000			02932nam a22004217a 4500
008			181108s20182018 xxu||||| |||| 00| 0 eng d
022			_a0278-2715
024			_a10.1377/hlthaff.2018.0727 [doi]
040			_aOvid MEDLINE(R)
099			_a30395493
245			_aCan Communication-And-Resolution Programs Achieve Their Potential? Five Key Questions.
251			_aHealth Affairs. 37(11):1845-1852, 2018 Nov.
252			_aHealth Aff (Millwood). 37(11):1845-1852, 2018 Nov.
253			_aHealth affairs (Project Hope)
260			_c2018
260			_fFY2019
265			_sppublish
266			_d2018-11-09
501			_aAvailable online from MWHC library: Nov 1981 - present
520			_aCommunication-and-resolution programs (CRPs) are intended to promote accountability, transparency, and learning after adverse events. In this article we address five key challenges to the programs' future success: implementation fidelity, the evidence base for CRPs and their link to patient safety, fair compensation of harmed patients, alignment of CRP design with participants' needs, and public policy on CRPs. While the field has arrived at an understanding of the core communication-and-resolution practices, limited adherence fuels skepticism that programs are meeting the needs of patients and families who have been injured by care or improving patient safety. Adherence to communication-and-resolution practices could be enhanced by adopting measures of CRP quality and implementing programs in a comprehensive, principled, and systematic manner. Of particular importance is offering fair compensation to patients in CRPs and supporting their right to attorney representation. There is evidence that the use of CRPs reduces liability costs, but research on other outcomes is limited. Additional research is especially needed on the links between CRPs and quality and on the programs' alignment with patients' and families' needs. By honoring principles of transparency, quality improvement, and patient and family empowerment, organizations can use their CRPs to help revitalize the medical profession.
546			_aEnglish
650			_a*Communication
650			_a*Compensation and Redress/lj [Legislation & Jurisprudence]
650			_a*Hospitals/st [Standards]
650			_a*Medical Errors/lj [Legislation & Jurisprudence]
650			_a*Patient Safety/st [Standards]
650			_aHumans
650			_aLiability, Legal/ec [Economics]
650			_aMalpractice/ec [Economics]
650			_aMalpractice/sn [Statistics & Numerical Data]
650			_aNegotiating
651			_aMedStar Health Research Institute
657			_aJournal Article
700			_aMcDonald, Timothy B
790			_aBell SK, Gallagher TH, McDonald TB, Mello MM, Sage WM, Thomas EJ
856			_uhttps://dx.doi.org/10.1377/hlthaff.2018.0727 _zhttps://dx.doi.org/10.1377/hlthaff.2018.0727
942			_cART _dArticle
999			_c3883 _d3883