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MEDICINE AND PUBLIC ISSUES

Risk Management: Extreme Honesty May Be the Best Policy

right arrow Steve S. Kraman, MD, and Ginny Hamm, JD

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
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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.


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