Management of Adverse Events

• CANDOR toolkit
• IHI - Respectful Management of Serious Clinical Adverse Events
• ASHRM Disclosure Monograph Part 1
  Disclosure of Unanticipated Events: The Next Step in Better Communication (.pdf)
• ASHRM Disclosure Monograph Part 2
  Disclosure of Unanticipated Events: Creating an Effective Patient Communication Policy (.pdf)
• ASHRM Disclosure Monograph Part 3
  Disclosure: What Works Now and What Can Work Even Better (.pdf)
• MITSS Disclosure and Apology: What’s Missing
  A report based on an invitational Forum held March 13, 2009 (.pdf)
• MITSS Organizational Assessment Tool for Clinical Support, December 30, 2010 (.pdf)
• MITSS Clinician Support Toolkit for Healthcare, March 2011 (.pdf)

Related Articles/Publications

• Patient’s and Physicians’ Attitudes Regarding the Disclousre of Medical Errors (.pdf)
• Lambert et al., The “Seven Pillars” Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes (.pdf)
• Mello et al., Communication-and-Resolution Programs: The Challenges and Lessons Learned from Six Early Adopters (.pdf)
• Making Patient Safety the Centerpiece of Medical Liability Reform (.pdf)
• Wisdom in Medicine: What Helps Physicians After a Medical Error? (.pdf)
• A Consensus Statement of the Harvard Hospitals: When Things Go Wrong: Responding to Adverse Events (.pdf)

Videos

• When Things Go Wrong: Trust, Relationship and Vulnerability
• Brené Brown - Empathy
• 2014 CARe Forum - Looking at Adverse Events from a Patient Centered Perspective

Cleveland Clinic Empathy Series:

• The Human Connection to Patient Care
• Patients Afraid and Vulnerable
• Cleveland Clinic Culture

AHRQ CANDOR Toolkit videos:

• Introduction to Communication and Optimal Resolution (CANDOR)
• CANDOR Grand Rounds Presentation
• Peer Support Interaction-Nurse
• Peer Support Interaction-Physician
• Disclosure
• Peer to Peer Coaching

Professional Associations and Organizations

• AHRQ
• H2Pi.org
• IHI
• MITSS
• Oregon Patient Safety Commission

Calendar of BETA HEART 2019 Workshops Coming soon