The Texas Disclosure and Compensation Study: Best Practices for Improving Safety

德克萨斯州披露和赔偿研究：提高安全性的最佳实践

• 批准号: 8015920
• 负责人: ERIC J THOMAS
• 金额: $ 179.66万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8015920
• 关键词: Texas; Disclosure; Compensation; Study; Best

DESCRIPTION (provided by applicant): Disclosure and compensation programs are a leading alternative to traditional medical liability. Patients want to know about medical errors, especially errors that directly harm them. Although disclosing an error and its consequences to a patient is difficult, the benefits of disclosing errors to patients are multiple. Our overall goal is to determine how to make disclosure and compensation a process that will not only serve the needs of individual patients, but take more advantage of the patient's experience to help hospitals change their systems and improve safety for subsequent patients. To meet this goal we will: 1) conduct a 3-year study of disclosure and compensation in the University of Texas System with measures of disclosure, malpractice, and impact on safety at three points in time (baseline, after initial disclosure training/before implementation of best practices for using disclosure to improve safety, and after implementation of these best practices); 2) host a conference of national experts during year two to identify best practices for using disclosure to improve hospital safety; and 3) implement, evaluate, and disseminate these best practices (with a focus on incorporating patients and families into efforts to understand why errors occur). The products of this study will include: best practices for using disclosure and patients' perspectives to improve patient safety; a new survey to measure both safety culture and error disclosure culture; and an assessment of how disclosure and compensation influences traditional tort outcomes such as claims, suits, time to resolution, payments, and overall expense. PUBLIC HEALTH RELEVANCE: Our overall goal is to determine how to make disclosure and compensation a process that will not only serve the needs of individual patients, but take more advantage of the patient's experience to help hospitals change their systems and improve safety for subsequent patients. To meet this goal we will: 1) conduct a 3-year study of disclosure and compensation in the University of Texas System with measures of disclosure, malpractice, and impact on safety at three points in time (baseline, after initial disclosure training/before implementation of best practices for using disclosure to improve safety, and after implementation of these best practices); 2) host a conference of national experts during year two to identify best practices for using disclosure to improve hospital safety; and 3) implement, evaluate, and disseminate these best practices (with a focus on incorporating patients and families into efforts to understand why errors occur). The products of this study will include: best practices for using disclosure and patients' perspectives to improve patient safety; a new survey to measure both safety culture and error disclosure culture; and an assessment of how disclosure and compensation influences traditional tort outcomes such as claims, suits, time to resolution, payments, and overall expense.

描述（由申请人提供）：披露和薪酬计划是传统医疗责任的主要替代方案。患者想知道医疗错误，尤其是直接伤害他们的错误。尽管很难披露错误及其对患者的后果，但向患者披露错误的好处是多重的。我们的总体目标是确定如何使披露和补偿不仅可以满足各个患者的需求，而且还要利用患者的经验来帮助医院改变系统并提高后续患者的安全性。为了实现这一目标，我们将：1）在得克萨斯大学系统中对披露和赔偿进行了为期3年的披露和薪酬研究，该研究的措施，违规，渎职行为和对安全性的影响三个时间点（基线，在初步披露培训之后/在实施最佳实施披露以改善安全性和实施这些最佳实践之后）的最佳实践）； 2）在第二年举办一次国家专家会议，以确定使用披露来改善医院安全的最佳实践； 3）实施，评估和传播这些最佳实践（重点是将患者和家庭纳入努力，以了解为什么发生错误）。这项研究的产品将包括：使用披露和患者观点改善患者安全的最佳实践；一项新的调查，以衡量安全文化和错误披露文化；并评估披露和薪酬如何影响传统侵权成果，例如索赔，诉讼，解决时间，付款时间和整体费用。 公共卫生相关性：我们的总体目标是确定如何使披露和补偿不仅可以满足各个患者的需求，还可以更利用患者的经验来帮助医院改变其系统并提高后续患者的安全性。为了实现这一目标，我们将：1）在得克萨斯大学系统中对披露和赔偿进行了为期3年的披露和薪酬研究，该研究的措施，违规，渎职行为和对安全性的影响三个时间点（基线，在初步披露培训之后/在实施最佳实施披露以改善安全性和实施这些最佳实践之后）的最佳实践）； 2）在第二年举办一次国家专家会议，以确定使用披露来改善医院安全的最佳实践； 3）实施，评估和传播这些最佳实践（重点是将患者和家庭纳入努力，以了解为什么发生错误）。 这项研究的产品将包括：使用披露和患者观点改善患者安全的最佳实践；一项新的调查，以衡量安全文化和错误披露文化；并评估披露和薪酬如何影响传统侵权成果，例如索赔，诉讼，解决时间，付款时间和整体费用。