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At Kaiser Permanente, which serves patients in California, Colorado, Ohio, Maryland and several other states, patients are offered an apology, a description of the events that led to the error, and a commitment to do things differently next time, says Doug Bonacum, Kaiser's vice president for quality, safety and resource management. Specially trained ombudsmen help facilitate the difficult conversations between patients who have been harmed and health care professionals, who themselves may be devastated.
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