Implementing communication and resolution programs: Lessons learned from the first 200 hospitals

Author:

McDonald Timothy B12,Van Niel Melinda3,Gocke Heather4,Tarnow Deanna5,Hatlie Martin1,Gallagher Thomas H67

Affiliation:

1. MedStar Institute for Quality and Safety, Center for Open and Honest Communication, Washington, USA

2. Loyola University Chicago School of Law, Beazley Institute of Health Law and Policy, Chicago, USA

3. Beth Israel Deaconess Medical Center, Health Care Quality, Beth Israel Deaconess Medical Center, Boston, USA

4. BETA Healthcare Group, Risk Management and Patient Safety, Glendale, USA

5. BETA Healthcare Group, Risk Management and Patient Safety, Alamo, USA

6. Department of Medicine, University of Washington School of Medicine, Seattle, USA

7. Collaborative for Accountability and Improvement, Seattle, USA

Abstract

The Communication and Optimal Resolution toolkit contains implementation guidance for communication and resolution programs that are comprehensive, principled, and systematic approaches to the prevention and response to patient harm that includes the open and honest communication of inappropriate care to patients and families that is coupled with financial compensation and the commitment to future prevention. The toolkit was released by the Agency for Healthcare Research and Quality in May 2016. The authors describe their experiences with implementing communication and resolution programs with all of the components of Communication and Optimal Resolution and other communication and resolution program best practices in over 200 hospitals. Lessons learned include the ability to predict and discover actual barriers to full implementation and strategies for overcoming them are shared. Future considerations for further dissemination and spread are discussed.

Publisher

SAGE Publications

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