A New Kind of Bedside Manner: The Rise
of Apology Policies
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Original Publish Date:
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June 16, 2008
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Review Date(s):
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June 2009, 2010, 2011
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Term of Approval End Date:
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June 16, 2012
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Estimated Time to Complete:
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1 Hour
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Risk Management:
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Yes
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Course Format:
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Text
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Course Fee:
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Mbrs-$10, Non Mbrs-$20
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To participate in this CME
activity: (1) review the information on this page which includes the
learning objectives and faculty disclosures; (2) read the course
pages; (3) complete the exam; (4) view/print certificate.
Course Overview
A New Kind of Bedside Manner:
The Rise of Apology Policies is jointly sponsored by the
Massachusetts Medical Society and Lawyers Weekly, Inc., publishers of
Massachusetts Medical Law Report. Experience from Department of
Veterans Affairs (VA) Hospital in Lexington, Kentucky, University of
Michigan Health System and other similar models have shown that when
apology is used in the case of an adverse outcome or medical error,
communication between the physician and the patient and their families
is open and honest. Patients are not “kept in the
dark” due to the advice of legal council and they have a clear
understanding of the medical facts of the situation and the details of
why things happened the way they did in their case. Patients also want
to know and are told what is being done to prevent this from happening
to other patients. Studies not only show that this may result in a
reduction malpractice claims and settlements, but more importantly, the
relationship between the patient and physician can be
preserved. The following CME activity includes the Massachusetts
Medical Law Report article, "A New Kind of Bedside Manner: The Rise
of Apology Policies" followed by The Physician's Corner with risk
management strategies.
Course Information
General Information
If you need to stop in the
middle of a course, you may return to the course at anytime to
finish.
When you have
finished reading the course pages, close the window and click on
CME Exam in the Course Sections box.
To begin this
CME activity, read through the information on this page and
then click on the Start Course button (page bottom).
Intended Audience
This course is intended for
physicians and allied health professionals.
Course Objectives
Describe the key components
of a successful apology program.
Explain the impact on the
physician and patient when apology is not used.
State the reasons why apology
may reduce litigation or awards.
Understand why communication
after an adverse event or outcome is important to the patient and their
families.
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Course Credit
Deadline for completing the course
is June 16, 2012.
The Massachusetts Medical Society
designates this educational activity for a maximum of 1
AMA PRA Category 1 Credits™. Physicians should only claim
credit commensurate with the extent of their participation in the
activity.
This program meets the criteria of
the Massachusetts Board of Registration in Medicine for risk management
study.
Participants will receive a
confidential report of their examination score. You must receive a score
of 70% or better to receive AMA PRA Category 1
Credit™. A confirmation of credit will be issued at the
end of the course to those who successfully complete the
examination.
This activity has been planned and
implemented in accordance with the Essential Areas and policies of the
Accreditation Council for Continuing Medical Education through the Joint
Sponsorship of the Massachusetts Medical Society and Lawyers Weekly,
Inc.
The Massachusetts Medical Society
is accredited by the Accreditation Council for Continuing Medical
Education (ACCME) to provide continuing medical education for
physicians.
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Course Fees
A New Kind of Bedside Manner:
The Rise of Apology Policies and all associated course
materials are available free of charge. An opportunity to complete an
exam and receive AMA PRA Category 1 Credit™ for a nominal
fee is available at the end of the course. The course fees are as
follows:
Massachusetts Medical Society (MMS)
Member: $10 ($10 per credit)
Non-MMS member: $20 ($20 per
credit)
Disclosure/Commercial
Support
The following course content
developers have no financial interests or relationships to disclose.
Henry Tulgan, MD,
FACP
Amy Johnson Conner,
Freelancer for Lawyers Weekly
Reni Gertner, MPH, Editor
Lawyers Weekly
Kathleen Bellisle, Manager of
MMS Distance Learning
Off-label Disclosure:
This course does not include any
discussion of an off-label use of a commercial product or an
investigational use not yet approved for any purpose by the FDA.
Commercial Support
No commercial support was received
for this online program.
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Content Disclaimer
The Massachusetts Medical Society
does not take responsibility for the accuracy of the information in this
CME program, which was provided by Lawyers Weekly, Inc. and summarized
by Henry Tulgan, MD, FACP. The views expressed are not necessarily those
of the Massachusetts Medical Society.
Online Course Developers
Henry Tulgan, MD, FACP
Reni Gertner, MPH, Editor Lawyers Weekly
Kathleen Bellisle, Manager of MMS Distance Learning
Bibliography
MA Medical Law Report, Governors Apology Bill Would Protect Physicians,
Hospitals, May 2, 2011
Payment Reform Legislation, An Act - Improving the Quality of Healthcare and
Controlling Costs, See Section 20 for Apology
Lazare A: On Apology.
New York: Oxford University Press, 2004.
Sorry Works! Coalition, accessed on
June 10, 2011, www.sorryworks.net/laws.phtml
Saying sorry, Michigan project’s response when
medical procedures go awry is resulting in lower malpractice insurance
costs and better communication between doctors and patients,
CommonWeatlh, accessed on July 27, 2010
Leape L.: Full disclosure and
apology: An idea whose time has come. Physician Exec 32:16–18,
Mar.–Apr. 2006.
Joint Commission on Accreditation
of Healthcare Organizations: 2006 Comprehensive Accreditation Manual for
Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission
Resources, 2005.
Kraman S., Hamm G.: Risk
management: Extreme honesty may be the best policy. Ann Intern Med
131:963–967, Dec. 21, 1999.
Kraman S.S., et al.: John M.
Eisenberg Patient Safety Awards. Advocacy: The Lexington Veterans
Affairs Medical Center. Jt Comm J Qual Improv 28:646–650, Dec.
2002.
Boothman R.: How open, honest
disclosure can reduce claims, costs, and promote patient safety
improvement. Lecture given at the annual meeting of the Greater New York
Hospital Association, New York City, May 13, 2005.
Kowalczyk L.: Hospitals study when
to apologize to patients. The Boston Globe, Jun. 24, 2005, p. A1.
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Hardware & Software Requirements
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Browsers
Internet Explorer v.7 or greater (for Windows)
Mozilla Firefox v.2 or greater (for Windows, Mac, Linux)
Minimum System
Requirements
Windows Systems Requirements
A Pentium-based PC or
compatible computer.
At least 64MB of
RAM.
Windows
95/98/NT/ME/2000/XP/Vista system software.
Screen resolution of 1024 x
786 or larger recommended
PDF Reader: Adobe
Reader 5.0 or higher, Foxit
Reader 2.0 or likewise.
Mac OS System Requirements
Policies
Contact Us
Contact us at continuingeducation@mms.org
or (800) 322-2303, ext. 7306. Massachusetts Medical Society, 860 Winter
Street, Waltham, MA 02451.
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