish.

Target Audience:

• CEOs
• Board Members
• Hospital Administrators and Senior Leadership Staff
• Chief Medical Officers
• Chief Nursing Officer
• Medical Staff
• Medical Staff Coordinators
• Risk Managers
• Compliance Officers
• Joint Commission Coordinators
• Executive Leadership
• Nurses
• Nurse Managers
• Nurse Educators
• Human Resource Directors
• In-house Legal Counsel Hospital Policy Makers

Webinar Objectives:

• Recall that the Joint Commission has issued a Sentinel Event Alert on disruptive behavior
• Discuss the ten elements of performance for the Joint Commission Standard for disruptive behavior
• Develop a hospital specific definition of disruptive behavior and recall the American Medical Association definition’s
• Explain effects that undesirable behavior can have on healthcare
• Discuss strategies leaders should initiate to address issues of disruptive behavior at any level

A few of the topics that will be covered:

• Introduction
• TJC Sentinel Event Alert on Disruptive Behavior
• New numbering system and 2009 manuals
• The Joint Commission’s standard for disruptive behavior
• How to define disruptive behavior in your hospital
• LD.03.01.01 standard
  • Identify, create, maintain, and ensure a culture of safety
  • Rationale and focus on excellent performance
  • Code of conduct
  • Managing disruptive and inappropriate behavior
  • Education, evaluation, and quality initiatives
  • Open discussion of safety and quality
  • The team approach
  • Literature and advisories
• The effects of disruptive behavior on quality and patient safety
  • Staff intimidation
  • Medical errors
  • Patient safety
  • Turn over What constitutes as disruptive behavior and techniques to manage specific cases
  • Drafting a desirable code of conduct policy for your facility
  • How to establish a fair hearing process
  • American Medical Association (AMA) tips and recommendations
  • Legal and risk management issues
• Getting to the root cause of disruptive behavior among medical staff
• TJC Sentinel Event Alert on Disruptive Behavior
• Q&A

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.