COURSE DIRECTORS
Shiloh J. Danley APRN, C.N.P., D.N.P., M.S.N. and Benjamin L. Stix, M.D.

DESCRIPTION
In this monthly series, a multidisciplinary team of presenters review an assigned case, and present a systematic analysis of what factors contributed to the adverse/undesired patient outcome. Literature review and data is then presented to discuss what changes could prevent medical errors and system breakdowns in the future. Finally, attendees collaborate and propose practice changes for future implementation.
 
TARGET AUDIENCE
This course is intended primarily for allied health professionals, nurses, nurse practitioners, pharmacists, physicians, physician assistants, and residents/fellows. 

LEARNING OBJECTIVES
Upon completion of this activity, participants should be able to:

• Explain how systems/process failures/cognitive failures can result in undesired medical outcomes.
• Explain how to implement system-based changes that reduce the incidence of undesired medical outcomes.

Accreditation Statement
In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

CREDIT STATEMENT(S)
AMA
Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAPA

Mayo Clinic College of Medicine and Science has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.00 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

ACPE

Mayo Clinic College of Medicine and Science designates this educational activity for a maximum of 1.00 knowledge-based contact hours. Participants should only claim credit commensurate with the extent of their participation in the activity.

UAN:  JA0000238-0000-24-059-L05-P

ANCC
Mayo Clinic College of Medicine and Science designates this activity for a maximum of 1.00 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

DISCLOSURE SUMMARY
As a provider accredited by Joint Accreditation for Interprofessional Continuing Education, Mayo Clinic College of Medicine and Science must ensure balance, independence, objectivity and scientific rigor in its educational activities.  All who are in a position to control the content are required to disclose all financial relationships with any ineligible company.   Faculty will also identify any off-label and/or investigational use of pharmaceuticals or instruments discussed in their content for FDA compliance.

Listed below are individuals with control of the content of this program who have disclosed...

Relevant financial relationship(s) with ineligible companies:
Ayan Sen M.D. - Intellectual Property - Xsensio SA, Securisyn Medical, LLC, Skysong Innovations, LLC (fka Arizona Technology Enterprises LLC (AzTE))

All relevant financial relationships have been mitigated.

No relevant financial relationship(s) with ineligible companies:
Adrijana K. Anderson, P.A.-C.
Stephanie A. Blakeman, R.N.
Shiloh J. Danley APRN, C.N.P., D.N.P., M.S.N.
John A. Fanous, M.B.B.S.
Brigid A. Kiley, M.S., R.N. 
Alicia J. Sacco, Pharm.D., R.Ph. BCCCP
Benjamin L. Stix, M.D.
Monica M. Klemp (Coordinator)

References to off-label usage(s) of pharmaceuticals or instruments in their presentation:
None

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s), please go here.

ATTENDANCE / CREDIT
Text the session code (provided only at the session) to 507-200-3010 within 48 hours of the live presentation to record attendance. All learners are encouraged to text attendance regardless of credit needs. This number is only used for receiving text messages related to tracking attendance. Additional tasks to obtain credit may be required based on the specific activity requirements and will be announced accordingly. Swiping your badge will not provide credit; that process is only applicable to meet GME requirements for Residents & Fellows.

TRANSCRIPT
Any credit or attendance awarded will appear on your Transcript.

QUESTIONS?
Contact Monica Klemp