Myongji Hospital offers ‘Korean CANDOR’ guidelines for crisis management
Myongji Hospital and Korean Doctors' Weekly have published a guide book on the Korean version of “CANDOR." (Myongji)
Myongji Hospital has proposed the Korean version of “Communication AND Optimal Resolution (CANDOR)" guidelines, a process of responding to patient harm or medical disputes promptly and minimizing aftereffects.
CANDOR, created by the U.S. Agency for Healthcare Research and Quality, suggests how medical institutions and doctors respond to unexpected patient harm in hospitals.
"The Korean CANDOR is the result of research and development that has been conducted with medical staff from three hospitals -- Myongji Hospital, Incheon Sarang Hospital, and Jecheon Myongji Hospital -- since 2018," the hospital said. "The project was led by Professor Kim Sae-chul, head of the Myongji Medical Foundation."
The hospital started developing the Korean CANDOR because local hospitals’ responses to medical accidents are too outdated and lack expertise.
"It is time to go beyond quality control measures or accident prevention and think about treatment measures after the accident," the hospital said. "The Korean CANDOR process's characteristics are based on rapid reporting and activating the system with 30 minutes of reporting."
Interviews with the relevant employee and review of records also must be completed within 72 hours of the incident, the hospital added. First public communication with patients and caregivers should be made within 60 minutes of the medical accident.
"This is because patients and caregivers will become suspicious if the hospital keeps postponing the first public communication process with them," the hospital said.
It is also common among Korean hospitals not to mention the case again after a medical dispute. To prevent recurrences, however, it is necessary to analyze performance and identify helpful factors while continually reminding the issue to the hospital staff, it added.
Myongji Hospital has published a book about the Korean CANDOR for use as a source for local experts interested in patient safety and patient-centered communication.
"Myongji Hospital's CANDOR task force team plans to continue to observe both positive and negative effects of the system and work to correct and supplement it," the hospital said.
Professor Kim also said, "The Korean CANDOR has taken into account the cultural, ethical, institutional, and legal differences compared to the U.S. For CANDOR to succeed in Korea, manpower and resources support, changes in hospital managers' consciousness are a prerequisite.”
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