May
13
0 comments
DISCLOSURE AND APOLOGY AFTER MEDICAL ERRORS AND ADVERSE EVENTS:
2-Hour Live Interactive Online Workshop
Tuesday, May 21, 2019
9-11am EST (6-8am PST)
DETAILS AND REGISTRATION: ipepweb.org/disclosure-and-apology
CME and Risk Management Credits Avai…
Feb
11
0 comments
One of the primary reasons for embarking upon a journey to be more transparent through a CARe program is the overall improvement to patient safety. When we honestly assess adverse events to determine true root causes, and create realistic improvement plans…
Oct
15
0 comments
PROMOTING RESPECT IN HEALTHCARE
-A patient with limited English proficiency arrives for an elected procedure but is told that there is no interpreter for her visit. Therefore, no consent can be obtained and her procedure must be rescheduled.
-A patient …
Sep
11
2 comments
Looking to learn more about Communication and Resolution? @IPEP_BCH is offering a FREE online course on October 11th.
Sign up here: http://ipepweb.org/disclosure-and-apology/
Jul
16
0 comments
At MACRMI, we know that patients who have experienced adverse events suffer not only physical harm, but emotional harm as well. But until recently, that emotional harm was a secondary concern -- but now concept has come front and center, as we struggle wit…
Jun
06
0 comments
Thank you to all who attended our 6th Annual CARe Forum. We hope you enjoyed it and learned a lot.
For those of you who could not attend (or those who want to see it again!) we have uploaded the presentations to our video library. The only presentation un…
Mar
15
0 comments
You are cordially invited to…
The 6th Annual
Communication, Apology, and Resolution Forum
Hosted by the Massachusetts Alliance for Communication and Resolution following Medical Injury (MACRMI)
Tuesday, May 15, 2018
Massachusetts …
Feb
12
0 comments
We are pleased to announce that our 6th Annual Forum will take place on May 15th, 2018 from 10am - 2:30pm at the Massachusetts Medical Society Conference Center in Waltham. As requested by audience members last year, we will be presenting two simulations o…
Jan
08
0 comments
Our friends at IPEP are hosting a great online workshop (which is live and interactive!) on disclosure and apology. If you haven't yet attended one of their workshops on the challenges of disclosure and how to do it well, we highly recommend it!
_________…
Nov
28
0 comments
Congratulations to this year's MITSS (Medically Induced Trauma Support Services) HOPE Award Recipients: Dr. Kenneth Sands, Dr. Evan Benjamin, and the teams they led at Beth Israel Deaconess and Baystate Health for their work in implementing the Communicati…
Oct
31
0 comments
(Some of) Our data is out! We are excited to announce that Health Affairs has recently published one piece of our pilot study of the CARe program in Massachusetts, which demonstrated that when these programs are implemented rigorously, there is no increase…
Oct
23
0 comments
We invite you to join MACRMI at the 2017 IHI National Forum!
Rana Awdish, MD, is a critical care physician at Henry Ford Hospital in Detroit. In a New England Journal of Medicine article that got over 100,000 page views, she candidly described how her own…
Oct
16
0 comments
At our Spring 2017 Forum, Michelle Mello, co-author of the article Patients' Experiences with Communication-and-Resolution Programs After Medical Injury, presented on how patients viewed CRPs after participating in them. In response to the findings in this…
Oct
02
0 comments
MACRMI's latest set of Best Practices have been released, this time focusing on those for Insurers who are involved in the CARe process. Insurers are an integral part of lasting resolutions with patients who have been harmed during medical care, and these …
May
16
0 comments
Videos of each of the sessions from our 5th Annual CARe Forum are now available for streaming on Youtube.
You can access each of the Videos from our Video Library, or using the direct links below.
Introductory Session: https://www.youtube.com/watch?…
Apr
20
0 comments
Thank you to everyone who attended our 5th Annual CARe Forum. We were so happy to have so many attend from places near and far (Washington and California!)
As always, we are making our slides and materials available online.
Links to the slide decks are h…
Mar
14
0 comments
You are cordially invited to…
The 5th Annual
Communication, Apology, and Resolution Forum
Hosted by the Massachusetts Alliance for Communication and Resolution following Medical Injury (MACRMI)
Thursday, April 13, 2017
Massachusetts Me…
Feb
06
0 comments
SAVE THE DATE!
The 5th Annual
Communication, Apology, and Resolution
Forum
Hosted by the Massachusetts Alliance for Communication and Resolution following Medical Injury (MACRMI)
Thursday, April 13, 2017
Massachusetts Medical Society, 860 Winter…
Jan
23
0 comments
THIS FORUM HAS BEEN CANCELLED; PLEASE ATTEND OUR ANNUAL FORUM ON APRIL 13TH.
WCBA and MACRMI to co-host
Communication, Apology, and Resolution (CARe) Forum
The Massachusetts Alliance for Communication and Resolution Following Medical In…
Oct
17
0 comments
Several years ago MACRMI members worked with attorneys around the state to develop our Best Practices for Attorneys -- both those representing patients, and those representing providers-- in the CARe process. We believe that these guidelines help attorneys…
Sep
29
0 comments
Sep
27
0 comments
Our colleagues at the Collaborative for Accountability and Improvement are running a great conference on October 20-21 at Medstar in Washington DC. They will have lots of great presentations about CRP approaches, the new CANDOR toolkit released by the Agen…
Aug
29
0 comments
Think Communication, Apology, and Resolution is the right way to resolve adverse events? Are you looking for a new career opportunity? Do you want to help run a CARe program? Be a part of the great team at Baystate!
The details are all here: CARe Pro…
Jul
15
0 comments
Following the success of the first and second International Incident Disclosure Conference in Sydney in 2012 and in York in 2014 we are delighted to announce the next bi-annual event will be organized by the Vrije Universiteit (Free University of) Amsterda…
Jun
13
0 comments
The Institute for Professionalism and Ethical Practice (IPEP) and OPENPediatrics at Boston Children’s Hospital recently launched a new, open access online course designed to help clinicians prepare for Disclosure and Apology conversations with patien…
Mar
30
0 comments
Please join MACRMI at the Fourth Annual Communication, Apology, and Resolution (CARe) Forum on Tuesday, April 19th and learn more about the latest updates on CARe activities and its evolution in Massachusetts. This program illustrates the ongoi…
Mar
21
0 comments
The Collaborative for Accountability and Improvement (the Collaborative) is a newly-formed organization with the goal of supporting broader implementation of communication and resolution programs (CRPs). In February, the Collabor…
Feb
17
0 comments
As a dedicated member of MACRMI, I find it very encouraging that hospitals across the country are embracing the concept of admitting medical errors to patients and apologizing for them. This was reinforced in a recent Wall Street Journal article wher…
Feb
15
0 comments
Have you been thinking about starting a Communication, Apology, and Resolution (CARe) program at your own facility, but don't know where to start?
Do you have an event that you'd like to resolve with CARe that has tricky components you'd like to run by …
Jan
13
0 comments
Baystate Health continues the conversation around its commitment to a Communication, Apology and Resolution (CARe) culture…
CARe: Apology, before and after an Investigation
About a year ago, Baystate Health posted a blog about the importance…
Nov
24
0 comments
In September 2015, as a continuation of the Institute of Medicine’s (IOM) work to improve quality and safety in health care, the report, “Improving Diagnosis in Health Care” was released. The IOM committee examined current definitio…
Aug
18
0 comments
CARe Implementation in the Ambulatory Setting
In June 2014, Atrius Health secured a two-year grant from CRICO to support implementation of the CARe program across the organization. We are now at the half way point of our grant. The first year focused on r…
Jul
21
0 comments
As one of the inaugural members of the MACRMI alliance, Coverys has continued its longstanding support of proactive patient communication and the disclosure of adverse events. The advent of M.G.L. chapter 231 section 60L and the MACRMI-sponsored CARe pilot…
Jul
02
0 comments
Sturdy Memorial Hospital was first introduced to the CARe Program in September of 2013 by our President Dr. Bruce Auerbach. Our education began with having Dr. Alan C. Woodward speak to our Medical Staff at their Annual Risk Management Seminar. Dr. Woodwar…
May
29
0 comments
Michelle Mello, JD, PhD, and Jeffrey Catalano, Esq - members of MACRMI - co-authored an editorial accompanying the study on the use of nondisclosure clauses in malpractice settlement agreements reported in JAMA Internal medicine by author Dr. William Sage …
May
07
0 comments
As a long-time admirer of MACRMI, I’m pleased to be asked to write a monthly blog examining the wealth of issues that surround medical error transparency. My brother, Larry Kraman, and I have recently completed a documentary covering all aspects of the mo…
Apr
17
0 comments
Please join MACRMI at the Third Annual CARe Forum on Tuesday, May 19th from 9:30 AM to 2:00 PM at the Massachusetts Medical Society’s Conference Center. You will learn from the organizations who have been implementing the Communication, Apology, and …
Mar
16
0 comments
As part of the Massachusetts Hospital Association (MHA)’s ongoing efforts to educate hospital chief executive officers about the Communication, Apology, and Resolution (CARe) approach to address adverse medical events, MHA held a high-level overview of the…
Feb
05
0 comments
The Massachusetts Bar Association (MBA) and MACRMI recently co-sponsored a seminar on the CARe program at the MBA. The audience consisted mostly of attorneys, including those who represent patients. The purpose of the seminar was to educate lawyers on the…
Jan
19
0 comments
The Institute of Professionalism and Ethical Practice (IPEP) and OPENPediatrics at Boston Children's Hospital are collaborating to develop curricula to advance relational learning worldwide. OPENPediatrics (OP) is a free, open access, peer-reviewed, …
Dec
15
0 comments
Two articles in the November 26th issue of the Journal of the American Medical Association discuss the current medical liability climate, the need for reform, and some of the benefits of the Communication Resolution Program (CRP) approach.
The Medical Lia…
Nov
17
0 comments
Effective provider-patient communication is known to be related to improved clinical outcomes, medication adherence, readmission rates, and patient satisfaction…and to building trust. Transparency and open communication are basic tenets of the…
Nov
07
0 comments
There has been a good deal of discussion in this space about the importance of supporting one’s peers following adverse medical events. Certainly, MACRMI recognizes that clinician support is an integral part of any successful CARe like program.…
Oct
20
0 comments
We have an improved look to the Resource Library, check it out! It's now easier for users to access the full library. We have highlighted our most commonly requested resources and added a green button above to "view all documents." We hope this w…
Oct
08
0 comments
At the 7th Annual NPSF Lucian Leape Institute Forum, Dr. Robert Wachter spoke about the digitization of medicine and novel patient safety risks that are emerging as unwanted by-products. Much of the healthcare community, he explained, believes that…
Oct
03
0 comments
MACRMI has prepared a resource for patients who have experienced an unexpected medical outcome. This handout provides patients and their families with important information about the CARe program. Please click here to view and download it.
Sep
10
0 comments
When health care workers are a part of or witness an adverse event or other upsetting situation they are often isolated with their emotions. Being able to talk about and share these experiences can alleviate emotional distress and job-related stress, and l…
Sep
03
0 comments
MACRMI is committed to providing free resources, raising awareness of the CARe model, and ultimately, helping other institutions implement CARe programs. Therefore, we are pleased to present our new comprehensive implementation guide for establishing CARe …
Aug
13
0 comments
In December 2012, Beth Israel Deaconess Hospital-Milton (BID-Milton) launched its formalized CARe program. As part of the initial and ongoing implementation process, the hospital deployed CRICO’s Guidelines for Disclosure after an Adverse Event. …
Jul
28
0 comments
Clinician peer support seems to be a hot topic these days. At Medically Induced Trauma Support Services (MITSS), we have had a flurry of activity around peer support over the past couple of months. Linda Kenney and I were honored to present at …
Jul
03
0 comments
We are frequently asked whether we have “trained” our staff in disclosure and apology. Is it better for institutions to approach this topic with shallow and wide education and organizational development, or to provide more intensive and deep ed…
Jun
13
0 comments
From the insurer’s perspective, we have learned that the implementation of a Communication, Apology and Resolution (CARe) program following medical injury provides a unique opportunity for us, as the provider’s or hospital’s insurer, to p…
Jun
09
0 comments
Thank you to everyone who attended our second annual forum on May 22, 2014 to learn more about the concept of Communication, Apology, and Resolution (CARe) following medical injury. We enjoyed many exciting and informative presentations including an o…
Apr
30
0 comments
Please join MACRMI at the Second Annual CARe Forum on Thursday, May 22 and learn more about the concept of Communication, Apology, and Resolution (CARe) following medical injury and how to implement it in your care setting. This program illustra…
Apr
08
0 comments
MACRMI has been hard at work the past several months working on developing additional best practices for CARe programs. One of the areas that is the most challenging for risk management staff and providers who are using CARe, or thinking about implementing…
Mar
12
0 comments
Mar
03
0 comments
All health care professionals strive to provide high quality, compassionate, and error-free care. However, mistakes, sometimes serious mistakes, can and do occur. In 2006, Harvard teaching hospitals produced a historic consensus document, When Things Go Wr…
Feb
10
0 comments
Can transparency about a medical error help to make our patients feel better about what has happened to them? Can we make our patients emotionally whole? This is a tall order because patients feel themselves a victim to medical error and are injured …
Jan
30
0 comments
Last fall, I had the pleasure and privilege of traveling to two very different places. I was invited to discuss clinician and patient/family support, especially following medical harm. In October, I attended and spoke at a conference that was s…
Dec
18
0 comments
On December 10th, Dr. Evan Benjamin and I had the privilege of leading a workshop at the Institute for Healthcare Improvement (IHI) National Forum. The IHI forum is the most prominent conference in the field of health care quality, and the pr…
Dec
06
0 comments
Oct
28
0 comments
This from a recent Wall Street Journal article: "It's a simple enough request, but for patients and families who feel vulnerable, scared or uncomfortable in a hospital room, the subject can be too intimidating to even bring up with a doctor or nurse.…
Sep
23
0 comments
MACRMI members believe that the CARe approach to adverse events is simply the right thing to do. But CARe is not simply a checklist of steps to follow; there are essential elements of culture that need to be developed to support CARe.
One of those cultura…
Jun
25
0 comments
At the First Annual CARe Forum held this past April, MITSS, as part of the MACRMI leadership team, was asked to present the patient’s perspective. We were pleased to introduce the video of Peg Metzger -- a patient who survived a nearly fatal ad…
May
20
0 comments
Dr. Brian Goldman gives a great TED Talk on mistakes in health care. Clinicians feel alone, ashamed and unsupported when they make mistakes-- and mistakes are only human. Dr. Goldman believes that we would be much better off if our culture supported talkin…
Mar
06
0 comments
At MACRMI, it is our task to advocate for a transparent, honest, and empathetic approach to adverse events. Throughout the MACRMI website you will see the concept of transparency championed over and over again. You will notice as you browse that there are …
Jan
10
0 comments
MACRMI is proud to announce the release of the CARe informational brochure for patients. It is the product of many hours of work, including the efforts of volunteer patients who offered their time to advise us on how to create a useful product. This brochu…
Dec
19
0 comments
On December 3, 2012, MACRMI held a briefing at the Massachusetts Hospital Association which covered the background of the CARe approach and the tools necessary to start such a program. Over thirty hospital representatives attended to learn about CARe and i…
Dec
13
0 comments
Welcome to the new MACRMI blog. Here you will find the latest developments in the CARe program, similar programs across the nation, recent journal and news articles of relevance, and other information.
Get this feed 
