title: Disclosure of medical injury to patients: an improbable risk management strategy.
abstract: Pressure mounts on physicians and hospitals to disclose adverse outcomes of care to patients. Although such transparency diverges from traditional risk management strategy, recent commentary has suggested that disclosure will actually reduce providers' liability exposure. We tested this theory by modeling the litigation consequences of disclosure. We found that forecasts of reduced litigation volume or cost do not withstand close scrutiny. A policy question more pressing than whether moving toward routine disclosure will expand litigation is the question of how large such an expansion might be.
authors.affiliation: Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA. studdert@hsph.harvard.edu
authors.forename: David M
authors.initials: DM
authors.lastname: Studdert
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Mello
authors.forename: Atul A
authors.initials: AA
authors.lastname: Gawande
authors.forename: Troyen A
authors.initials: TA
authors.lastname: Brennan
authors.forename: Y Claire
authors.initials: YC
authors.lastname: Wang
mesh_terms: D035881:Compensation and Redress / Q000331:legislation & jurisprudence; D030881:Disclosure; D004469:Economics, Hospital / Q000331:legislation & jurisprudence*; D004470:Economics, Medical / Q000331:legislation & jurisprudence*; D019538:Health Care Surveys; D006801:Humans; D007049:Iatrogenic Disease / Q000453:epidemiology*; D015994:Incidence; D015601:Injury Severity Score; D016365:Liability, Legal / Q000191:economics*; D008318:Malpractice / Q000191:economics / Q000331:legislation & jurisprudence*; D019300:Medical Errors / Q000145:classification / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D009010:Monte Carlo Method; D012308:Risk Management / Q000191:economics / Q000331:legislation & jurisprudence / Q000379:methods*; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000145:classification / Q000191:economics* / Q000453:epidemiology