The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes.

MedStar author(s):
Citation: Health Services Research. 51 Suppl 3:2491-2515, 2016 DecPMID: 27558861Institution: MedStar Health Research InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Liability, Legal | *Patient Safety | *Quality Improvement | Academic Medical Centers/og [Organization & Administration] | Academic Medical Centers/sn [Statistics & Numerical Data] | Academic Medical Centers/st [Standards] | Humans | Insurance, Liability/ec [Economics] | Outcome and Process Assessment (Health Care) | Patient Safety/sn [Statistics & Numerical Data] | Quality Improvement/og [Organization & Administration] | Risk ManagementYear: 2016Local holdings: Available online through MWHC library: 2013 to the present, Available in print through MWHC library: 1999 - 2005ISSN:
  • 0017-9124
Name of journal: Health services researchAbstract: CONCLUSIONS: A communication and optimal resolution (CANDOR) approach to adverse events was associated with long-lasting, clinically and financially significant changes in a large set of core medical liability process and outcome measures.Copyright Health Research and Educational Trust.DATA COLLECTION METHODS: Queried databases maintained by Department of Safety and Risk Management and the Department of Administrative Services at UIH. Extracted data from risk module of the Midas incident reporting system.DATA SOURCES/STUDY SETTING: Administrative, safety, and risk management data from the University of Illinois Hospital and Health Sciences System, from 2002 to 2014.OBJECTIVE: To determine whether a communication and resolution approach to patient harm is associated with changes in medical liability processes and outcomes.PRINCIPAL FINDINGS: The intervention nearly doubled the number of incident reports, halved the number of claims, and reduced legal fees and costs as well as total costs per claim, settlement amounts, and self-insurance costs.STUDY DESIGN: Single health system, interrupted time series design. Using Mann-Whitney U tests and segmented regression models, we compared means and trends in incident reports, claims, event analyses, patient communication consults, legal fees, costs per claim, settlements, and self-insurance expenses before and after the implementation of the "Seven Pillars" communication and resolution intervention.All authors: Bhaumik DK, Centomani NM, Helmchen LA, Jalundhwala YJ, Lambert BL, McDonald TB, Smith KMFiscal year: FY2017Digital Object Identifier: Date added to catalog: 2017-04-11
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 27558861 Available 27558861

Available online through MWHC library: 2013 to the present, Available in print through MWHC library: 1999 - 2005

CONCLUSIONS: A communication and optimal resolution (CANDOR) approach to adverse events was associated with long-lasting, clinically and financially significant changes in a large set of core medical liability process and outcome measures.

Copyright Health Research and Educational Trust.

DATA COLLECTION METHODS: Queried databases maintained by Department of Safety and Risk Management and the Department of Administrative Services at UIH. Extracted data from risk module of the Midas incident reporting system.

DATA SOURCES/STUDY SETTING: Administrative, safety, and risk management data from the University of Illinois Hospital and Health Sciences System, from 2002 to 2014.

OBJECTIVE: To determine whether a communication and resolution approach to patient harm is associated with changes in medical liability processes and outcomes.

PRINCIPAL FINDINGS: The intervention nearly doubled the number of incident reports, halved the number of claims, and reduced legal fees and costs as well as total costs per claim, settlement amounts, and self-insurance costs.

STUDY DESIGN: Single health system, interrupted time series design. Using Mann-Whitney U tests and segmented regression models, we compared means and trends in incident reports, claims, event analyses, patient communication consults, legal fees, costs per claim, settlements, and self-insurance expenses before and after the implementation of the "Seven Pillars" communication and resolution intervention.

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