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Health Affairs, 26, no. 1 (2007): 215-226
doi: 10.1377/hlthaff.26.1.215
© 2007 by Project HOPE
 
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Disclosure Of Medical Injury To Patients: An Improbable Risk Management Strategy

David M. Studdert, Michelle M. Mello, Atul A. Gawande, Troyen A. Brennan and Y. Claire Wang

Pressure mounts on physicians and hospitals to disclose adverse outcomes of care to patients. Although such transparency diverges from traditional risk management strategy, recent commentary has suggested that disclosure will actually reduce providers’ liability exposure. We tested this theory by modeling the litigation consequences of disclosure. We found that forecasts of reduced litigation volume or cost do not withstand close scrutiny. A policy question more pressing than whether moving toward routine disclosure will expand litigation is the question of how large such an expansion might be.


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NEJMHome page
T. H. Gallagher, D. Studdert, and W. Levinson
Disclosing Harmful Medical Errors to Patients
N. Engl. J. Med., June 28, 2007; 356(26): 2713 - 2719.
[Full Text] [PDF]

eLetters:

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Disclosure: More Than The Right Thing to Do
Lee Taft
Health Affairs, 21 Feb 2007 [Full text]


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