Psychiatry: Preventing Adverse Outcomes


The Doctors Company study of closed claims reveals areas of higher risk in psychiatry practices. Using this as a foundation, the course provides information to evaluate your practice and make changes to improve decisions about treatment, operational processes, reporting and documentation. The course provides information about questions asked by The Doctors Company's members with psychiatric practices. The course includes exercises and practice tips.

Course ID #: TDE 190165.0 Issue Date: 03/21/2019 Expiration Date: 03/21/2022


After completing this activity, learners will be able to:

  • Implement changes to address risk areas in their outpatient psychiatric office setting
  • Ensure their documentation meets the requirements for managing psychiatric medical records, including psychotherapy notes
  • Identify patient situations for which physicians are mandated to report to law enforcement or other outside agencies
  • Define information to consider before making a decision to terminate a physician-patient relationship
  • Improve systems that track tests and consultations to ensure safe patient care


No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests. No commercial support was provided for this activity.


The information and guidelines contained in this activity are generalized and may not apply to all practice situations. We recommend that legal advice be obtained from a qualified attorney for specific application to your practice. The information is intended for educational purposes and should be used as a reference guide only.

Course Developers

Michelle Swift, BSN, JD, RN, CPHRM, CPPS, Senior Patient Safety Risk Manager, Patient Safety Risk Manager II, Department of Patient Safety and Risk Management, The Doctors Company

Debbie Hill, MBA, BSN, CPHRM, CPPS, Senior Patient Safety Risk Manager, Department of Patient Safety and Risk Management, The Doctors Company


Darrell Ranum, JD, CPHRM, Vice President, Department of Patient Safety and Risk Management, The Doctors Company

Julie Hopkins, MA, MBA, Director, Continuing Professional Education,The Doctors Company

Rich Cahill, JD, Vice President, Associate General Counsel, The Doctors Company

Vicky Rollins, Director, Patient Safety Programs, Department of Patient Safety and Risk Management, The Doctors Company

Continuing Education Credit

The Doctors Company is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical educational activities for physicians.

The Doctors Company designates this activity for a maximum of 1.5 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Complies with State Requirements

Please SEE the Federation of State Medical Boards overview of Continuing Medical Education requirements by State. 

Technical Requirements

The activity is best experienced using the most current browser: Firefox, Chrome, Safari, or Microsoft Edge. Internet Explorer is not supported by this platform. All activities featuring audio must have a speaker. To view graphic images and references that appear in separate "pop-up" windows, JavaScript and session cookies must be enabled on your computer. Adobe Acrobat Reader may be required for certain activities.

Contact Us

If you have questions, contact or call 800.421.2368, extension 1243.


Visit our Resource document for this program.