Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The Communication and Resolution Program Certification Pilot.
Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The Communication and Resolution Program Certification Pilot.
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与监管机构合作，支持医疗错误后的质量和责任：沟通和解决计划认证试点。
DOI：
10.1111/1475-6773.12557
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发表时间：
2016
影响因子：
3.4
通讯作者：
Cullen,BruceF
中科院分区：
文献类型：
--
作者：
Gallagher,ThomasH;Farrell,MichaelL;Karson,Hannah;Armstrong,SarahJ;Maldon,JohnT;Mello,MichelleM;Cullen,BruceF
目标沟通和解决计划 (CRP) 涉及机构利用患者透明度、事件分析、复发预防和补偿来应对不良事件。与 CRP 监管机构的合作可以提高医疗保健质量。设置和参与者医疗保健机构、责任保险公司和华盛顿州的医疗质量保证委员会（MQAC，医学委员会）。研究设计MQAC 与医疗保健质量基金会 (FHCQ) 合作开展 CRP 认证试点。 FHCQ 的一个由医生、风险经理和患者权益倡导者组成的小组将审查病例以使用 CRP 关键要素。符合此标准的案件将获得“CRP 认证”。如果 MQAC 确定 CRP 增强的患者安全与委员会的行动相当或更好，则委员会可能会结案。 主要调查结果 制定此流程确定了以下问题：(1) 保护为 CRP 认证提交的信息； (2) 确定委员会需要哪些信息来评估是否需要进行额外调查； (3) 在与卫生保健组织合作时，维护委员会保护公众的责任； (4) 解决 CRP 认证不能保护不称职的提供者的担忧。结论 CRP 认证计划是机构、保险公司和监管机构之间合作的一个有希望的例子，以促进以患者为中心的责任和不良事件后的学习。
ObjectiveCommunication and resolution programs (CRPs) involve institutions responding to adverse events using transparency with patients, event analysis, recurrence prevention, and compensation. Collaboration with regulators around CRPs could enhance health care quality.Setting and ParticipantsHealth care institutions, liability insurers, and the Medical Quality Assurance Commission (MQAC, board of medicine) in Washington State.Study DesignMQAC has collaborated with the Foundation for Health Care Quality (FHCQ) on the CRP Certification pilot. A panel of physicians, risk managers, and patient advocates at FHCQ will review cases for use of the CRP key elements. Cases meeting this standard will be “CRP Certified.” If MQAC determines that the CRP enhanced patient safety comparable or better than board action, the Commission may close the case.Principal FindingsDeveloping this process identified the following issues: (1) protecting information submitted for CRP Certification; (2) determining what information the Commission needs to assess whether additional investigation is warranted; (3) preserving the Commission's responsibility to protect the public while working with health care organizations; and (4) addressing concerns that CRP Certification not shield incompetent providers.ConclusionsThe CRP Certification program is a promising example of collaboration among institutions, insurers, and regulators to promote patient‐centered accountability and learning following adverse events.
医疗事故和解应该保密吗？
影响因子：
39
作者：
M. Mello;Jeffrey N Catalano
通讯作者：
Jeffrey N Catalano