Steve S. Kraman, MD; Ginny Hamm, JD
Acknowledgment: The authors thank Dr. Joseph J. Francis for helpful advice in the preparation of the manuscript.
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Current Author Addresses: Dr. Kraman and Ms. Hamm: Veterans Affairs Medical Center , 2250 Leestown Road, Lexington, KY 40511.
This paper reviews a humanistic risk management policy that includes early injury review, steadfast maintenance of the relationship between the hospital and the patient, proactive full disclosure to patients who have been injured because of accidents or medical negligence, and fair compensation for injuries. The financial consequences of this type of policy are not yet known; however, one Veterans Affairs medical center, which has been using humanistic risk management since 1987, has had encouragingly moderate liability payments. The Department of Veterans Affairs now requires such a policy for all of its facilities; therefore, comprehensive experience may be only a few years away.
Total malpractice claims and liability payments made from 1990 through 1996 by 36 Veterans Affairs medical centers located east of the Mississippi River.
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Kraman SS, Hamm G. Risk Management: Extreme Honesty May Be the Best Policy. Ann Intern Med. ;131:963–967. doi: 10.7326/0003-4819-131-12-199912210-00010
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Published: Ann Intern Med. 1999;131(12):963-967.
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