Annual Communication, Apology, and Resolution (CARe) Forum.

United States Meeting/Conference

Annual Communication, Apology, and Resolution (CARe) Forum.

July 15, 2024

Betsy Lehman Center for Patient Safety.

Communication and resolution programs are a promising strategy for successful management of relationships and actions after medical error occurrence. This annual hybrid session explores elements of effective discussions after an adverse event through case simulation and dialogue. The site also includes an archive of videos and materials from previous forums. The 2024 session will take place on October 18.

Conference information

2023 session recording

Related Resources From the Same Author(s)

Roadmap to Health Care Safety for Massachusetts.

May 3, 2023

Voices from the Frontlines of Health Care Safety.

May 31, 2023

Peer Support Toolkit.

September 29, 2021

Diagnostic Errors in Primary Care.

July 27, 2021

Massachusetts Alliance for Communication and Resolution Following Medical Injury.

March 5, 2014

Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report.

June 15, 2016

The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety.

June 19, 2019

How to Talk About Patient Safety.

April 3, 2019

Evidence-based Recommendations for Best Practices in Weight Loss Surgery.

March 27, 2005

Emerging Topics in Quality Improvement.

February 14, 2023 - February 14, 2023

Take Charge: 5 Steps to Safer Healthcare.

April 21, 2021

Patient Safety Huddle.

May 24, 2017

Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations.

October 28, 2015

Patient Safety Curriculum.

December 10, 2008

MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006).

February 13, 2008

Connecticut Center for Patient Safety.

June 20, 2007

Tennessee Center for Patient Safety.

September 14, 2011

VA Interprofessional Fellowship Program in Patient Safety.

November 22, 2006

North Carolina Center for Hospital Quality and Patient Safety.

May 17, 2006

Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions.

May 3, 2006

Ensuring Correct Surgery.

February 8, 2006

Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005.

March 21, 2007

TIPS (Topics in Patient Safety).

March 27, 2005

MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003.

March 27, 2005

National Center for Patient Safety Falls Toolkit 2004.

March 27, 2005

Healthcare Failure Mode and Effect Analysis.

March 6, 2005

The VA GAPS Center: Stories.

March 6, 2005

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event.

April 5, 2023

AMC PSO Resource Center.

July 27, 2021

APSF Stoelting Conference.

September 4, 2024 - September 5, 2024

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study.

November 10, 2010

In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study.

February 22, 2023

Teamwork Toolkit.

July 24, 2019

Behavioral & Mental Health Toolbox.

March 7, 2018

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

The London Declaration.

February 22, 2006

An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations.

May 26, 2021

Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.

May 20, 2015

A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system.

June 15, 2022

Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.

March 4, 2009

Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio.

January 21, 2009

Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals.

June 29, 2022

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.

March 24, 2021

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals

September 1, 2021

Reimagining Healing after Healthcare Harm: The Potential for Restorative Practices.

July 29, 2020

HEAR Her Concerns.

April 6, 2022

Circle Up for COVID-19 Training.

May 13, 2020

Patient perceptions of hospital experiences: implications for innovations in patient safety.

March 16, 2022

Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis.

February 17, 2021

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

Institution of just culture physician peer review in an academic medical center.

October 13, 2021

Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness initiatives.

June 6, 2018

The morbidity and mortality conference: opportunities for enhancing patient safety.

February 9, 2022

Alcoholism and American healthcare: the case for a patient safety approach.

August 17, 2022

Opportunities to mine EHRs for malpractice risk management and patient safety.

September 7, 2022

Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.

February 10, 2021

COVID-19: the dark side and the sunny side for patient safety.

October 14, 2020

Analysis of risk factors for patient safety events occurring in the emergency department.

October 7, 2020

The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates.

July 14, 2021

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services.

July 7, 2021

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.

May 26, 2021

Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review.

May 12, 2021

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.

September 15, 2021

Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report.

September 2, 2020

The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.

July 25, 2018

Workplace engagement and workers' compensation claims as predictors for patient safety culture.

October 17, 2012

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment.

August 3, 2016

Assessing the perceived level of institutional support for the second victim after a patient safety event.

June 10, 2015

Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.

December 12, 2018

Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows.

March 22, 2023

Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.

June 1, 2022

Declaration to Advance Patient Safety.

May 25, 2022

Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety.

May 4, 2022

ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative.

November 18, 2020

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.

December 13, 2017

AHRQ Safety Program for Improving Antibiotic Use.

July 26, 2017

Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance.

July 12, 2017

Core competencies for patient safety research: a cornerstone for global capacity strengthening.

February 2, 2011

Patient Safety: Achieving a New Standard for Care.

March 6, 2005

Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions.

March 30, 2022

Safety-II and the study of healthcare safety routines: two paths forward for research.

July 13, 2022

Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.

June 29, 2022

Duplicate medication order errors: safety gaps and recommendations for improvement.

October 12, 2022

The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings.

September 14, 2022

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.

February 17, 2021

Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.

October 20, 2021

Safety culture as a patient safety practice for alarm fatigue.

October 13, 2021

Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems.

December 14, 2016

Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products.

January 13, 2021

Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry.

December 23, 2020

Algorithmic Bias Playbook.

June 30, 2021

Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment.

June 2, 2021

Infection Prevention Compendium For Long-Term Care Facilities.

September 1, 2021

TeamSTEPPS Video Toolkit.

July 21, 2021

Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care.

June 27, 2018

Radiotherapy Incident Reporting and Analysis System.

October 12, 2016

Electronic Health Record (EHR) Safety and Usability: See What We Mean.

January 15, 2020

Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry.

May 25, 2022

AHRQ 2012 Annual Conference.

April 4, 2012

Improving Transitions of Care: Hand-off Communications.

July 18, 2012

Related Resources

National Action Alliance to Advance Patient and Workforce Safety Webinar Series.

August 20, 2024 - August 20, 2024

TeamSTEPPS Master Training Virtual Course.

September 19, 2024 - November 7, 2024

IHI Patient Safety Congress.

March 10, 2025 - March 11, 2025

Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety.

July 24, 2024 - July 24, 2024

Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association.

May 23, 2024 - May 23, 2024

ISMP Medication Safety Intensive.

August 6, 2024 - August 9, 2024

APSF Stoelting Conference.

September 4, 2024 - September 5, 2024

Improving Patient Safety with Human Factors Methods.

October 10, 2024 - October 11, 2024

Patient Safety Innovations

Suicide Prevention in an Emergency Department Population: ED-SAFE

April 24, 2024

CUSP Implementation Training.

July 16, 2024 - July 16, 2024

Redesigning Event Review with RCA2.

September 10, 2024 - September 17, 2024

Annual Perspective

Equity in Patient Safety

March 27, 2024

Patient Safety Executive Development Program.

September 10, 2024 - October 22, 2024

Patient Safety Innovations

Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)

January 31, 2024

The Sunday story: when hospitals don't say sorry.

January 31, 2024

Unequal Treatment Revisited: A Workshop Series.

September 26, 2023 - September 27, 2023

SOPS Surveys.

November 28, 2023

Interview

In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety

November 27, 2023

Perspectives on Safety

The Role of Undergraduate Nursing Education in Patient Safety

November 27, 2023

Why admitting to mistakes can help doctors (and patients).

October 4, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

SOPS Ambulatory Surgery Center Survey: What You Need to Know.

April 27, 2023 - April 27, 2023

The time is now: addressing implicit bias in obstetrics and gynecology education.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

World Patient Safety, Science & Technology Summit.

June 1, 2023 - June 2, 2023

Patient Safety Innovations

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

March 29, 2023

New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes.

February 15, 2023

Emerging Topics in Quality Improvement.

February 14, 2023 - February 14, 2023

The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences research: REPAIR project steering committee.

January 11, 2023

See More About The Topic

Health Professional Students

Risk Managers

Quality and Safety Professionals

Educators

Psychological and Social Complications