Restorative Circles in Hospitals: Reaching Closure When Things Go Wrong for Patients Melinda Zipin, MBA IIRP Conference, Toronto, Oct 22-24 2008.
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Restorative Circles in Hospitals:Reaching Closure When Things Go Wrong for PatientsMelinda Zipin, MBAIIRP Conference, Toronto, Oct 22-24 2008
Copyright 2008 Melinda Zipin; to be used only in total.Melinda@assertivediplomacy.comSources: Hospital information: NYTimes online, May 18, 2008NVC based Restorative Circles: developed by Dominic Barter; email at: firstname.lastname@example.org
Lawyers, insurers: “Deny and defend”
Patients & families: No info, no accountability, no voice, no healing
Clinicians: System breeds callousness
Malpractice suit a life-changing event for all
37 apologies -> 1 patient lawsuit
Facilitated meeting with dialogue
Safe supportive environment in which to hold conflict
Focus on hearing feelings and meeting needs
Toward: Both healing and action plan
Each person gets to speak and be heard
Restore, reconnect, and meet needs
Voluntary; nonparticipation doesn’t stop circle
“No doctors, no lawyers, no patients – just people”
Patient and family
Others affected, others needed to resolve the conflict
Meaning for you?
“Here’s the process”
Do we like what happened?
Medical staff leadership
Most/all physicians are employees
University and VA hospitals
Malpractice defense fund
1% of hospital patients
About 98,000 die annually
Only 30% disclosed to patients
Only about 2% of patients file lawsuits
By disclosing and learning from errors, quality of care improves
Healing for patients and families; reasonable compensation
Accountability and healing for doctors
Dominic Barter, developer of NVC based Restorative Circles, consultant Brazil Ministry of Justice –email@example.com
Melinda Zipin, bringing NVC based Restorative Circles to hospitals - firstname.lastname@example.org
For emails, please use NVC Restorative Circles as Subject so your email will make it past spam filters.