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One System's Journey in Creating a Disclosure and Apology Program
Joint Commission Journal on Quality and Patient Safety, 10/05/09
Peto RR et al. – Implementation of a formal disclosure and apology program has placed internal pressure on the organization to more promptly determine causality of adverse events and to respond to patient/family requests for information and/or assistance. Root causes and degree of system culpability are often not clear early after an event and sometimes are debated among the clinical team and the trained coaches/facilitators and risk managers.
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