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Implementing an error disclosure coaching model: A multicenter case study.

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Frontline clinicians received training to coach medical error disclosure, aiming to improve patient safety and reduce liability. While the training was well-received, ongoing practice is crucial for developing confidence in coaching skills.

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Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety
  • Medical Malpractice Prevention

Background:

  • National guidelines recommend 24/7 coaching for medical error disclosure.
  • Frontline clinicians may hesitate to seek coaching from risk managers.
  • A demonstration project aimed to enhance medical error disclosure processes.

Purpose of the Study:

  • To evaluate a training program for multidisciplinary disclosure coaches.
  • To assess the effectiveness of the training in improving patient safety and reducing malpractice liability.
  • To provide a model for healthcare organizations seeking to enhance disclosure capabilities.

Main Methods:

  • A multidisciplinary training program for disclosure coaches was implemented across 8 healthcare organizations in Washington State.
  • Participant feedback on the training's quality and perceived coaching confidence was collected.
  • The intervention focused on improving medical error disclosure practices.

Main Results:

  • The training program received high ratings from participants.
  • Not all trained coaches reported high confidence in their coaching abilities post-training.
  • The intervention demonstrated a potential model for enhancing disclosure capabilities.

Conclusions:

  • Multisite training interventions can serve as a model for improving medical error disclosure.
  • Successful implementation requires organizational cultural change and consistent practice opportunities for coaches.
  • Enhancing coaching skills is vital for effective medical error disclosure and patient safety.