Listen
Document the concern and make space for the patient, family and care team to be heard.
Patient and clinic protection
Clear communication after unexpected medical harm
Macrm Injury helps patients, families, clinicians and care organizations understand a structured approach to communication, review, learning and fair resolution.
A calm, practical resource focused on transparency, support and safer care.
Start with what you need
One resource, several perspectives
Medical injury affects everyone involved in care. These pathways organize relevant information without replacing professional medical or legal advice.
About this site
Protection begins with honest information
Macrm Injury presents communication-and-resolution principles for use after an unexpected care outcome. The aim is to support respectful dialogue, timely review and organizational learning while recognizing the different needs of patients, families and care teams.
- Plain-language explanations of key concepts
- Separate guidance for patients and care organizations
- Implementation documents and learning materials
- Ways to offer feedback and request information
How we work
A structured path from concern to learning
Review
Examine what happened carefully, preserve relevant information and communicate what is known.
Respond
Explain findings in clear language and consider appropriate support, apology and resolution.
Improve
Translate lessons into safer systems, follow-up actions and shared organizational learning.
Featured visual guide
The CARe timeline
Review the sequence of communication, investigation and follow-up after a medical injury. The downloadable timeline is designed as an orientation tool rather than case-specific advice.
Open the CARe timeline
Photo and timeline tab
See how disclosure, support, review and learning connect across the response process.
Browse document libraryResource updates
Recently reviewed information
20 August 2026
Finding the right resource
Use the redesigned library to browse documents by practical topic, audience and stage of the response process.
Search the resource library06 June 2026
Communication-and-resolution reading
Explore background material examining how structured programs can support openness, accountability and learning.
Read the external article18 February 2026
Patient safety history
A published book chapter places communication-and-resolution work within the broader patient safety movement.
View the book chapter14 November 2025
Bring the topic to your organization
Request an educational presentation on transparent communication and practical resolution principles.
Request a speakerPerspectives from the archive
Why this approach matters
Organizational comments retained from the source material, presented without individual endorsements.
Safer care
“Open discussion about the causes of unexpected outcomes can help care organizations identify the steps needed to reduce recurrence.”
Hospital association perspective
Shared purpose
“Patients, families and clinicians are part of the same effort, and acknowledging that shared purpose helps remove barriers to safer care.”
Clinical safety perspective
Healing relationships
“Transparent response can preserve healing relationships after an adverse event and support deeper organizational learning.”
Patient safety coalition perspective
Respect and dignity
“Compassion, honesty and transparency support respectful relationships when preventable harm occurs.”
Quality and safety perspective
Frequently asked questions
Clear answers to common concerns
What is a communication-and-resolution approach?
It is a structured process for communicating after unexpected harm, reviewing events, supporting those involved and considering an appropriate response based on the findings.
Does this site provide medical or legal advice?
No. The material is general educational information. Individual decisions should be discussed with qualified medical or legal professionals familiar with the circumstances.
What should a patient document?
Keep a clear chronology, relevant care records, medication information, questions and copies of communications. Avoid changing treatment without speaking with a qualified clinician.
What should a clinic do when a concern is raised?
Prioritize immediate care needs, listen respectfully, preserve relevant information, follow established review procedures and maintain timely communication.
Where can clinicians find implementation guidance?
The provider section includes separate routes for clinicians, administrators and frequently asked questions.
How can I suggest a resource?
Use the contact route below to send a concise description and a link or citation for editorial review.
Patient FAQs and resources · FAQs for clinicians · FAQs for administrators
Help improve Macrm Injury
Tell us what information you could not find or suggest a useful educational resource.