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Massachusetts Alliance for Communication and Resolution Following Medical Injury. May 7, 2019; Massachusetts Medical Society, Waltham, MA.
Open disclosure and discussions with patients can encourage learning after a preventable error occurs. This session will feature 2 simulations of the communication-and-resolution process used in Massachusetts. Richard Boothman is the featured speaker.
Taking the blame: appropriate responses to medical error.
Tigard DW. J Med Ethics. 2019;45:101-105.
Can communication-and-resolution programs achieve their potential? Five key questions.
Gallagher TH, Mello MM, Sage WM, Bell SK, McDonald TB, Thomas EJ. Health Aff (Millwood). 2018;37:1845-1852.
Effects of a communication-and-resolution program on hospitals' malpractice claims and costs.
Kachalia A, Sands K, Van Niel M, et al. Health Aff (Millwood). 2018;37:1836-1844.
"Saying sorry": some strategies for effective apology within the workplace.
Cleary M, Lees D, Lopez V. Issues Ment Health Nurs. 2018;39:980-982.
Ethical dilemma in missed melanoma: what to tell the patient and other providers.
Vangipuram R, Horner ME, Menter A. J Am Acad Dermatol. 2017;76:365-367.
Patient safety: disclosure of medical errors and risk mitigation.
Moffatt-Bruce SD, Ferdinand FD, Fann JI. Ann Thorac Surg. 2016;102:358-362.
A Conversation on Transparency and Patient Safety.
ProPublica. March 23, 2016; Kaiser Family Foundation's Barbara Jordan Conference Center, Washington, DC.
Breaking the silence of the switch—increasing transparency about trainee participation in surgery.
McAlister C. N Engl J Med. 2015;372:2477-2479.
You can't understand something you hide: transparency as a path to improve patient safety.
Wachter R, Kaplan GS, Gandhi T, Leape L. Health Affairs Blog. June 22, 2015.
Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions.
Bell SK, White AA, Yi JC, Yi-Frazier JP, Gallagher TH. J Patient Saf. 2017;13:243-248.
Shining a Light: Safer Health Care Through Transparency.
Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015.
Improving patient safety through transparency.
Kachalia A. N Engl J Med. 2013;369:1677-1679.
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care.
Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368.
A pinpoint beam strays invisibly, harming instead of healing.
Bogdanich W, Rebelo K. New York Times. December 28, 2010;A1.
The faces of medical error...from tears to transparency.
The Empowered Patient Coalition; 2010.
Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates.
Perez B, DiDona T. J Healthc Qual. 2010;32:36-41.
Hidden mistakes in hospitals.
Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
The impact of transparency on patient safety and liability.
Griffen FD. Bull Am Coll Surg. March 2008;93:19-23.
Danish Society for General Medicine. December 5-7, 2019, Panum Building, Copenhagen.
Evaluating Quality Improvement and Patient Safety Projects.
Johns Hopkins Medicine, Armstrong Institute for Patient Safety. November 18-20, 2019. Constellation Energy Building, Baltimore, MD.
Armstrong Institute for Patient Safety and Quality Observership.
Armstrong Institute for Patient Safety and Quality. November 11-13, 2019; Johns Hopkins Hospital, Baltimore, MD.
Preventing Hospital-Acquired Infections (HAIs).
Joint Commission Resources Quality and Safety Network. October 24, 2019, 2:00–3:00 PM (Eastern).
2019 Hospital Quality Institute Conference.
Hospital Quality Institute. October 14-15, 2019. Golden 1 Center, Sacramento, CA.
CUSP Implementation Training.
Armstrong Institute for Patient Safety and Quality. July 9, 2019; Constellation Energy Building Conference Center, Baltimore, MD.
TeamSTEPPS Master Training Course.
Johns Hopkins Armstrong Institute for Patient Safety and Quality. June 25-26, 2019; Constellation Energy Building, Baltimore, MD.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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