🔷 Overview

Disclosing an adverse event to a patient, or their family, is often difficult for a caregiver. However, when it comes to a healthcare-associated adverse event, the difficulty increases. This training reviews the fundamentals, providing concrete tools to better prepare, organize, and of course, communicate more effectively.

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🔷 Description

Pre-requisites:

• Be a healthcare system professional

Duration:

• 1 hour independently
• 1 hour in a group (videoconference debriefing)

HAS certification criteria:‍

• Criterion 3.1-04: The hospital promotes a culture of reporting adverse events, including near misses.
• Criterion 3.2-04: The hospital trains its professionals in risk management using healthcare simulation tools.

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🔷 Strengths

• Providing concrete tools (SPIKES and CANDOR) to better communicate in situations involving the disclosure of harm associated with care
• Filmed interview with Anne Rocher, coach and clinical psychologist.
• Mixed format, combining video immersion, individual reflection and collective debriefing.
• This training can be carried out following the training course « Crisis management in medicine/surgery department » (P04) for a more global immersion.

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🔷 Program

PART 1: autonomous, asynchronous

• ‍Introduction totraining

• Pre-test (positioning test)‍

• ‍‍Video simulation‍
  
  • Immersive video-simulation of an adverse event related to care. The immersion follows a team of two nurses, an orderly and a doctor, who have to tell the family of a patient about an adverse event: the patient has been the victim of a medication error, and has had to be transferred to intensive care.
  • Filmed interview: synthesis, situation analysis, focus on the SPIKES method to structure the interview with the family.

• ‍Summary of key points to remember‍
  
  • Identify each person's role during the announcement of a healthcare-associated injury.
  • Acquire a second practical tool for structuring your discourse in the event of an announcement of damage associated with care (CANDOR method).
  • Identify the key elements for a benevolent and constructive hot debriefing.
  • Concrete video example of hot debriefing in sports to decontextualize.

• ‍Post-test (measuring progress and validating skills) & Action plan

• ‍Training assessment

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PART 2: collective, videoconference debriefing

• ‍Video-simulation debriefing with a teamwork expert‍
  
  • Identify discrepancies between professional practice and best practices for improved communication.
  • Identify individual and team areas for improvement.
  • Establish an individual and collective action plan to strengthen teamwork.