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Accountability. Vision. In the management of incidents and adverse events, all segments of the Massachusetts healthcare system utilize a jointly derived framework for accountability that is broadly viewed as just. Past – Priorities Identified.
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Vision In the management of incidents and adverse events, all segments of the Massachusetts healthcare system utilize a jointly derived framework for accountability that is broadly viewed as just.
Past – Priorities Identified • Develop a common language/approach • Encourage all parties to look collaboratively at errors • Make the reporting of errors more effective and integrated • Share lessons learned to minimize errors. • Define a clear policy regarding human error, as well as system error
Present - Objectives • Set of principles to be applied in analyzing the role of systems and individuals in determining accountability • Matrix defining prospective and retrospective responsibilities of all stakeholders, in relation to adverse event • Recommendations to improve process of analysis and investigation
Accountability Project • Support and engagement of key stakeholders in the development and adoption of an improved system • Workgroup • Regular consultation with members • Timeline
Panel • Troyen Brennan, MD, JD, MPH • Allan Frankel, MD • Jean Pontikas