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Massachusetts Alliance for Communication
and Resolution following Medical Injury

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WELCOME

MACRMI is a Massachusetts alliance of patient advocacy groups, healthcare facilities 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.

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News & Important Info

New Resource! We have just posted a new resource; an inventory of MACRMI sites' strategies for spreading patient safety improvements both internally and externally. Download it here: Inventory of Patient Safety Spread Strategies. 

Request a speaker to present the CARe approach to your organization. 

Download the CARe Timeline:   Timeline-thumbnail.jpg

Save the date for our 7th Annual Forum - May 7th, 2019. If you missed our Forums in the past, check out the videos of the presentations in our Video Library.

The second of three articles about our pilot study regarding claims and costs in CARe programs has been published in Health Affairs! Click here to view the article in full. 

Looking for resources? Check out our newly redesigned Resource Library here. Search by keyword or topic, and download whatever you need for free.

New blog post! Read about a new article published in the JCJQPS on how to address emotional harm to patients and families after adverse events here.  

Testimonials

“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

“Compassion, honesty, and transparency are at the core of healing relationships.  CARe speaks to our need to treat patients and families with respect and dignity when a preventable medical error occurs. Because 1/3 of physicians have experienced a medical error occurring to themselves or a loved one as a patient, CARe also speaks to what clinicians want for themselves and family members.” 

Randolph Peto, MD, MPH, Medical Director for Quality and Patient Safety, Baystate Medical Center

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