Home |
Current Issue |
Past Issues |
In the Clinic |
ACP Journal Club |
CME |
Collections |
Audio/Video |
Mobile |
Subscribe |
Tools |
Help |
ACP Online
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
21 December 1999 | Volume 131 Issue 12 | Pages 963-967
This paper reviews a humanistic risk management policy that includes early injury review, steadfast maintenance of the relationship between the hospital and the patient, proactive full disclosure to patients who have been injured because of accidents or medical negligence, and fair compensation for injuries. The financial consequences of this type of policy are not yet known; however, one Veterans Affairs medical center, which has been using humanistic risk management since 1987, has had encouragingly moderate liability payments. The Department of Veterans Affairs now requires such a policy for all of its facilities; therefore, comprehensive experience may be only a few years away.
Author and Article Information
From Veterans Affairs Medical Center, Lexington, Kentucky.
Acknowledgment: The authors thank Dr. Joseph J. Francis for helpful advice in the preparation of the manuscript.
Requests for Reprints: Steve S. Kraman, MD, Veterans Affairs Medical Center, 2250 Leestown Road, Lexington, KY 40511. For reprint orders in quantities exceeding 100, please contact the Reprints Coordinator; phone, 215-351-2657; e-mail, reprints{at}mail.acponline.org.
Current Author Addresses: Dr. Kraman and Ms. Hamm: Veterans Affairs Medical Center (11), 2250 Leestown Road, Lexington, KY 40511. MEDICINE AND PUBLIC ISSUES
Risk Management: Extreme Honesty May Be the Best Policy
![]()
Related articles in Annals:
This article has been cited by other articles:
![]() |
R. Sorensen, R. Iedema, D. Piper, E. Manias, A. Williams, and A. Tuckett Health care professionals' views of implementing a policy of open disclosure of errors J Health Serv Res Policy, October 1, 2008; 13(4): 227 - 232. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. A. Luk, W. I M. Ng, K. K. S. Ko, and Vai Ha Ung Nursing Management of Medication Errors Nursing Ethics, January 1, 2008; 15(1): 28 - 39. [Abstract] [PDF] |
||||
![]() |
C. T. Bradley and K. J. Brasel Core Competencies in Palliative Care for Surgeons: Interpersonal and Communication Skills American Journal of Hospice and Palliative Medicine, January 1, 2008; 24(6): 499 - 507. [Abstract] [PDF] |
||||
![]() |
D. Taylor, M. A. Hassan, A. Luterman, and C. B. Rodning Unexpected Intraoperative Patient Death: The Imperatives of Family- and Surgeon-Centered Care Arch Surg, January 1, 2008; 143(1): 87 - 92. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. L. Berry and N. Bendapudi Health Care: A Fertile Field for Service Research Journal of Service Research, November 1, 2007; 10(2): 111 - 122. [Abstract] [PDF] |
||||
![]() |
J. W. Simon, Y. Ngo, S. Khan, and D. Strogatz Surgical Confusions in Ophthalmology Arch Ophthalmol, November 1, 2007; 125(11): 1515 - 1522. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. I. Buerhaus Is Hospital Patient Care Becoming Safer? A Conversation With Lucian Leape Health Aff., November 1, 2007; 26(6): w687 - w696. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. Levinson MD and T. H. Gallagher MD Disclosing medical errors to patients: a status report in 2007 Can. Med. Assoc. J., July 31, 2007; 177(3): 265 - 267. [Full Text] [PDF] |
||||
![]() |
T. H. Gallagher, D. Studdert, and W. Levinson Disclosing Harmful Medical Errors to Patients N. Engl. J. Med., June 28, 2007; 356(26): 2713 - 2719. [Full Text] [PDF] |
||||
![]() |
S. S. Kraman and G. Hamm Bad Modeling? Health Aff., May 1, 2007; 26(3): 903 - 903. [Full Text] [PDF] |
||||
![]() |
C. Stebbing, I. C K Wong, R. Kaushal, and A. Jaffe The role of communication in paediatric drug safety Arch. Dis. Child., May 1, 2007; 92(5): 440 - 445. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Surbone, M. Rowe, and T. H. Gallagher Confronting Medical Errors in Oncology and Disclosing Them to Cancer Patients J. Clin. Oncol., April 20, 2007; 25(12): 1463 - 1467. [Full Text] [PDF] |
||||
![]() |
S. Kraman Support from the United States BMJ, March 10, 2007; 334(7592): 490 - 490. [Full Text] [PDF] |
||||
![]() |
A. SCOTT Improving Communication For Better Patient Care Radiol. Technol., January 1, 2007; 78(3): 205 - 218. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. M. Studdert, M. M. Mello, A. A. Gawande, T. A. Brennan, and Y. C. Wang Disclosure Of Medical Injury To Patients: An Improbable Risk Management Strategy Health Aff., January 1, 2007; 26(1): 215 - 226. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Freestone, S. N. Bolsin, M. Colson, A. Patrick, and B. Creati Voluntary incident reporting by anaesthetic trainees in an Australian hospital Int. J. Qual. Health Care, December 1, 2006; 18(6): 452 - 457. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. H. Gallagher, A. D. Waterman, J. M. Garbutt, J. M. Kapp, D. K. Chan, W. C. Dunagan, V. J. Fraser, and W. Levinson US and Canadian Physicians' Attitudes and Experiences Regarding Disclosing Errors to Patients. Arch Intern Med, August 14, 2006; 166(15): 1605 - 1611. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Berlin Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? Am. J. Roentgenol., July 1, 2006; 187(1): 10 - 15. [Full Text] [PDF] |
||||
![]() |
A Cleopas, A Villaveces, A Charvet, P A Bovier, V Kolly, and T V Perneger Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. Qual. Saf. Health Care, April 1, 2006; 15(2): 136 - 141. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. H. Gallagher and W. Levinson Disclosing Harmful Medical Errors to Patients: A Time for Professional Action Arch Intern Med, September 12, 2005; 165(16): 1819 - 1824. [Full Text] [PDF] |
||||
![]() |
R. R. Bovbjerg and L. R. Tancredi Liability Reform Should Make Patients Safer: "Avoidable Classes of Events" are a Key Improvement J. Law Med. Ethics, September 1, 2005; 33(3): 478 - 500. [PDF] |
||||
![]() |
C. Mavroudis, C. D. Mavroudis, K. S. Naunheim, and R. M. Sade Should Surgical Errors Always Be Disclosed to the Patient? Ann. Thorac. Surg., August 1, 2005; 80(2): 399 - 408. [Full Text] [PDF] |
||||
![]() |
L. L. Henry Disclosure of Medical Errors: Ethical Considerations for the Development of a Facility Policy and Organizational Culture Change Policy Politics Nursing Practice, May 1, 2005; 6(2): 127 - 134. [Abstract] [PDF] |
||||
![]() |
J M Schmidek and W B Weeks Relationship between tort claims and patient incident reports in the Veterans Health Administration Qual. Saf. Health Care, April 1, 2005; 14(2): 117 - 122. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. R. Tongue, H. R. Epps, and L. L. Forese Communication Skills for Patient-Centered Care. Research-Based, Easily Learned Techniques for Medical Interviews That Benefit Orthopaedic Surgeons and Their Patients J. Bone Joint Surg. Am., March 1, 2005; 87(3): 652 - 658. [Full Text] [PDF] |
||||
![]() |
N Berlinger and A W Wu Subtracting insult from injury: addressing cultural expectations in the disclosure of medical error J. Med. Ethics, February 1, 2005; 31(2): 106 - 108. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. M. Mazor, S. R. Simon, and J. H. Gurwitz Communicating With Patients About Medical Errors: A Review of the Literature Arch Intern Med, August 9, 2004; 164(15): 1690 - 1697. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. L. B. Schwappach and C. M. Koeck What makes an error unacceptable? A factorial survey on the disclosure of medical errors Int. J. Qual. Health Care, August 1, 2004; 16(4): 317 - 326. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. B. Liebman and C. S. Hyman A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients Health Aff., July 1, 2004; 23(4): 22 - 32. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. M. Mazor, S. R. Simon, R. A. Yood, B. C. Martinson, M. J. Gunter, G. W. Reed, and J. H. Gurwitz Health Plan Members' Views about Disclosure of Medical Errors Ann Intern Med, March 16, 2004; 140(6): 409 - 418. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. M. Studdert, M. M. Mello, and T. A. Brennan Medical Malpractice N. Engl. J. Med., January 15, 2004; 350(3): 283 - 292. [Full Text] [PDF] |
||||
![]() |
T. A. Brennan and M. M. Mello Patient Safety and Medical Malpractice: A Case Study Ann Intern Med, August 19, 2003; 139(4): 267 - 273. [Abstract] [Full Text] [PDF] |
||||
![]() |
S Bolsin, R Solly, and A Patrick The value of personal professional monitoring performance data and open disclosure policies in anaesthetic practice: a case report Qual. Saf. Health Care, August 1, 2003; 12(4): 295 - 297. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Vincent Understanding and Responding to Adverse Events N. Engl. J. Med., March 13, 2003; 348(11): 1051 - 1056. [Full Text] [PDF] |
||||
![]() |
T. H. Gallagher, A. D. Waterman, A. G. Ebers, V. J. Fraser, and W. Levinson Patients' and Physicians' Attitudes Regarding the Disclosure of Medical Errors JAMA, February 26, 2003; 289(8): 1001 - 1007. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. L. Leape Reporting of Adverse Events N. Engl. J. Med., November 14, 2002; 347(20): 1633 - 1638. [Full Text] [PDF] |
||||
![]() |
D. W. Bates Unexpected Hypoglycemia in a Critically Ill Patient Ann Intern Med, July 16, 2002; 137(2): 110 - 116. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. P. Forster, J. Schwartz, and E. DeRenzo Reducing Legal Risk by Practicing Patient-Centered Medicine Arch Intern Med, June 10, 2002; 162(11): 1217 - 1219. [Full Text] [PDF] |
||||
![]() |
B A Liang A system of medical error disclosure Qual. Saf. Health Care, March 1, 2002; 11(1): 64 - 68. [Abstract] [Full Text] [PDF] |
||||
![]() |
M D Cantor Telling patients the truth: a systems approach to disclosing adverse events Qual. Saf. Health Care, March 1, 2002; 11(1): 7 - 8. [Full Text] [PDF] |
||||
![]() |
K J Vicente From patients to politicians: a cognitive engineering view of patient safety Qual. Saf. Health Care, January 12, 2002; 11(4): 302 - 304. [Full Text] [PDF] |
||||
![]() |
R. R. Bovbjerg, R. H. Miller, and D. W Shapiro Paths to Reducing Medical Injury: Professional Liability and Discipline vs. Patient Safety and the Need for a Third Way J. Law Med. Ethics, September 1, 2001; 29(3-4): 369 - 380. [PDF] |
||||
![]() |
D. W. Bates A 40-Year-Old Woman Who Noticed a Medication Error JAMA, June 27, 2001; 285(24): 3134 - 3140. [Full Text] [PDF] |
||||
![]() |
M. L. Smith and H. P. Forster Margin of Error: The Ethics of Mistakes in the Practice of Medicine JAMA, April 25, 2001; 285(16): 2134 - 2135. [Full Text] [PDF] |
||||
![]() |
P. C. Hebert, A. V. Levin, and G. Robertson Bioethics for clinicians: 23. Disclosure of medical error Can. Med. Assoc. J., February 1, 2001; 164(4): 509 - 513. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. W. Bates and A. A. Gawande Error in Medicine: What Have We Learned? Ann Intern Med, May 2, 2000; 132(9): 763 - 767. [Full Text] [PDF] |
||||
![]() |
A. W. Wu Handling Hospital Errors: Is Disclosure the Best Defense? Ann Intern Med, December 21, 1999; 131(12): 970 - 972. [Full Text] [PDF] |
||||