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.
New! Patient Representation - Best Practices for CARe Programs Have you seen our new resource to ensure appropriate patient represenation during conversations regarding resolution and compensation in the CARe process? Click here to view and download it.
MACRMI Resource: Implementation Guide MACRMI has developed a CARe Program Implementation Guide to help facilities that want to implement a CARe Program, but don't know where to start. This is an interactive guide that links MACRMI resources with a step-by-step process for developing a program. Please click here to view and download it.
Unexpected Medical Outcome: Patient Info Sheet MACRMI has prepared a resource for patients who have experienced an unexpected medical outcome. This handout provides patients and their families with important information about the CARe program. Please click here to view and download it.
Request a speaker to present the CARe approach to your organization.
New! Blog Post Check out our new blog post by Suzanne Dodson of Baystate Health. She writes about creating a CARe culture through enhancing physician communication skills and ongoing provider education of the CARe Program. Click here to read it.
New Look! Resource Library MACRMI has updated the Resource Library and given it a new look. It's now easier for users to access our full library. Just click on the green button to "view all documents." All of our resources at the click of a button!
MACRMI on Film! Members of MACRMI and many of our allies are part of a soon-to-be-released documentary by Lawrence Kraman. The documentary, "Full Disclosure: The Search for Medical Malpractice Transparency," looks at the many reasons communication, apology, and resolution after adverse events is so important, and also examines many of the challenges that arise. Watch the trailer of the documentary here.
“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
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