How Policy Makers Can Smooth The Way For Communication-And-Resolution Programs

被引：26

作者：

Sage, William M. ^{[1
]}

Gallagher, Thomas H. ^{[2
,3
]}

Armstrong, Sarah ^{[4
]}

Cohn, Janet S. ^{[5
]}

McDonald, Timothy ^{[6
]}

Gale, Jane ^{[7
]}

Woodward, Alan C. ^{[8
]}

Mello, Michelle M. ^{[9
]}

机构：

[1] Univ Texas Austin, Sch Law, Austin, TX 78712 USA

[2] Univ Washington, Sch Med, Dept Med, Seattle, WA 98195 USA

[3] Univ Washington, Sch Med, Dept Bioeth & Humanities, Seattle, WA 98195 USA

[4] Univ Washington, Sch Nursing, Seattle, WA 98195 USA

[5] New York State Dept Hlth, New York Stem Cell Sci Program, NYSTEM, Albany, NY 12237 USA

[6] Univ Illinois, Chicago, IL USA

[7] Ascens Hlth, St Louis, MO USA

[8] Massachusetts Med Soc, Comm Profess Liabil, Concord, MA USA

[9] Harvard Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA 02115 USA

来源：

HEALTH AFFAIRS | 2014年 / 33卷 / 01期

基金：

美国医疗保健研究与质量局;

关键词：

PATIENT SAFETY; DISCLOSURE; CHALLENGES; APOLOGY;

D O I：

10.1377/hlthaff.2013.0930

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Communication-and-resolution programs (CRPs) in health care organizations seek to identify medical injuries promptly; ensure that they are disclosed to patients compassionately; pursue timely resolution through patient engagement, explanation, and, where appropriate, apology and compensation; and use lessons learned to improve patient safety. CRPs have existed for years, but they are being tested in new settings and primed for broad implementation through grants from the Agency for Healthcare Research and Quality. These projects do not require changing laws. However, grantees' experiences suggest that the path to successful dissemination of CRPs would be smoother if the legal environment supported them. State and federal policy makers should try to allay potential defendants' fears of litigation (for example, by protecting apologies from use in court), facilitate patient participation (for example, by ensuring access to legal representation), and address the reputational and economic concerns of health care providers (for example, by clarifying practices governing National Practitioner Data Bank reporting and payers' financial recourse following medical error).

引用

页码：11 / 19

页数：9

共 29 条

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