The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes.
The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes.
- 2016
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.
English
0017-9124
*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 Management
MedStar Health Research Institute
Journal Article
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.
English
0017-9124
*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 Management
MedStar Health Research Institute
Journal Article