title: Implementing an error disclosure coaching model: A multicenter case study.
abstract: National guidelines call for health care organizations to provide around-the-clock coaching for medical error disclosure. However, frontline clinicians may not always seek risk managers for coaching. As part of a demonstration project designed to improve patient safety and reduce malpractice liability, we trained multidisciplinary disclosure coaches at 8 health care organizations in Washington State. The training was highly rated by participants, although not all emerged confident in their coaching skill. This multisite intervention can serve as a model for other organizations looking to enhance existing disclosure capabilities. Success likely requires cultural change and repeated practice opportunities for coaches.
authors.affiliation: University of Washington School of Medicine, Seattle, Washington.
authors.forename: Andrew A
authors.initials: AA
authors.lastname: White
authors.affiliation: University of Washington School of Medicine, Seattle, Washington.
authors.forename: Douglas M
authors.initials: DM
authors.lastname: Brock
authors.affiliation: Formerly of Physicians Insurance, A Mutual Company/Esperix, Seattle, Washington.
authors.forename: Patricia I
authors.initials: PI
authors.lastname: McCotter
authors.affiliation: Oregon Health Sciences University, Portland, Oregon.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Shannon
authors.affiliation: University of Washington School of Medicine, Seattle, Washington.
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Gallagher
mesh_terms: D003479:Curriculum; D007318:Inservice Training / Q000458:organization & administration*; D033183:Interdisciplinary Communication; D019300:Medical Errors; D017146:Models, Organizational; D014342:Truth Disclosure; D014861:Washington