Minimizing Patient Safety Risks related to Living Wills and POLST

Enrollment Information:
This enrollment will expire September 30, 2019.
You must complete all course requirements (including claiming CEs) and save/print the completion certificate by September 30, 2019.


Emerging research suggests ethical and safety concerns related to utilization of advance directives and Physician Orders for Life Sustaining Treatment (POLST). Advance care planning documents have a profound ethical and safety concern related to over and under-resuscitation. These medical errors can be fatal or continue the life of a person against their autonomous wishes. The ethical and safety violations occur when providers do not adequately understand the scope or application of documents. In most cases, providers believe the documents call for withholding or limiting interventions, when, in fact, they address the full spectrum of treatment choices. Research indicates medical professionals have no explicit requirements to assure competency in utilizing such documents. Current practices represent risk to patients and compromised medical ethics. Advance care planning, when done “well,” utilizing time honored principals of medical ethics can safely improve patient care, reduce cost, and minimize liability risks.


Learning Objectives:
By the end of this self-study you should be able to:

  • Define operational efficiencies gained by utilizing resuscitation safety checklists and patient to clinician video testimonial in advance care planning
  • Utilize tools to assess institutional practices, implement education/safeguards, minimizing patient safety risk and medical errors
  • Develop strategies to prevent confusion, promote safety and minimize institutional and provider risk


Level of Learning:


Domain of Practice:
Clinical/Patient Safety


Ferdinando L. Mirarchi, DO, FAAEM, FACEP


Criteria for Successful Completion:
To receive continuing nursing education contact hours, participants must achieve 80% on the post-test and complete an evaluation at its conclusion.


Continuing Education:
This program is approved contact hours toward the fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and toward CPHRM (Certified Professional in Healthcare Risk Management) renewal. CE credit may be used toward CPHRM renewal only by those holding the credential at the time of the program.

American Society for Healthcare Risk Management is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Contact Hours: 1.0 hour
Passing Score: 80%


Conflict of Interest Statement:
As required by the American Nurses Credentialing Center’s Commission on Accreditation, we would like to make you aware of all potential conflicts of interest.

This educational activity’s planners and presenters have indicated that they have no bias or conflict of interest.


Commercial Support:
There is no sponsorship for this event.


Date Published:  March 2018
Date to be Reviewed:  Q1 2020
Date of Contact Hour Expiration:  Q4 2019