ctober 2005 this department published VHA Directive 2005 � 049 entitled:
Disclosure of Adverse Events to Patients
Institutional disclosure of adverse events must include:
1. An apology including a complete explanation of the facts
2. An outline of treatment options.
3. Arrangements for a second opinion, additional monitoring, expediting clinical
consultations, bereavement support, or whatever might be appropriate depending on the adverse event.
4. Notification that the patient has the option of obtaining outside legal advice for further guidance.
5. After complete investigation of the facts, the patient or representative is to be given information about compensation under Title 38 United States Code (U.S.C.) Section 1151 and the Federal Tort Claims Act claims processes, including information about procedures available to request compensation and where and how to obtain assistance in filing forms. [�]
6. If a patient or personal representative asks whether an investigation will be conducted and whether the patient or representative will be told of the investigation, the patient or representative is to be informed that only the results of an administrative board of investigation (AIB) may be released.
This VHA Directive expires October 31, 2010.
March 2006 the HARVARD HOSPITAL GROUP published its consensus report:
When Things Go Wrong: Responding To Adverse Events
Massachusetts Coalition for the Prevention of Medical Errors, March 2006
This group clearly chooses for open and honest disclosure as well as providing genuine follow-up diagnostics and remedial medical care to iatrogenic patients. See further under News.
Apparently and justly the VHA initiative served as an example. May all hospitals follow soon.