2002
Fourth Annual SIH/SIU Health Policy Institute
Patient Safety and Medical Errors: Reporting and Disclosure Issues (May 30 and 31, 2002)



Patient Safety and Medical Errors: Reporting and Disclosure Issues
“Non-punitive, protected voluntary incident reporting systems in high risk non-medical domains have grown to produce large amount of essential process information unobtainable by other means. For healthcare reporting systems there must be incentives to promote voluntary reporting completely, confidently, and objectively. Reporting should be the right, easy, and safe policy for healthcare professionals.”
—Paul Barach and Steve Small, “Reporting and Preventing Medical Mishaps: Lessons from Non-Medical Near Miss Reporting Systems,” British Medical Journal, 2000.

Speakers:

Paul Barach, M.D., M.P.H.
Anesthesiology and Critical Care, Pritzker School of Medicine, University of Chicago
Presentation: Lessons Learned from the Patient Safety Movement: The End of the Beginning

Edward A. Dauer, LL.B., M.P.H.
University of Denver School of Law
Presentation: Legal Responses to Medical Error: Lessons from the Emerging Field of Therapeutic Jurisprudence

Ron Feinstein., D.M.D., M.D., FACS
Kaiser Permanente, Los Angeles
Presentation: The Patient First: A Surgeon’s Perspective on a Service Line’s Approach to Both Efficiency and Safety

Harold Kaplan, M.D.
Columbia University College of Physicians and Surgeons
Presentation: Benefiting from the “Gift of Failure”: Essentials of an Event Reporting System

Marshall Kapp, J.D., M.P.H.
Office of Geriatrics and Gerontology, Wright State University School of Medicine
Presentation: Resident Safety and Medical Errors in Nursing Homes: Reporting and Disclosure in a Culture of Mutual Distrust

Bryan A. Liang, M.D., Ph.D., J.D
Southern Illinois University School of Law and School of Medicine
Presentation: Not Just Marketing: Using a Medical Error Disclosure System to Promote Quality

William Rutherford, M.D.
Flight Standards and Training, United Airlines
Presentation: CRM, the Aviation Model of an Error-Tolerant System

Stephen D. Small, M.D.
AHRG Developing Center for Research and Evaluation in Patient Safety
University of Chicago
Presentation: Improving Healthcare Organizational Reliability: A Model for Voluntary, State Level Confidential Learning Systems

 

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