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Adverse event management: your evidence to decrease professional liability risk
James W Saxton1, Maggie M Finkelstein
1Stevens & Lee's Health Law Department, USA. jws@stevenslee.com
The Journal of Medical Practice Management : MPM
|August 30, 2008
Summary
Healthcare providers should understand disclosure and apology after adverse events. Effective communication requires planning and empathy, crucial for patient success and liability reduction.
Area of Science:
- Healthcare Management
- Patient Safety
- Medical Ethics
Background:
- Adverse events are a significant concern in healthcare.
- Effective communication strategies are vital following medical errors.
- Disclosure and apology are increasingly recognized as important components of patient care and risk management.
Purpose of the Study:
- To educate healthcare providers on the emerging trend of disclosure and apology after adverse events.
- To differentiate between apologies that accept responsibility and those expressing empathy.
- To introduce a framework for successful patient communication and liability reduction.
Main Methods:
- Literature review on disclosure and apology practices in healthcare.
- Analysis of communication strategies for adverse event management.
- Framework development for pre- and post-event planning.
Main Results:
- Understanding the nuances of "sorry" is critical: distinguishing between accepting responsibility and expressing empathy.
- Disclosure and apology are not standalone actions but require comprehensive planning.
- A structured framework can enhance provider success and mitigate liability.
Conclusions:
- Effective disclosure and apology require careful planning and empathetic communication.
- Implementing a framework for managing adverse events improves patient outcomes and reduces legal risks.
- Healthcare providers need training to navigate disclosure and apology effectively.
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