Adverse Outcome Template
OVERVIEW
- template for answering on ‘adverse outcome’ questions in the FCICM exam
TEMPLATE
e.g. Complication of an intervention, inappropriate staff action
Recognise clinical (especially critical) and administrative components early.
Clinical management of any patient deterioration takes priority –
- Resuscitation, if required
- Prevention of further harm; e.g. cease infusion
- Manage effects of complication; e.g.pneumothorax, anaphylaxis
Administrative actions follow
- Patient and / or relatives – acknowledgement & (no fault) apology, open disclosure (explanation), arrange to follow up, provide support
- Staff – information gathering (discuss event with all parties), consider need to inform dept director, hospital management, medical defence organisation, consider need to stand down member of staff pro tempe, offer support
- Department – opportunity for Quality Improvement and education, M&M
- Documentation
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC