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! Blog Post - Transparency and Honesty in Medical Malpractice Suits Michelle Mello, JD, PhD and Jeffrey Catalano, Esq - board members of MACRMI - wrote an editorial in JAMA Internal Medicine examining nondisclusure clauses following medical malpractice agreements. Check out our new blog post which features an interview with Mello for a story that by Reuter's about the editorial. Click here to read it.
MACRMI Newsletter Released The The third issue of MACRMI's newsletter has been sent out to subscribers. This issue covers many recent accomplishments, such as the CARe seminar that MACRMI hosted at the Massachusetts Bar Association. It also highlights new resources, updates to the website, and recent media coverage of the CARe program. You can view the newsletter here. Also, don't forget to sign up here to receive the newsletter directly to your email when future issues are released.
Request a speaker to present the CARe approach to your organization.
New! Urgent Matters Podcast: Communicating About Medical Errors with Patients Listen to MACRMI leaders, Dr. Kenneth Sands and Dr. Alan Woodward, speak about the CARe approach to adverse events in this 20-minute podcast by The Clinical Practice Innovations Podcast Series of George Washington University. Click here to listen. Also, click here to download more episodes from this series and learn about other exciting innovations in healthcare delivery.
Blog Post - Full Disclosure: The Search For Medical Error Transparency Guest blogger, Steve Kraman, M.D., and his brother, Larry Kraman, have recently completed a documentary covering disclosure and resolution following unexpected medical outcomes. Check out his blog and learn about their motivation behind the film. You also get a sneak peak and can watch the trailer here! We are excited for Steve's monthly blog, which will examine the wealth of issues surrounding medical error transparency.
“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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