October 18, 2023

Patient Safety Beat

Patient safety news and progress in Massachusetts

CARe marks its growing influence in Massachusetts with 10th annual forum 

The CARe model — using Communication, Apology and Resolution to respond to adverse outcomes — is gaining momentum in Massachusetts, with 15 programs operational by the end of the year. Organizations across the country also look to Massachusetts for expert guidance as they contemplate similar approaches to working closely with patients and families after something has gone wrong in their care. 

At a forum in Boston last month, people gathered to discuss ways to advance and improve elements of CARe, which is supported by the Betsy Lehman Center. The forum featured video simulations of disclosure and resolution discussions with patients and family members, live presentations and panel discussions with CARe practitioners.

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Betsy Lehman Center to support, bolster PFACs statewide

As the new central hub for information about Patient and Family Advisory Councils (PFACs) in Massachusetts, the Betsy Lehman Center is now collecting and sharing annual reports on each council’s activities and accomplishments.


Hospitals that have not already done so are urged to submit as soon as possible. The template and 2023 reports received to date can be found on the Center’s website.


This work is part of a larger commitment by the Center to support PFACs as they strive to contribute to safe, quality care that is responsive to the needs of patients and families in their communities. An advisory group of current and former PFAC members and other stakeholders is working with the Center to identify resources and strategies to help PFACs reach their goals. 

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Opioid use disorder increases risk for severe maternal morbidity regardless of race or ethnicity

A new Massachusetts study in Women's Health Issues finds that opioid use disorder increases the risk of severe maternal morbidity regardless of the race or ethnicity of the person giving birth. The study underscores the need for early intervention in pregnancies for people with the disorder, including improved access to treatment and increased support.  

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Upcoming events

Oct. 19

8:30 a.m. - 3:30 p.m.

MHA Healthcare Safety & Violence Prevention Summit. A live event at MHA headquarters in Burlington will cover security technology, crisis event teams, and more, with breakout sessions and networking. Register here

Nov. 1

12 - 12:45 p.m.

Why having a Chief Wellness Officer is more important than ever. The Boston VA describes appointing a chief wellness officer in a pilot program and why they made the position permanent. One in a free webinar series from MHA. Register here

Nov. 3

7:30 a.m. - 4:15 p.m.

Best medical practices: Maximizing skills and minimizing risks in the primary care setting. Co-directed by faculty from Beth Israel Lahey Health, Brigham & Women’s Hospital and CRICO, this course aims to maximize providers’ diagnostic skills for the most common diagnoses seen in primary care malpractice cases. Register here

Patient Safety Beat is published by the Betsy Lehman Center, a Massachusetts state agency that supports providers, patients and policymakers working together to advance the safety and quality of health care.


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