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In the past two weeks Sorry Works! has received information on the disclosure program at Stanford Hospitals.
A brochure entitled "Process for the Early Assessment & Resolution of Loss" or "PEARL" was provided to Sorry Works! by Jeffrey Driver, JD, Chief Risk Officer of Stanford University Medical Center.
In short, we love it! It's a powerful document that sets forth the principles and approach of their disclosure and apology program. What you - our readers - are used to hearing and seeing from Sorry Works! you will see in this document.
Sorry Works! first learned about Stanford's disclosure program in 2005 when Mr. Driver spoke in New York City. This past August the program was formalized and the brochure was produced.
We think you - our readers - will be most interested in comments provided by Mr. Driver about the rollout and implementation of PEARL at Stanford. In the passages below, Mr. Driver is responding to questions posed by Sorry Works! about the rollout of their disclosure program and support provided to providers after disclosure.
Read below:
"PEARL was formally approved and published in August and was immediately rolled out to our 1,700 Stanford University Faculty Physicians. The response has been very positive, accepting, and appreciative, especially in forums where we deliver the underlying themes and messages of PEARL to a live audience (such as recently in surgical grand rounds).
We have a plan in place to reach our 10,000+ employees within the first half of 2008 and we are winding education into other existing multimodal education platforms here at Stanford.
We utilize our simulation centers (we have three of them) to train our multidisciplinary teams in the PEARL approach to disclosure, apology, communicating lessons learned, assessing patient/family needs. Early offers are usually handled by risk management staff along with trusted clinical professionals. In our simulations, we use actors that include members of our patient and family council. All simulations are video-taped and then reviewed in a debriefing session with the clinical team. This approach to teaching some of the principles of PEARL is highly effective and very REAL (the video's make me squirm because of the level of emotion). Of course, we are strong proponents of just-in-time training and we utilize on- the-spot training whenever we utilize a full PEARL approach.
Support mechanisms for providers start internal and can go external if needed. Risk management personnel do an excellent job working with medical staff and hospital leadership to fully support our employees in the event of a PEARL scenario, and after. We have different mechanisms for external support for various groups of clinical professionals, these are usually confidential between external provider and our Stanford professional, but they are paid for by Stanford."
Sorry Works! wants to thank Mr. Driver and his colleagues for their hard work and sharing information about their program with us and allowing us to share it with you, our readers.
To learn more about the Stanford program, you may contact Mr. Driver at the following e-mail address: JDriver@stanfordmed.org.
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