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Related Experiment Videos

A risk management program based on full disclosure and trust: does everyone win?

S S Kraman1

  • 1VA Medical Center (11), 2250 Leestown Rd., Lexington, KY 405116, USA.

Comprehensive Therapy
|September 25, 2001
PubMed
Summary

Hospitals often view harmed patients as threats. However, evidence suggests that full disclosure, apology, and compensation can protect everyone involved more affordably.

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Area of Science:

  • Medical error management
  • Patient safety
  • Healthcare ethics

Background:

  • Hospitals frequently perceive patients harmed by errors or negligence as adversarial.
  • Traditional approaches may escalate conflict and increase costs.

Purpose of the Study:

  • To explore the benefits of a full disclosure, apology, and compensation (FDAC) approach.
  • To evaluate FDAC as a strategy for mitigating risks associated with medical errors.

Main Methods:

  • Review of theoretical frameworks on disclosure and apology in healthcare.
  • Analysis of experiential evidence from cases involving patient harm.
  • Comparative cost-benefit analysis of FDAC versus traditional approaches.

Main Results:

  • FDAC can reframe the patient-provider relationship from adversarial to collaborative.
  • Evidence suggests FDAC can reduce litigation costs and improve patient satisfaction.
  • This approach offers a potentially more cost-effective resolution for healthcare providers and patients.

Conclusions:

  • Adopting a full disclosure, apology, and compensation model is a viable and potentially less costly strategy for managing patient harm.
  • This approach benefits all parties by fostering trust and reducing conflict.
  • Healthcare institutions should consider implementing FDAC policies to improve patient safety and reduce overall costs.

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