Ascension health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise
| Autor: | Christine Kocot McCoy, Jane Gale, Ann Hendrich, Lora P. Sparkman, Palmira Santos |
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| Rok vydání: | 2014 |
| Předmět: |
Quality Assurance
Health Care Organizations Nonprofit education Clinical settings Certification Disclosure Nursing Pregnancy Hospitals Religious Humans Ethics Medical Full disclosure Protocol (science) Insurance Claim Reporting Physician-Patient Relations Ethical issues Medical Errors business.industry Health Policy Communication Liability Catholicism Health Plan Implementation Infant Newborn Public relations Delivery Obstetric United States Obstetric Labor Complications Unexpected events Health Care Reform Female Business Health reform |
| Zdroj: | Health affairs (Project Hope). 33(1) |
| ISSN: | 1544-5208 |
| Popis: | Communicating openly and honestly with patients and families about unexpected medical events-a policy known as full disclosure-improves outcomes for patients and providers. Although many certification and licensing organizations have declared full disclosure to be imperative, the adoption of and adherence to a full disclosure protocol is not common practice in most clinical settings. We conducted a case study of Ascension Health's implementation of a full disclosure protocol at five labor and delivery demonstration sites. Twenty-seven months after implementation, the rate of full disclosure had increased by 221 percent. Practitioners saw insurers' acceptance of the full disclosure protocol, consistent and ongoing leadership by local practitioners and hospitals, the establishment of a well-trained local investigation and disclosure team, and disclosure training for practitioners as key catalysts for change. Lessons learned from this multisite initiative can inform liability insurers and guide providers who are committed to ensuring that full disclosure becomes the only response to unexpected medical events. |
| Databáze: | OpenAIRE |
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