Improving Communication and Resolution Following Adverse Events Using a Patient‐Created Simulation Exercise

Gallagher, Thomas H.; Etchegaray, Jason Michel; Bergstedt, Brandelyn; Chappelle, Amelia; Ottosen, Madelene J.; Sedlock, Emily; Thomas, Eric J.

doi:10.1111/1475-6773.12601

Cited by 6 publications

(2 citation statements)

References 17 publications

(12 reference statements)

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“…; Gallagher et al. ) could offer a lodestar to future efforts in this area, and consequently to the design of new interventions in the patient safety and malpractice policy space.…”

Section: Contributions Of the Patient Safety And Medical Liability Inmentioning

confidence: 99%

Progress at the Intersection of Patient Safety and Medical Liability: Insights from the AHRQ Patient Safety and Medical Liability Demonstration Program

Ridgely

Greenberg

Pillen

et al. 2016

Health Services Research

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Objective. To identify lessons learned from the experience of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety and Medical Liability (PSML) Demonstration Program. Data Sources/Study Setting. On September 9, 2009, President Obama directed the Secretary of Health and Human Services to authorize demonstration projects that put "patient safety first" with the intent of reducing preventable adverse outcomes and stemming liability costs. Seven demonstration projects received 3 years of funding from AHRQ in the summer of 2010, and the program formally came to a close in June 2015. Study Design. The seven grantees implemented complex, broad-ranging innovations addressing both patient safety and medical liability in "real-world" contexts. Some projects featured novel approaches, while others implemented adaptations of existing models. Each project was funded by AHRQ to collect data on the impact of its interventions. In addition, AHRQ funded a cross-cutting qualitative evaluation focused on lessons learned in implementing PSML interventions. Data Collection/Extraction Methods. Site visits and follow-up interviews supplemented with material abstracted from formal project reports to AHRQ. Principal Findings. The PSML demonstration projects focused on three broad approaches: (1) improving communication around adverse events through disclosure and resolution programs; (2) preventing harm through implementation of clinical "best practices"; and (3) exploring alternative methods of settling claims. Although the demonstration contributed to accumulating evidence that these kinds of interventions can positively affect outcomes, there is also evidence to suggest that these interventions can be difficult to scale. Conclusions. In addition to producing at least preliminary positive outcomes, the demonstration also lends credence to the idea that targeted interventions that improve some aspect of patient safety or malpractice performance may also contribute more broadly to institutional culture and the alignment of all parties around reducing risk

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“…; Gallagher et al. ) could offer a lodestar to future efforts in this area, and consequently to the design of new interventions in the patient safety and malpractice policy space.…”

Section: Contributions Of the Patient Safety And Medical Liability Inmentioning

confidence: 99%

Progress at the Intersection of Patient Safety and Medical Liability: Insights from the AHRQ Patient Safety and Medical Liability Demonstration Program

Ridgely

Greenberg

Pillen

et al. 2016

Health Services Research

View full text Add to dashboard Cite

show abstract

“…relate how stakeholders (such as patient advocates, physicians, attorneys, liability insurers, regulators [e.g., boards of medicine], and others) gained insight into the importance of accountability following patient harm by participating in a patient‐created simulation exercise (Gallagher et al. ,b).…”

Section: Contents Of This Special Issuementioning

confidence: 99%

Paving the Way for Progress: The Agency for Healthcare Research and Quality Patient Safety and Medical Liability Demonstration Initiative

Battles

Reback

Azam

2016

Health Services Research

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Review of disclosure and apology literature: Gaps and needs

Wojcieszak¹

2020

J of Healthc Risk Manag

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A review of the literature related to the disclosure movement was conducted to find gaps and needs while identifying areas where needs are being met. There are several articles that address claims and other economic factors. Moreover, there are many papers that define barriers to disclosure with suggested workarounds. There is also a wealth of training content that teaches how to say “sorry.” However, gaps and needs were identified. The “gap list” was developed with a focus on concepts that are novel or not mentioned in the literature as well as issues in the disclosure movement that would benefit from greater attention: (1) lack of research and disclosure training content for health care professionals beyond acute care; (2) messaging and disclosure programs, including the meaning of “apology”; (3) insufficient integration between disclosure programs and second victim support programs; (4) confidentiality clauses; (5) the National Practitioner Data Bank and state licensure boards being viewed as an impediment to disclosure; (6) understanding awareness of the disclosure movement by consumers, personal injury bar, and payors; (7) measuring what medical and nursing schools are teaching about disclosure; and (8) encouraging states to pass apology laws that support the development of disclosure programs.

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Improving Communication and Resolution Following Adverse Events Using a Patient‐Created Simulation Exercise

Cited by 6 publications

References 17 publications

Progress at the Intersection of Patient Safety and Medical Liability: Insights from the AHRQ Patient Safety and Medical Liability Demonstration Program

Progress at the Intersection of Patient Safety and Medical Liability: Insights from the AHRQ Patient Safety and Medical Liability Demonstration Program

Paving the Way for Progress: The Agency for Healthcare Research and Quality Patient Safety and Medical Liability Demonstration Initiative

Review of disclosure and apology literature: Gaps and needs

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