Discipline Specific

To obtain a 5% renewal discount (up to $1,500), please complete a total of 6 credit hours through courses offered below:

Obstetrics
Surgery
General Practice
Patient Safty Series
Core Content

Obstetrics

Obstetrics Bundle #1
6 CME Credits (AAFP, ACOG) List Price: $160.00
MPM Price $126.00 Begin

Course	Credits
Managing Shoulder Dystocia	2.00
*Managing Shoulder Dystocia* highlights various aspects of shoulder dystocia and its management, providing illustrations and explanations of the maneuvers used to resolve shoulder dystocia. The interactive program introduces a team-based approach to shoulder dystocia management, based on principles developed over the years in other high-risk environments such as the airline industry where teamwork and procedure have been found to be critical to a good outcome
Operative Vaginal Delivery	2.00
Operative Vaginal Delivery should be a part of every obstetric practitioners toolkit. This course explains not only the proper performance of operative vaginal delivery techniques, but also the correct situations in which they may be considered. Section 1 is detailed explanation of the ACOG guidelines for operative vaginal delivery and the underlying mechanics of birth that make those guidelines necessary. The other 3 sections focus on the individual procedures: vacuum-assisted delivery, forceps-assisted delivery, and episiotomy, with detailed animations and illustrations to reinforce proper techniques.
Using Systems Theory to Prevent Errors & Injuries in Health Care	2.00
Part of APS's Patient Safety Series, Using Systems Theory to Prevent Errors and Injuries in Health Care looks at ways to better design systems to reduce the incidence of medical error. The course introduces human factors principles and shows ways they can be used to create systems that reduce error. Proper application of human factors can eliminate the need for caregivers to rely on weak cognitive functions, such as memory and attention to detail, thus significantly reducing both latent errors and active failures in care systems.

Obstetrics Bundle #2
6 CME Credits (AAFP, ACOG) List Price: $160.00
MPM Price $126.00 Begin

Course	Credits
Post Partum Hemorrhage	4.00
Postpartum Hemorrhage provides tools, guidelines, and approaches for managing postpartum hemorrhage. This includes how to recognize abnormal bleeding and quantify blood loss, identifying common risk factors for post-partum hemorrhage, and outlining what early interventions clinicians should take in response to postpartum hemorrhage, including pharmaceutical, surgical, and blood component therapy.
SBAR+R Structuring Communications in Healthcare	2.00
How we as health care workers obtain, organize, and relay information impacts our capability to provide safe, comprehensive care for our patients. Very few industries have such a dependence upon clear and accurate communication. Those that do, such as the airlines, NASA, and the nuclear power industry, long ago adopted strategies to safeguard against the potential for tragic mistakes due to faulty communication. In this course, you will learn about one of these strategies: structured communication using the SBAR+R method. Learning and using SBAR+R will help you avoid unnecessary errors by enhancing the effective transmission of timely and vital information among you and every member of your health care team.

Advanced Fetal Assessment and Monitoring (7courses)
12 CME Credits (AAFP, ACOG) MPM Price $250.00 Begin

Advanced Fetal Assessment and Monitoring builds a framework for using the fetal heart rate pattern to determine the proper intervention in a given clinical situation. Instead of reacting immediately to nonreassuring patternsthe see a pattern, interact modelthe learner is taught to place the pattern within the context of the clinical situation to determine the cause and consequences of the oxygenation issue reflected in the nonreassuring strip. With this information, the proper intervention can more easily be identified.

Contains:

EFM Module 1: Maternal Fetal Physiology and Acid-Base Assessment (2008 NICHD Terms)
EFM Module 2: Electronic Instrumentation (2008 NICHD Terms)
EFM Module 3: Management of Uterine Activity and Labor (2008 NICHD Terms)
EFM Module 4: Pattern Definition and Nomenclature (2008 NICHD Terms)
EFM Module 5: Interventions and Ancillary Assessment (2008 NICHD Terms)
EFM Module 6: Neonatal Encephalopathy (2008 NICHD Terms)
EFM Module 7: Risk Management (2008 NICHD Terms)

Managing Shoulder Dystocia
2 CME Credits (AAFP, ACOG) List Price: $60.00
MPM Price $50.00 Begin

Managing Shoulder Dystocia highlights various aspects of shoulder dystocia and its management, providing illustrations and explanations of the maneuvers used to resolve shoulder dystocia. The interactive program introduces a team-based approach to shoulder dystocia management, based on principles developed over the years in other high-risk environments such as the airline industry where teamwork and procedure have been found to be critical to a good outcome.

Operative Vaginal Delivery
2 CME Credits (ACOG) List Price: $60.00
MPM Price $50.00 Begin

Operative vaginal delivery should be a part of every obstetric practitioners toolkit. This course explains not only the proper performance of operative vaginal delivery techniques, but also the correct situations in which they may be considered. Section 1 is detailed explanation of the ACOG guidelines for operative vaginal delivery and the underlying mechanics of birth that make those guidelines necessary. The other 3 sections focus on the individual procedures: vacuum-assisted delivery, forceps-assisted delivery, and episiotomy, with detailed animations and illustrations to reinforce proper techniques.

Postpartum Hemorrhage
4 CME Credits (AAFP, ACOG) List Price: $120.00
MPM Price $100.00 Begin

Postpartum Hemorrhage provides tools, guidelines, and approaches for managing postpartum hemorrhage. This includes how to recognize abnormal bleeding and quantify blood loss, identifying common risk factors for post-partum hemorrhage, and outlining what early interventions clinicians should take in response to postpartum hemorrhage, including pharmaceutical, surgical, and blood component therapy.

Surgery

Surgery Bundle #1
6 CME Credits List Price: $225.00
MPM Price $126.00 Begin

Course	Credits
Bariatric surgery	2.00
Because it is one of the fastest growing surgical practices in the United States, bariatric surgery is one of the fastest growing areas of liability claims for surgeons and facilities that provide such surgery. The growth in bariatric surgery and the relative newness of the most common procedures - laparoscopic adjustable gastric banding has only been available in the United States since 2001 - has made it difficult for experienced providers to keep up with the demand for surgery. As a result, more and more procedures are being performed by providers who do not meet the best practice recommendations for credentialing bariatric surgeon, or in facilities that cannot meet the special needs of bariatric patients. This course addresses common questions and issues surrounding bariatric surgery from both a clinical and a risk reduction perspective.
Using Systems Theory to Prevent Errors & Injuries in Health Care	2.00
Part of APS's Patient Safety Series, Using Systems Theory to Prevent Errors and Injuries in Health Care looks at ways to better design systems to reduce the incidence of medical error. The course introduces human factors principles and shows ways they can be used to create systems that reduce error. Proper application of human factors can eliminate the need for caregivers to rely on weak cognitive functions, such as memory and attention to detail, thus significantly reducing both latent errors and active failures in care systems.
SBAR+R Structuring Communications in Healthcare	2.00
How we as health care workers obtain, organize, and relay information impacts our capability to provide safe, comprehensive care for our patients. Very few industries have such a dependence upon clear and accurate communication. Those that do, such as the airlines, NASA, and the nuclear power industry, long ago adopted strategies to safeguard against the potential for tragic mistakes due to faulty communication. In this course, you will learn about one of these strategies: structured communication using the SBAR+R method. Learning and using SBAR+R will help you avoid unnecessary errors by enhancing the effective transmission of timely and vital information among you and every member of your health care team.

Bariatric surgery
2 CME Credits List Price: $145.00
MPM Price $50.00 Begin

Because it is one of the fastest growing surgical practices in the United States, bariatric surgery is one of the fastest growing areas of liability claims for surgeons and facilities that provide such surgery. The growth in bariatric surgery and the relative newness of the most common procedures - laparoscopic adjustable gastric banding has only been available in the United States since 2001 - has made it difficult for experienced providers to keep up with the demand for surgery. As a result, more and more procedures are being performed by providers who do not meet the best practice recommendations for credentialing bariatric surgeon, or in facilities that cannot meet the special needs of bariatric patients. This course addresses common questions and issues surrounding bariatric surgery from both a clinical and a risk reduction perspective.

General Practice

General Practice Bundle #1
6 CME Credits List Price: $160.00
MPM Price $126.00 Begin

Course	Credits
Safe Prescribing Practices	2.00
The modern pharmacopeia of drugs offers near miraculous benefits to many patients. Chief among the pillars of the development of western medicine are clinical pharmacologic achievements, the power of which makes them potentially dangerous. To err in the prescribing or administration of drugs is to flirt with disaster. Medication errors often result from illegible handwriting, calculation errors, mistakes in dosing or frequency of administration, look-alike and sound-alike drug names, use of ambiguous abbreviations or symbols, and miscommunication among health professionals. Most of these mistakes are preventable. This course examines some of the more common causes of prescribing errors and offers many proven approaches for reducing the harm to patients that often results from them.
Safe Prescribing Environments	2.00
The modern pharmacopeia of drugs is an integral part of medical practice but also a potentially dangerous one. Health care providers must be aware of the potential to inadvertently cause harm to a patient when prescribing and administering medications. Error-prevention strategies too often focus entirely on the individual's role when an error occurs. The person administering a medication may indeed have done something wrong, but more often the medication error was at the end of a chain of events that began with the system. Practices and institutions can reduce the likelihood that health care providers at the end of the chain will make medication errors by identifying and eliminating environmental causes that set up the individual to fail. This course examines ways in which unsafe systems affect the ability of clinicians to safely administer medications. At the same time, it offers proven approaches for creating safe environments that lead to a reduction in medication errors.
Using Systems Theory to Prevent Errors & Injuries in Health Care	2.00
Part of APS's Patient Safety Series, Using Systems Theory to Prevent Errors and Injuries in Health Care looks at ways to better design systems to reduce the incidence of medical error. The course introduces human factors principles and shows ways they can be used to create systems that reduce error. Proper application of human factors can eliminate the need for caregivers to rely on weak cognitive functions, such as memory and attention to detail, thus significantly reducing both latent errors and active failures in care systems.

General Practice Bundle #2
6 CME Credits List Price: $220.00
MPM Price $126.00 Begin

Course	Credits
Chronic Pain Assessment: Treatment and Risk Management	2.00
Too often pain is undertreated, partly due to fear patients will abuse their medications. This is a valid fear, but should not get in the way of providing necessary pain relief. This course uses a learner-directed design to discuss clear and simple approaches to pain management and shows how readily available tools can help reduce the risk of medication abuse. The Practicum section allows the learner to apply this information in a clinical setting and generates a unique tutoring path based on the learners performance.
Using Systems Theory to Prevent Errors & Injuries in Health Care	2.00
Part of APS's Patient Safety Series, Using Systems Theory to Prevent Errors and Injuries in Health Care looks at ways to better design systems to reduce the incidence of medical error. The course introduces human factors principles and shows ways they can be used to create systems that reduce error. Proper application of human factors can eliminate the need for caregivers to rely on weak cognitive functions, such as memory and attention to detail, thus significantly reducing both latent errors and active failures in care systems.
Safe Prescribing Practices	2.00
The modern pharmacopeia of drugs offers near miraculous benefits to many patients. Chief among the pillars of the development of western medicine are clinical pharmacologic achievements, the power of which makes them potentially dangerous. To err in the prescribing or administration of drugs is to flirt with disaster. Medication errors often result from illegible handwriting, calculation errors, mistakes in dosing or frequency of administration, look-alike and sound-alike drug names, use of ambiguous abbreviations or symbols, and miscommunication among health professionals. Most of these mistakes are preventable. This course examines some of the more common causes of prescribing errors and offers many proven approaches for reducing the harm to patients that often results from them.

General Practice Bundle #3
6 CME Credits List Price: $220.00
MPM Price $126.00 Begin

Course	Credits
Chronic Pain Assessment: Treatment and Risk Management	2.00
Too often pain is undertreated, partly due to fear patients will abuse their medications. This is a valid fear, but should not get in the way of providing necessary pain relief. This course uses a learner-directed design to discuss clear and simple approaches to pain management and shows how readily available tools can help reduce the risk of medication abuse. The Practicum section allows the learner to apply this information in a clinical setting and generates a unique tutoring path based on the learners performance.
Using Systems Theory to Prevent Errors & Injuries in Health Care	2.00
Part of APS's Patient Safety Series, Using Systems Theory to Prevent Errors and Injuries in Health Care looks at ways to better design systems to reduce the incidence of medical error. The course introduces human factors principles and shows ways they can be used to create systems that reduce error. Proper application of human factors can eliminate the need for caregivers to rely on weak cognitive functions, such as memory and attention to detail, thus significantly reducing both latent errors and active failures in care systems.
Safe Prescribing Environments	2.00
The modern pharmacopeia of drugs is an integral part of medical practice but also a potentially dangerous one. Health care providers must be aware of the potential to inadvertently cause harm to a patient when prescribing and administering medications. Error-prevention strategies too often focus entirely on the individual's role when an error occurs. The person administering a medication may indeed have done something wrong, but more often the medication error was at the end of a chain of events that began with the system. Practices and institutions can reduce the likelihood that health care providers at the end of the chain will make medication errors by identifying and eliminating environmental causes that set up the individual to fail. This course examines ways in which unsafe systems affect the ability of clinicians to safely administer medications. At the same time, it offers proven approaches for creating safe environments that lead to a reduction in medication errors.

Chronic Pain Assessment: Treatment and Risk Management
2 CME Credits List Price: $120.00
MPM Price $50.00 Begin

Too often pain is undertreated, partly due to fear patients will abuse their medications. This is a valid fear, but should not get in the way of providing necessary pain relief. This course uses a learner-directed design to discuss clear and simple approaches to pain management and shows how readily available tools can help reduce the risk of medication abuse. The Practicum section allows the learner to apply this information in a clinical setting and generates a unique tutoring path based on the learners performance.

Safe Prescribing Environments
2 CME Credits List Price: $60.00
MPM Price $50.00 Begin

The modern pharmacopeia of drugs is an integral part of medical practice but also a potentially dangerous one. Health care providers must be aware of the potential to inadvertently cause harm to a patient when prescribing and administering medications. Error-prevention strategies too often focus entirely on the individual's role when an error occurs. The person administering a medication may indeed have done something wrong, but more often the medication error was at the end of a chain of events that began with the system. Practices and institutions can reduce the likelihood that health care providers at the end of the chain will make medication errors by identifying and eliminating environmental causes that set up the individual to fail. This course examines ways in which unsafe systems affect the ability of clinicians to safely administer medications. At the same time, it offers proven approaches for creating safe environments that lead to a reduction in medication errors.

Safe Prescribing Practices
2 CME Credits List Price: $60.00
MPM Price $50.00 Begin

The modern pharmacopeia of drugs offers near miraculous benefits to many patients. Chief among the pillars of the development of western medicine are clinical pharmacologic achievements, the power of which makes them potentially dangerous. To err in the prescribing or administration of drugs is to flirt with disaster. Medication errors often result from illegible handwriting, calculation errors, mistakes in dosing or frequency of administration, look-alike and sound-alike drug names, use of ambiguous abbreviations or symbols, and miscommunication among health professionals. Most of these mistakes are preventable. This course examines some of the more common causes of prescribing errors and offers many proven approaches for reducing the harm to patients that often results from them.

Patient Saftey Series

PS 1: Errors and Injuries in Health Care
2 CME Credits MPM Price $40.00 Begin

Part of APS's Patient Safety Series, Errors and Injuries in Health Care introduces learners to the concepts and language of the Patient Safety movement. The course discusses the frequency of medical errors and the effect they have on care. It also looks at some of the underlying causes for such errors in areas such as medication administration, and discusses national campaigns to reduce errors by focusing on the patient, rather than the person committing the error

PS 2: Using Systems Theory to Understand Errors and Injuries in Health Care
2 CME Credits MPM Price $40.00 Begin

Part of APS's Patient Safety Series, Using Systems Theory to Understand Errors and Injuries in Health Care looks at the role of poorly designed systems in causing medical error. The course stresses the importance of asking "Why?" instead of "Who?" when assigning causes to errors, and discusses the nature of complex systems and their interaction with health care. The course also introduces the Swiss cheese model, created by Dr. James Reason, which shows how latent errors are hidden systems flaws that create holes in systems defenses, resulting in active failures like medical error.

PS 3: Using Systems Theory to Prevent Errors and Injuries in Health Care
2 CME Credits MPM Price $40.00 Begin

Part of APS's Patient Safety Series, Using Systems Theory to Prevent Errors and Injuries in Health Care looks at ways to better design systems to reduce the incidence of medical error. The course introduces human factors principles and shows ways they can be used to create systems that reduce error. Proper application of human factors can eliminate the need for caregivers to rely on weak cognitive functions, such as memory and attention to detail, thus significantly reducing both latent errors and active failures in care system

PS 4: Responding to Adverse Events and Errors
2 CME Credits MPM Price $40.00 Begin

Part of APS's Patient Safety Series, Responding to Adverse Events and Errors provides a systems-based approach to error response. The course shows the importance of gathering information about errors and emphasizes a nonpunitive error culture as a way to increase error reporting. Root Cause Analysis is introduced as a tool for locating latent errors following an error. The course also provides steps for disclosing the error to the patient and supporting the patient in the aftermath of the error.

PS 5: Changing Systems
2 CME Credits MPM Price $40.00 Begin

Part of APS's Patient Safety Series, Changing Systems introduces methods for successfully introducing new care systems that reduce errors. The course describes how incremental change can be implemented with a minimum of disruption using the Plan-Do-Study-Act (PDSA) cycle, a model that relies on small samples and quick feedback to create systems that address immediate needs. The course also discusses the importance of having measurable goals for both processes and outcomes, and shows simple methods for tracking these goals

Core Content

Coordination of Patient Care
2 CME Credits MPM Price $40.00 Begin

Medical care can be a complex process, whether inpatient or outpatient, requiring the transfer of patient information from one care site or department to another on a frequent basis. When physicians do not take steps to coordinate the transfer of information, these "hand-offs" of patient care become magnets for error and risk. This course discusses methods for coordinating patient care, highlighting systems approaches to preventing loss of information that can endanger patients and increase risk.

Documentation Makes the Difference
2 CME Credits MPM Price $40.00 Begin

Meeting the standard of care may not be protection enough should a liability claim result. Proper documentation-of the patient's condition, history, and consent as well as the treatment path and its rationale, for example-can help clinicians successfully defend a malpractice suit or even avoid one at all. This course discusses several steps that can be taken to improve documentation practices and ensure a complete medical record, and illustrates the effect that documentation can have on malpractice cases.

Informed Consent: A Medicolegal Case Study
2 CME Credits MPM Price $40.00 Begin

Although it is a critical part of medical care, informed consent is one of the most complex and least understood concepts in health care. This course discusses the concepts of informed consent - the underlying legal principles, the elements of the consent process, and the information needed to make consent informed. These concepts are applied to a real-world case involving a breast cancer diagnosis to highlight how informed consent can be interpreted differently in a courtroom than in a doctor's office.

Office-Based Risk
2 CME Credits MPM Price $40.00 Begin

Teaching tools designed to help learners use a systematic approach to error reduction have been mostly aimed at inpatient facilities, where errors are more likely to be a matter of life and death. However, offices and other outpatient facilities have their own special challenges, requiring specific strategies for error reduction. This course discusses such risks and strategies, emphasizing how office care relies on clinical judgment and on building strong relationships with patients through good communication, and explains how systems approaches can eliminate obstacles that would otherwise hinder clinical judgment and communication.

Reporting Errors: Learning from Experience
2 CME Credits MPM Price $40.00 Begin

With the advent of the Patient Safety movement, the health care industry is moving toward the view that errors and adverse events are caused not by individual failings but by flawed systems. To correct these systems, institutions and practices need to gather information on the systems failures: the errors. However, clinicians are often reluctant to report such errors. This course discusses the role that error reporting plays in identifying and fixing flawed systems, and shares ways - such as organizational commitment to nonpunitive reactions, easy-to-use systems for error reporting, and drawing a connection between reported errors and improved systems - to overcome clinician reluctance to report errors.

Resident Supervision
2 CME Credits MPM Price $40.00 Begin

For attending physicians, supervising resident physicians is a balancing act between oversight and autonomy, helping the residents gain necessary clinical, communication, and teamwork skills while keeping the safety of the patient at the forefront of care. Each clinical situation is unique and each attending-resident relationship is unique. This course uses our new learner-centric design to address critical elements of resident supervision, including basic communication and teamwork concepts, effective handoffs, and clinical oversight. The Practicum section tests learners' ability to apply these lessons in clinical scenarios.

Risk Management Basics: Protection and Pitfalls
2 CME Credits MPM Price $40.00 Begin

Risk Management Basics: Protection and Pitfalls discusses the basic liability risks associated with the practice of medicine and highlights steps physicians can take to reduce those risks.

Describes the malpractice liabilities that exist within the patient care process.
Lists the most frequently named specialties and the allegations most often made in malpractice cases.
Describes how organizational systems help patient safety.
Lists areas of risk management concern.

SBAR+R: Structuring Communication in Health Care
2 CME Credits MPM Price $25.00 Begin

How we as health care workers obtain, organize, and relay information impacts our capability to provide safe, comprehensive care for our patients. Very few industries have such a dependence upon clear and accurate communication. Those that do, such as the airlines, NASA, and the nuclear power industry, long ago adopted strategies to safeguard against the potential for tragic mistakes due to faulty communication. In this course, you will learn about one of these strategies: structured communication using the SBAR+R method. Learning and using SBAR+R will help you avoid unnecessary errors by enhancing the effective transmission of timely and vital information among you and every member of your health care team.

The Disclosure of Unanticipated Outcomes
2 CME Credits MPM Price $40.00 Begin

As the health care industry view of errors evolves from individual responsibility to a systems approach, the view of disclosing such errors is also changing. The old view that admitting an error to a patient was a sure ticket to a malpractice suit is being replaced, as research shows that patients may favor physicians who are honest with them about mistakes. This course places error disclosure in the context of these changing views, discussing the recommendations of professional organizations and the attitudes of patients and clinicians, and developing strategies to help navigate the ambiguities of disclosure.

The Risk of Poor Communications
2 CME Credits MPM Price $40.00 Begin

Communication - among clinicians and with patients - is critical to good health care, but many clinicians underestimate its importance. This course discusses the many different kinds of communication that clinicians use to provide, highlights the risks that poor communication poses to patients, and outlines ways to reduce or eliminate poor communication practices.

The Telephone in Clinical Practice
2 CME Credits MPM Price $40.00 Begin

The telephone is a major point of contact for office-based practices some of whom may handle as much as 30 percent of their patient interactions over the telephone. This course uses audio clips to illustrate effective telephone communication techniques and encourages providers to create protocols indicating where calls should be directed based on their seriousness. The importance of telephone triage is also discussed, along with the need to employ clinicians who are qualified to perform such triage.

Advanced Practice Strategies, Inc.
192 South Street, Suite 500
Boston, MA 02111
877.APS.4500 • This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Obstetrics

Surgery

General Practice

Patient Saftey Series

Core Content