Best practices: The Administrative Review Committee at New Hampshire Hospital: a one-year follow-up.
New Hampshire Hospital implemented an Administrative Review Committee (ARC), a best practice that provides a risk management process to mitigate potential liability for the hospital and clinicians treating high-profile, high-risk patients. This column reports on the first year of the ARC's operation, during which the committee reviewed 206 patients. The authors describe four patient groups and their distinguishing characteristics. The ARC is accepted by clinicians as an important venue to present high-risk clinical cases and to obtain risk management guidance and consultation. The committee has become an integral part of the hospital culture.
Department of Psychiatry, Dartmouth Medical School, Hanover, New Hampshire, USA. adenesnera@dhhs.state.nh.us
Alexander
A
de Nesnera
David G
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Folks
D026683:Advisory Committees; D005500:Follow-Up Studies; D006778:Hospitals, Psychiatric; D006801:Humans; D007298:Insanity Defense; D001523:Mental Disorders / Q000628:therapy; D009513:New Hampshire; D010351:Patient Discharge; D017410:Practice Guidelines as Topic; D012308:Risk Management / Q000379:methods*; D019966:Substance-Related Disorders