Webinar Archives

Timeless advice

Policyholder resources

Access to past presentations and handouts are available to policyholders by contacting Andrea Lopez at (207) 775-2791.

Case studies will be presented to discuss signs of violent behavior, use of trauma-informed care in decision making and de-escalation. It isn’t always easy to identify signs of escalation but with use of proper techniques and situational awareness, attendees will identify positive ways to intervene that will keep staff and patients safe. While de-escalation is important, documentation of behaviors and events is just as critical. Examples and scripts of objective documentation will be presented.

Learner objectives:

  • How to identify signs of potential patient violence.
  • Use of trauma-informed care and techniques to prevent patient escalation.
  • Discuss the use of objective documentation as it applies to patients exhibiting signs of disruptive behaviors.

Meet Your Presenter

Nancy Napolitano, BS, CPPS, Implementation Consultant, CEC Patient Safety, ECRI

Ms. Napolitano joined ECRI in 2015 with over 35 years of behavioral health experience in successful programming and collaboration for overall patient safety and satisfaction. Since coming to ECRI, Nancy has presented and consulted numerous times on Behavioral Health and Workplace Violence, Suicide and Safety for several of the member organizations of ECRI. Prior to joining ECRI, she worked for 30 years managing inpatient and outpatient, adult/geriatric psychiatric programs within acute care hospitals in Suburban Philadelphia.

CE Statement

This program is approved for a total of 1 contact hours of continuing education credit toward fulfillment of the requirements of ASHRM designations of fellow (FASHRM) and distinguished fellow (DFASHRM) and towards certified professional in healthcare risk management (CPHRM) renewal.

CME Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and Medical Mutual Insurance Company of Maine. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians. The Maine Medical Education Trust designates this live activity for a maximum of One AMA PRA Category One Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

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This webinar is intended to give policyholders a “peek behind the curtain” to reveal what goes on at the Claims Department of Medical Mutual when an event that is an anticipated or asserted medical malpractice claim is reported, from the initial intake to the final closure. 


  1. Understand what events and information should be reported to your insurer and why.
  2. Learn how your insurer opens a “file” for that reported event and embarks on the defense of the involved insured.
  3. Appreciate the process employed in the valuation of the claim and the development of the indemnity reserve.
  4. Know the reasons claims are settled or tried and the insured’s role in the decision.
  5. Hear how the file is closed on resolution and what reporting is performed as part of that process.
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The evaluation and treatment of patients demonstrating evidence of acute mental illness can be challenging, with health care practitioners called upon to balance the legal rights and interests of patients, their families, and the public at large.

  • We will summarize state laws governing the process of emergency involuntary hospitalization.
  • State laws limiting the rights of potentially-dangerous persons to possess firearms.
  • The intersection of state and federal law in circumstances where providers have to decide whether to involuntarily detain patients or to notify law enforcement authorities of perceived risks.
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