Risk management: Extreme honesty may be the best policy

被引:262
作者
Kraman, SS [1 ]
Hamm, G [1 ]
机构
[1] Vet Adm Med Ctr, Lexington, KY 40511 USA
关键词
D O I
10.7326/0003-4819-131-12-199912210-00010
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This paper reviews a humanistic risk management policy that includes early injury review, steadfast maintenance of the relationship between the hospital and the patient, proactive full disclosure to patients who have been injured because of accidents or medical negligence, and fair compensation for injuries. The financial consequences of this type of policy are not yet known; however, one Veterans Affairs medical center, which has been using humanistic risk management since 1987, has had encouragingly moderate liability payments. The Department of Veterans Affairs now requires such a policy for all of its facilities; therefore, comprehensive experience may be only a few years away.
引用
收藏
页码:963 / 967
页数:5
相关论文
共 10 条
[1]  
DEFRANCES CJ, 1995, NCJ154346 US DEP JUS, P1
[2]  
*DEP VET AFF VHA, 1998, DEP VET AFF VHA MAN, V1051
[3]   FACTORS THAT PROMPTED FAMILIES TO FILE MEDICAL MALPRACTICE CLAIMS FOLLOWING PERINATAL INJURIES [J].
HICKSON, GB ;
CLAYTON, EW ;
GITHENS, PB ;
SLOAN, FA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (10) :1359-1363
[4]   RELATION BETWEEN MALPRACTICE CLAIMS AND ADVERSE EVENTS DUE TO NEGLIGENCE - RESULTS OF THE HARVARD MEDICAL-PRACTICE STUDY-III [J].
LOCALIO, AR ;
LAWTHERS, AG ;
BRENNAN, TA ;
LAIRD, NM ;
HEBERT, LE ;
PETERSON, LM ;
NEWHOUSE, JP ;
WEILER, PC ;
HIATT, HH .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (04) :245-251
[5]   INITIATION OF MEDICAL MALPRACTICE SUITS - A CONCEPTUALIZATION AND TEST [J].
PENCHANSKY, R ;
MACNEE, C .
MEDICAL CARE, 1994, 32 (08) :813-831
[6]  
PETERKIN A, 1990, CAN MED ASSOC J, V142, P984
[7]  
PRESS AH, 1997, NCJ165810 US DEP JUS
[8]  
RUBIN B, 1978, HOSPITALS, V52, P86
[9]   Flow do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting [J].
Witman, AB ;
Park, DM ;
Hardin, SB .
ARCHIVES OF INTERNAL MEDICINE, 1996, 156 (22) :2565-2569
[10]   To tell the truth - Ethical and practical issues in disclosing medical mistakes to patients [J].
Wu, AW ;
Cavanaugh, TA ;
McPhee, SJ ;
Lo, B ;
Micco, GP .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1997, 12 (12) :770-775