Massachusetts Alliance for Communication
and Resolution following Medical Injury
MACRMI is a Massachusetts alliance of patient advocacy groups, teaching hospitals and their insurers, and statewide provider organizations committed to transparent communication, sincere apologies and fair compensation in cases of avoidable medical harm. We call this approach Communication, Apology, and Resolution (CARe) and we believe it is the right thing to do. It supports learning and improvement and leads to greater patient safety.
This site is a central resource for information on the CARe approach and the health care institutions implementing it. Here you will find answers to many of your questions regarding medical injury; resources and support for patients, families and clinicians; education and training resources for health care providers; sample guidelines and policies; research and articles; and ways to connect with each other. By sharing what we learn from medical errors and near misses, we are enhancing patient safety together and improving our health care system. Thank you for participating.
Recent article in the latest issue of Pulse Magazine: "Babel: The Voices of a Medical Trauma," a moving article about a patient's medical trauma experience viewed through different lenses, can be found here.
MACRMI in the news! An academic medicine blog, The Wing of Zock, interviewed Evan Benjamin, M.D. of Baystate Medical Center about CARe and MACRMI. The entry can be found here.
New Blog Entry: View our latest blog entry, Transparency as Healing: A Powerful TED Talk.
Read an article from March 3, 2013 in the Business Telegram about MACRMI, the CARe program, and CARe's many benefits.
Oregon's House and Senate have passed medical malpractice reform legislation to enable CARe-like programs in their state. Read an article here, and the full legislation to be signed by the Governor here.
Request a speaker to present the CARe approach to your organization.
MACRMI's 1st Annual CARe Forum Materials: Thanks to all who attended our First Annual Forum! We have the following materials available:
“Massachusetts hospitals are committed to always improving the quality and safety of the care they provide to patients. Aside from being fair to caregivers and patients, MACRMI's communication, apology, and resolution initiative will help advance this fundamental quality-improvement agenda by fostering open discussion among clinicians about the causes of adverse outcomes and the steps that need to be taken to avoid them in the future.”
Massachusetts Hospital Association
"CARe recognizes a universal truth: we are all in this grand effort of patient care together. And only by honoring that truth will we break down the barriers to make tomorrow’s patient care safer for our patients and all those committed to their care."
Richard C. Boothman, Executive Director of Clinical Safety, University of Michigan Health Services
"Our work at the Coalition has highlighted the value of the CARe model in preserving healing relationships between patients and their clinicians after an adverse event. We have also seen the potential for deep learning from adverse events as a consequence of the change in the organizational culture related to those events. This can significantly accelerate the pace of improvements in patient safety."
Massachusetts Coalition for the Prevention of Medical Errors
©2013 MACRMI. All Rights Reserved.