The medical tort system does not deter medical errors, compensates a small percentage of patients affected by negligent care, and is driving shortages in specialty care through rapidly rising insurance rates. New approaches, including an administrative system of health courts may address these issues and improve patient safety.
Medical Malpractice
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Hospitals that Care Use Nurse Preceptors and a "Culture of Fairness" to Improve Nursing Care
July 1, 2009 | Program Result
Investigators at the Kenan-Flagler Business School at the University of North Carolina at Chapel Hill surveyed nurses to find out which co-workers they consulted when confronted with complex treatment situations, including those involving error.
Large Group Purchasers Have Power to Drive Improvements in Patient Safety
September 1, 2006 | Program Result
The University of California, San Francisco, conducted an exploratory case study of innovative practices of large capitated physician organizations aimed at improving patient safety.
States Develop Strategies to Reduce Medical Errors and Improve Patient Safety Through Hospital Reporting Systems
May 1, 2005 | Program Result
From 2000 to 2003, staff at the National Academy for State Health Policy assisted state officials in developing strategies to reduce medical errors and improve patient safety through mandatory hospital reporting systems.
Most Health Care Organizations Address Patient Safety Only Indirectly
July 1, 2004 | Program Result
From 2002 to 2003, research staff at URAC studied utilization management companies to learn how they use utilization management technology and processes to identify and manage potential patient safety problems.
Computerized Prescription Ordering Can Help Hospitals Prevent Medication Errors
March 1, 2003 | Program Result
The Leapfrog Group developed standards for evaluating hospitals' use of computerized physician order entry systems, and devised and tested techniques to raise awareness about the importance of considering the presence of systems.
Hedrick Smith PBS Series Does a Complete Workup on Health Care
June 1, 2003 | Program Result
From 1998 to 2001, Spartanburg, S.C.-based Hedrick Smith Productions, headed by Pulitzer Prize-winning journalist Hedrick Smith, produced two PBS programs examining managed care and other major health care issues. They also conducted an outreach campaign in connection with the programs.
Guide Helps Journalists Report on the Quality of Health Care
December 1, 2003 | Program Result
In 2002, the Association of Health Care Journalists created a guide for reporters and editors on how to report, write and edit stories focusing on the quality of health care.
Counseling of Physicians at High Risk of Malpractice Claims Lowers the Level of Patient Complaints
September 1, 2002 | Program Result
Vanderbilt University Medical Center implemented and evaluated a model program to identify and intervene with health care providers at high risk of generating malpractice claims.
How Threat of Lawsuits Affects Tests and Procedures in Obstetrics
May 1, 2001 | Program Result
The Urban Institute documented trends in the medical malpractice environment and demonstrated how the malpractice environment affects defensive medicine in obstetrics practice.
Consumer Involvement May Improve Patient Safety During Hospitalization
September 1, 2000 | Program Result
21st Century Consumer conducted developmental research to be used in the creation of educational programs to help reduce the number of injuries and deaths due to preventable errors during hospitalization.