Things to Consider
Protections for your peer support program
Peer support bylaws TOOL
The University of Illinois has included language into their bylaws for protection. Download the bylaws
Peer support in most organizations is not protected. Check your state law and legal counsel regarding confidentiality of provider support after adverse events.
An example of a board resolution from Experix to have peer support be put under the quality improvement umbrella in an ambulatory setting. Read the resolution
Improving patient safety: The intersection of safety culture, clinician and staff support, and patient safety organizations RESEARCH TOOL
This white paper released in September 2015 from the Center for Patient Safety discusses opportunities to implement and integrate Clinician Support Intervention Programs through PSO participation. Read the white paper
Page 9 Exhibit 1 includes an example of the University of North Carolina Medical Center policy.
Connecting your support program to other initiatives
The National Patient Safety Foundation encourages organizations to adopt the recommendations of this report to bring them to the next level, that of root cause analysis and action, RCA2, to prevent future harm. Read the report
Consider connecting peer support with other programs, for example a Communication Resolution Program (CRP).
MACRMI has a program called CARe (Communication Apology and Resolution) that combines patients needs as well as the needs of the staff.
The Collaborative offers education and hands-on support to establish communication and resolution programs to respond to unintended harm events. Learn more
Supporting clinicians immediately after an event TOOL
These videos show the impact of support for clinicians prior to communication following an adverse event or medical error.
It’s important to provide support to the clinician prior to initial communication with the patient and family about what may have happened.
This article describes potential sources of harm to patient safety professionals, including critical incident stress, emotional labor, abusive supervision, and competing loyalties/duties. Read the article
Tools for ambulatory settings
Supporting clinicians after adverse events: Development of a clinician peer support program RESEARCH
This article describes the steps necessary to create a successful peer support program focused on physicians and mid-level providers. Read the article
A checklist for office practice managers after an adverse event from Washington University School of Medicine. Download the checklist
It's important to have practice managers think differently about how to approach event analysis.
Event debriefing basics after a patient safety event from Washington University School of Medicine. Learn more
A pocket card with basic principles and guidelines from the Washington University School of Medicine. Download the pocket card
A pocket card with information to remember about offering peer support and documenting interactions from Physicians Insurance. Download the pocket card