Teaching Cognitive Interviewing Skills for Adverse Event Investigation
Event Type
Poster Presentation
TimeThursday, April 152:00pm - 3:00pm EDT
LocationEducation and Simulation
DescriptionInvestigative interviewing is an essential function of many health care risk managers’ and patient safety practitioners’ roles, yet few have received formal training on how best to obtain testimonial evidence. This presentation describes the novel application to health care of enhanced cognitive interviewing (CI) techniques. The value of the CI protocol, which was originally developed to aid law enforcement personnel in interviewing cooperative witnesses and victims, has been proven by over 30 years of experience in a variety of policing, military, and civilian contexts, including transportation accident and public health investigations.

To respond optimally to a patient harm event, organizations must have the capacity to (1) quickly determine whether clinical care was appropriate so that an injured patient or family can be dealt with in a just and compassionate manner; (2) make judgements required to operationalize the principles of just culture with respect to health care personnel; and (3) learn from experiences to inform improvements. Each of these functions depends in large part upon a complete and accurate investigation, and information obtained from interviews is often of critical importance to an investigation’s success.

This presentation will describe the development, delivery and initial successes of BETA Healthcare Group’s simulation-based CI training program, which was created with the assistance of one of the developers of the CI protocol, to help improve the quality of fact-finding and analysis of adverse events in health care settings. Specific topics that will be addressed include the adaptation of CI to health care and the logistics of in-person and virtual simulation-based investigative interview training.