Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians

Health Affairs

Volumn 33, Issue 1, 2014, Pages 59-66

  Kachalia, Allen ^a   Little, Alison ^b   Isavoran, Melissa ^c   Crider, Lynn Marie ^d   Smith, Jeanene ^c  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^c OREGON HEALTH AUTHORITY   (United States)

^d UAW   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE POLICY; HEALTH CARE QUALITY; HUMAN; LAW; LEGAL LIABILITY; MEDICAL LIABILITY; PATIENT SAFETY; PHYSICIAN; PRACTICE GUIDELINE; PROTOCOL COMPLIANCE; UNITED STATES; COMPENSATION; HEALTH CARE PLANNING; INSURANCE; LEGISLATION AND JURISPRUDENCE; MALPRACTICE; MEDICAL ERROR; PREVENTION AND CONTROL;

COMPENSATION AND REDRESS; GUIDELINE ADHERENCE; HEALTH PLAN IMPLEMENTATION; HEALTH POLICY; HUMANS; INSURANCE CLAIM REVIEW; LIABILITY, LEGAL; MALPRACTICE; MEDICAL ERRORS; PATIENT SAFETY; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 84891778854     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2013.0834     Document Type: Article

References (31)

1. Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010; 363(22):2124-34.
2. Wachter RM. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010; 29(1):165-73.
3. Department of Health and Human Services, Office of Inspector General. Adverse events in hospitals: national incidence among Medicare beneficiaries [Internet]. Washington (DC): HHS; 2010 Nov [cited 2013 Dec 10]. Available from: http://oig.hhs.gov/ oei/reports/oei-06-09-00090.pdf
4. Studdert DM, Mello MM, Brennan TA. Medical malpractice. N Engl J Med. 2004;350(3):283-92.
5. Mello MM, Studdert DM, Brennan TA. The new medical malpractice crisis. N Engl J Med. 2003;348(23): 2281-4.
6. Struve CT. Improving the medical malpractice litigation process. Health Aff (Millwood). 2004; 23(4):33-41.
7. Kachalia AB, Mello MM, Brennan TA, Studdert DM. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402.
8. Studdert DM, Mello MM, Gawande AA, Gandhi TK, Kachalia A, Yoon C, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33.
9. Kachalia A, Mello MM. New directions in medical liability reform. N Engl J Med. 2011;364(16):1564-72.
10. Mello MM, Kachalia A. Evaluation of options for medical malpractice system reform [Internet]. Washington (DC): Medicare Payment Advisory Commission; 2010 Apr [cited 2013 Dec 10]. Available from: http:// www.medpac.gov/documents/ Apr10_MedicalMalpractice_ CONTRACTOR.pdf
11. Agency for Healthcare Research and Quality. Medical liability reform and patient safety initiative [Internet]. Rockville (MD): AHRQ; 2012 Feb [cited 2013 Dec 10]. Available from: http://www.ahrq.gov/ professionals/quality-patient-safety/ patient-safety-resources/liability/ index.html
12. Bovbjerg RR, Berenson RA. The value of clinical practice guidelines as malpractice "safe harbors" [Internet]. Washington (DC): Urban Institute; 2012 Apr [cited 2013 Dec 10]. Available from: http:// www.rwjf.org/content/dam/farm/ reports/issue_briefs/2012/ rwjf72667
13. Mehlman MJ. Medical practice guidelines as malpractice safe harbors: illusion or deceit?. J Law Med Ethics. 2012;40(2):286-300.
14. Mello MM, Brennan TA. The role of medical liability reform in federal health care reform. N Engl J Med. 2009;361(1):1-3.
15. Leflar RB. Medical malpractice reform measures and their effects. Chest. 2013;144(1):306-18.
16. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, et al. Incidence of adverse events and negligence in hospitalized patients. N Engl J Med. 1991;324(6):370-6.
17. Mangione-Smith R, DeCristofaro AH, Setodji CM, Keesey J, Klein DJ, Adams JL, et al. The quality of ambulatory care delivered to children in the United States. N Engl J Med. 2007;357(15):1515-23.
18. McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26): 2635-45.
19. Emanuel E, Tanden N, Altman S, Armstrong S, Berwick D, de Brantes F, et al. A systemic approach to containing health care spending. N Engl J Med. 2012;367(10):949-54.
20. Mello MM. Of swords and shields: the role of clinical practice guidelines in medical malpractice litigation. Univ PA Law Rev. 2000; 149(3):645-710.
21. Agency for Health Care Administration. Practice guidelines as affirmative defense: the cesarean demonstration project report. Tallahassee (FL): State Center for Health Statistics; 1998.
22. Matthews JR. Practice guidelines and tort reform: the legal system confronts the technocratic wish. J Health Polit Policy Law. 1999; 24(2):275-304.
23. National Commission on Fiscal Responsibility and Reform. The moment of truth [Internet].Washington (DC): The Commission; 2010 Dec [cited 2013 Dec 11]. Available from: http://www.fiscalcommission.gov/ sites/fiscalcommission.gov/files/ documents/TheMomentofTruth12_ 1_2010.pdf
24. Avraham R. Clinical practice guidelines: the warped incentives in the U.S. healthcare system. Am J Law Med. 2011;37(1):7-40.
25. Cassel CK, Guest JA. Choosing wisely: helping physicians and patients make smart decisions about their care. JAMA. 2012;307(17): 1801-2.
26. Agency for Healthcare Research and Quality. Medical liability reform and patient safety: planning grants [Internet]. Rockville (MD): AHRQ; 2010 Jun [cited 2013 Dec 10]. Available from: http://www.ahrq .gov/professionals/quality-patientsafety/ patient-safety-resources/ liability/planninggrants.html
27. Agency for Healthcare Research and Quality. National guideline clearinghouse [home page on the Internet]. Rockville (MD): AHRQ; [cited 2013 Dec 11]. Available from: http:// www.guideline.gov
28. Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4): 415-20.
29. Kravitz RL, Rolph JE, McGuigan K. Malpractice claims data as a quality improvement tool. I. Epidemiology of error in four specialties. JAMA. 1991;266(15):2087-92.
30. Phillips RL Jr., Bartholomew LA, Dovey SM, Fryer GE Jr., Miyoshi TJ, Green LA. Learning from malpractice claims about negligent, adverse events in primary care in the United States. Qual Saf Health Care. 2004; 13(2):121-6.
31. Ransohoff DF, Pignone M, Sox HC. How to decide whether a clinical practice guideline is trustworthy. JAMA. 2013;309(2):139-40.