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The power of apology and collaborative law in medicine

Kathleen Clark, Ph.D., J.D., who provided this entry, has practiced law and mediation in the San Francisco Bay Area for twenty years. She is the founder/CEO of Servant Lawyership. She practices law, convenes symposiums, and writes and speaks on collaborative practices in health care.

Michael Woods died of a heart attack on a gurney in the emergency room of Kent Hospital in Warwick, Rhode Island. A heart monitor was ordered but the order was never carried out.

Michael’s older brother, actor James Woods, sought compensation for his brother’s son, Peyton, but more than that, he wanted acknowledgement of responsibility, accountability, and an apology. Although Woods knew that litigation would only provide his family money, nothing more, he saw litigation as the only option he had.

The case proceeded to trial with Sandy Coletta, the new CEO of Kent Hospital, playing an active role. During the third week of trial, Coletta told her attorneys that she “absolutely” needed to talk with Woods, personally. At first, Woods resisted.

Decof told me that in his experience, he’d never seen or heard of a situation in which a public apology and acknowledgment, had occurred in the middle of a medical malpractice trial, especially when a settlement was involved. Decof asked Woods to meet with Coletta, knowing that a meeting was the only avenue to acknowledgment of responsibility and an apology. He suggested that “Woods might be able to look at the hospital differently through Coletta”.

That’s exactly what happened.

Coletta told Woods, “I don’t know if anyone from Kent has ever said this to you, but I am so sorry about what happened to your brother.” She acknowledged that “Mistakes were made” and “the hospital did not follow through on the order.” According to Decof, the apology shifted Woods’ frame of mind from “search and destroy to a conciliatory”. Woods said he transitioned from hurt and anger to hope.

Although the advent of this new practice, collaborative law in health care, has been daunting, my spirit, determination, and dedication to collaborative practices after adverse medical events was reinvigorated by this 2009 medical malpractice/wrongful death case of Michael Woods. The case was filed in July, 2006, had all the traditional elements of medical malpractice litigation. James Woods was angry, bitter, and alienated, feeling disrespected and unrecognized. Although James’ mother was not a party, she was an integral part of the litigation process.

By the end, the case had many elements of reconciliation: apology, acknowledgment, forgiveness, and collaboration, particularly transformative because the case was considered unsettlable. For me, this case was and continues to be about our shared humanity, understanding, and caring about each other.

Submitted by: Roselle Kovitz

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