Unexpected Clinical Outcomes

Unexpected Clinical Outcomes

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Health care providers are legally required to tell patients when safety incidents happen. This is called disclosure, and we have coordinated with Saegis and the Health Authorities to support the delivery of disclosure courses which can teach you how to disclose unexpected clinical outcomes, including those resulting from errors in care, with honesty, empathy and respect.

We’re the license holder for delivery within BC of the Saegis Communicating Unexpected Outcomes courses, which teach care providers, teams and organizations to disclose clinical errors. We’re responsible for:

  • Tracking the eligibility and accreditation status of all trainers and master trainers
  • Tracking and reporting on all offerings of the courses
  • Distributing and collecting evaluations for all offerings of the courses
  • Preparing and submitting reports to Saegis for ongoing accreditation

Looking for a Course? Want to Become a Trainer?

Each health authority coordinates local course offerings. Please contact your local representative to learn more:

Organization Email
First Nations Health Authority Suzanna Ho
Fraser Health Rob Graham
Interior Health Interior Patient Safety
Island Health Island Quality & Patient Safety
Northern Health
Providence Health Care Camille Ciarniello
Provincial Health Services Authority Norna Waters
Vancouver Coastal Health Liz Baron

If your organization is not listed, contact us for assistance.


Course Descriptions

This course is designed to improve transparency with patients and families after unexpected clinical outcomes, including those resulting from errors in care. The program will enhance the communication skills of individual providers, health care teams and organizations for disclosing clinical errors with honesty, empathy and respect. Participants will also learn to improve their support of other team members in these often-difficult circumstances.

Topics Covered:

  • The importance of timely and compassionate disclosure
  • Individual, team and organization accountability and support
  • Patient-centred disclosure

This course has been certified by the College of Family Physicians Canada for up to 18 Mainpro+ credits and the Royal College of Physicians and Surgeons of Canada for 18 MOC credits in total.

This course is a prerequisite to Communicating Unexpected Outcomes for Leaders.

Prerequisite: Communicating Unexpected Outcomes for Clinicians

This course will improve the skills of health care leaders to better support their teams of physicians, nurses and other health care professionals in disclosing clinical errors with honesty, empathy and respect.

Topics Covered:

  • Understanding events in a just culture
  • Coaching disclosure
  • Helping healers

This course has been certified by the College of Family Physicians Canada for up to 8 Mainpro+ credits and the Royal College of Physicians and Surgeons of Canada for 4 MOC credits.

The Train-the-Trainer program is intended to train facilitators to deliver the Communicating Unexpected Outcomes courses to clinicians and other health care stakeholders.


Trainers and Master Trainers

All trainers are responsible for registering their disclosure training sessions with us in advance of the first session date.

Here’s how:

  1. Complete this online form 5-7 business days in advance of your first session, and we’ll email you once the session is confirmed.
    • Note: If the session is for the accreditation of a New Trainer it must be registered a minimum of 3-weeks in advance of the first session date. New Trainers are not eligible to facilitate a session until they have completed a Conflict of Interest form and it has been reviewed by the Saegis Scientific Planning Committee.
  2. Submit your attendance tracker 3-5 business days in advance of your first session by email once all participant names and emails have been confirmed. We need your participant list so we can prepare and schedule the course evaluations.
  3. Submit your attendance tracker by email again, once participant attendance has been confirmed at your final session. We need it this time so that we can prepare the attendance certificates and for our program accreditation reporting.
  4. We’ll email you attendance certificates which you can give to participants.

We provide access for trainers to course materials, training videos and a provincial contact list via the BCPSQC Learning Portal. The Learning Portal is a restricted space that requires a login and password. If you are a trainer having difficulties accessing the Learning Portal please contact us for assistance.

Course materials are updated periodically, please be sure you are using the most current version of the materials prior to course delivery. Materials posted in the Learning Portal include the ‘last updated’ date in their titles for your reference.

Participants who have attended both the Clinician course and the Train-the-Trainer course are eligible to become Trainers to deliver the Communicating Unexpected Outcomes Clinician course.

The accreditation process for new Trainers is as follows:

  • Candidate attends Clinician course and the Train-the-Trainer course.
  • Candidate registers their CUO session(s) following the ‘Register Your Disclosure Training Session’ steps a minimum of 3-weeks in advance.
  • Candidate delivers one CUO Clinician course observed by a Master Trainer (two 2-hour virtual sessions OR one 4-hour in-person session).
  • Master Trainer completes the Trainer Evaluation form and determines if the candidate is accredited or remains in-progress. Trainer Evaluation form and outcome is submitted by email within 7 business days of the final session.

Once accredited by the Master Trainer, the Trainer can deliver the Clinician course.

If the candidate is accredited in-person then they only facilitate in-person. If the candidate is accredited virtually they can facilitate both in-person and virtually.


About Saegis

The Saegis logo.Saegis is a wholly-owned subsidiary of the Canadian Medical Protective Association that provides professional development programs and practice management services for Canadian physicians, health care professionals, teams, hospitals and clinics.


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