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- Title
Disclosure After Adverse Medical Outcomes: A Multidimensional Challenge.
- Authors
O'Connell, Daniel
- Abstract
Objective:To review established approaches to disclosure and resolution following adverse medical outcomes and highlight barriers that may hinder universal implementation of effective disclosure/resolution practices. Methods: An overview of established approaches to disclosure and resolution of adverse medical outcomes is presented. Results: Clinicians must be equipped to manage situations where adverse medical outcomes occur even though the care provided was reasonable, within the standard, as well as in situations where preventable problems in the care provided were likely the cause of patient harm. Established approaches that have proven useful for investigating, disclosing, and resolving situations, captured in the acronyms AIDR, ALEE, and TEAM, can assist clinicians in the disclosure and ultimate resolution of these 2 types of situations. Conclusion: Health care organizations with a solid commitment and a reliable structure for ensuring adherence to full disclosure and fair resolution of adverse outcomes have demonstrated sustainable progress in ethically and effectively resolving situations where patients are harmed by medical care.
- Subjects
COMMUNICATION; CONFLICT management; EMPATHY; EVALUATION of medical care; MEDICAL errors; PATIENT advocacy; PATIENT safety; QUALITY assurance; RESPONSIBILITY; RISK management in business; TEAMS in the workplace; DISCLOSURE; ADVERSE health care events
- Publication
Journal of Clinical Outcomes Management, 2019, Vol 26, Issue 5, p213
- ISSN
1079-6533
- Publication type
Article