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A Mediation Model for the Disclosure of Adverse Events in a Hospital Setting

Shirley, Melinda J. and Cockburn, Tina L. (2007) A Mediation Model for the Disclosure of Adverse Events in a Hospital Setting. ADR Bulletin 10(2):pp. 37-38.

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Abstract

Open disclosure standards are being debated and endorsed around the world to require medical practitioners to disclose adverse events which occur in a hospital setting to affected patients. The relationship between the quality of the physician-patient communication and subsequent litigation has been explored by several researchers. Those results suggest that the desire to litigate is often fuelled by families’ perceptions around how the adverse event was communicated rather than the quality of the medical care received. This is consistent with dispute resolution theory which acknowledges the importance of dealing with the emotional and social perspectives of conflict situations in addition to the substantive event of alleged negligence. This paper proposes that a mediation model for managing open disclosure provides a structured framework for addressing both physician’s and patient's needs in dealing with adverse events. It also offers a systemic and humane approach to institutional risk management for hospitals and insurers.

Item Type:Journal Article
Status:Published
Keywords:open disclosure; mediation; medical adverse event
Subjects:390000 Law, Justice and Law Enforcement > 390100 Law > 390199 Law not elsewhere classified
390000 Law, Justice and Law Enforcement > 390100 Law
ID Code:13185
Deposited By:Grist, Elizabeth/E
Deposited On:28 March 2008
Alternative Locations:http://www.nadrac.gov.au
Copyright Owner:Copyright 2007 (please consult author)
Additional Information:The contents of this publication can be freely accessed online via the organisation's web page (see hypertext link).