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Disclosure of medical error ,

C H Wong, T R Tan, H Y Heng Hy, T Ramesh, P W Ting, W S Lee, C L Teng, N Sivalingam, K K Tan
INTRODUCTION: Open disclosure is poorly understood in Malaysia but is an ethical and professional responsibility. The objectives of this study were to determine: (1) the perception of parents regarding the severity of medical error in relation to medication use or diagnosis; (2) the preference of parents for information following the medical error and its relation to severity; and (3) the preference of parents with regards to disciplinary action, reporting, and legal action. METHODS: We translated and contextualised a questionnaire developed from a previous study...
August 2016: Medical Journal of Malaysia
M Chaneliere, F Jacquet, P Occelli, S Touzet, V Siranyan, C Colin
BACKGROUND: The assessment of patient safety culture refers mainly to surveys exploring the perceptions of health professionals in hospitals. These surveys have less relevance when considering the assessment of the patient safety culture of medical students, especially at university or medical school. They are indeed not fully integrated in care units and constitute a heterogeneous population. This work aimed to find appropriate assessment tools of the patient safety culture of medical students...
September 29, 2016: BMC Medical Education
Ashraf Ahmad Zaghloul, Syed Azizur Rahman, Nagwa Younes Abou El-Enein
OBJECTIVE: The study aimed to identify healthcare providers' obligation towards medical errors disclosure as well as to study the association between the severity of the medical error and the intention to disclose the error to the patients and their families. DESIGN: A cross-sectional study design was followed to identify the magnitude of disclosure among healthcare providers in different departments at a randomly selected tertiary care hospital in Dubai. SETTING AND PARTICIPANTS: The total sample size accounted for 106 respondents...
August 22, 2016: International Journal of Risk & Safety in Medicine
Charles E Cunningham, Tracy Hutchings, Jennifer Henderson, Heather Rimas, Yvonne Chen
BACKGROUND: Patients and their families play an important role in efforts to improve health service safety. OBJECTIVE: The objective of this study is to understand the safety partnership preferences of patients and their families. METHOD: We used a discrete choice conjoint experiment to model the safety partnership preferences of 1,084 patients or those such as parents acting on their behalf. Participants made choices between hypothetical safety partnerships composed by experimentally varying 15 four-level partnership design attributes...
2016: Patient Preference and Adherence
Ifeoma U Perkins
Since the 1990s, the fields of anatomic and clinical pathology have made strong commitments to improving patient safety, including the creation of formal and informal guidelines for assessing and reporting quality lapses. Unfortunately, some medical errors are inevitable. Patient safety experts advocate full and complete disclosure of all serious medical errors in an effort to preserve the patient-physician relationship and minimize the risk of harm to patients. While evidence suggests that most pathologists disclose serious medical errors, many do not disclose such errors to patients...
2016: AMA Journal of Ethics
Minsu Ock, Hyun Joo Kim, Min-Woo Jo, Sang-Il Lee
BACKGROUND: Experience with open disclosure and its study are restricted to certain western countries. In addition, there are concerns that open disclosure may be less suitable in non-western countries. The present study explored and compared the in-depth perceptions of the general public and physicians regarding open disclosure in Korea. METHODS: We applied the COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist to this qualitative study...
2016: BMC Medical Ethics
Wendy Levinson, Jensen Yeung, Shiphra Ginsburg
No abstract text is available yet for this article.
August 16, 2016: JAMA: the Journal of the American Medical Association
Caitriona L Cox, Zoe Fritz
In modern practice, doctors who outright lie to their patients are often condemned, yet those who employ non-lying deceptions tend to be judged less critically. Some areas of non-disclosure have recently been challenged: not telling patients about resuscitation decisions; inadequately informing patients about risks of alternative procedures and withholding information about medical errors. Despite this, there remain many areas of clinical practice where non-disclosures of information are accepted, where lies about such information would not be...
October 2016: Journal of Medical Ethics
Donna Koller, Anneke Rummens, Morgane Le Pouesard, Sherry Espin, Jeremy Friedman, Maitreya Coffey, Noah Kenneally
Medical errors are common within paediatrics; however, little research has examined the process of disclosing medical errors in paediatric settings. The present systematic review of current research and policy initiatives examined evidence regarding the disclosure of medical errors involving paediatric patients. Peer-reviewed research from a range of scientific journals from the past 10 years is presented, and an overview of Canadian and international policies regarding disclosure in paediatric settings are provided...
May 2016: Paediatrics & Child Health
Attia Bari, Rehan Ahmed Khan, Ahsan Waheed Rathore
OBJECTIVE: To determine the causes of medical errors, the emotional and behavioral response of pediatric medicine residents to their medical errors and to determine their behavior change affecting their future training. METHODS: One hundred thirty postgraduate residents were included in the study. Residents were asked to complete questionnaire about their errors and responses to their errors in three domains: emotional response, learning behavior and disclosure of the error...
May 2016: Pakistan Journal of Medical Sciences Quarterly
Susan D Moffatt-Bruce, Francis D Ferdinand, James I Fann
No abstract text is available yet for this article.
August 2016: Annals of Thoracic Surgery
Thorsten Langer, William Martinez, David M Browning, Pamela Varrin, Barbara Sarnoff Lee, Sigall K Bell
BACKGROUND: Despite growing interest in engaging patients and families (P/F) in patient safety education, little is known about how P/F can best contribute. We assessed the feasibility and acceptability of a patient-teacher medical error disclosure and prevention training model. METHODS: We developed an educational intervention bringing together interprofessional clinicians with P/F from hospital advisory councils to discuss error disclosure and prevention. Patient focus groups and orientation sessions informed curriculum and assessment design...
August 2016: BMJ Quality & Safety
(no author information available yet)
No abstract text is available yet for this article.
May 2016: Hospital Peer Review
Annegret F Hannawa, Yuki Shigemoto, Todd D Little
RATIONALE: This study investigates the intrapersonal and interpersonal factors and processes that are associated with patient forgiveness of a provider in the aftermath of a harmful medical error. OBJECTIVE: This study aims to examine what antecedents are most predictive of patient forgiveness and non-forgiveness, and the extent to which social-cognitive factors (i.e., fault attributions, empathy, rumination) influence the forgiveness process. Furthermore, the study evaluates the role of different disclosure styles in two different forgiveness models, and measures their respective causal outcomes...
May 2016: Social Science & Medicine
Leonard Berlin, Daniel R Murphy, Hardeep Singh
Communication problems in diagnostic testing have increased in both number and importance in recent years. The medical and legal impact of failure of communication is dramatic. Over the past decades, the courts have expanded and strengthened the duty imposed on radiologists to timely communicate radiologic abnormalities to referring physicians and perhaps the patients themselves in certain situations. The need to communicate these findings goes beyond strict legal requirements: there is a moral imperative as well...
December 2014: Diagnosis
(no author information available yet)
Medical providers have an ethical duty to disclose clinically significant errors involving gametes and embryos as soon as they are discovered. Clinics also should have written policies in place for reducing and disclosing errors. This document was reviewed and affirmed in 2015 and replaces the earlier document of the same name (Fertil Steril 2011;96:1312-4).
July 2016: Fertility and Sterility
Krzysztof Borski
Scientific, technical and medical advances continue to raise consequential ethical questions and dilemmas also in the field of rare diseases. Difficult and complex issues of medical ethics in rare diseases are presented and several different ethical problems, like those regarding inborn errors of metabolism, are discussed.
October 2015: Developmental Period Medicine
G Montanari Vergallo, F P Busardò, S Zaami, E Marinelli
Eight years since the last revision, in May 2014 the Italian code of medical ethics has been updated. Here, the Authors examine the reform in the light of the increasing difficulties of the medical profession arising from the severity of the Italian law Courts. The most significant aspects of this new code are firstly, the patient's freedom of self-determination and secondly, risk prevention through the disclosure of errors and adverse events. However, in both areas the reform seems to be less effective if we compare the ethical codes of France, the United Kingdom and the United States...
2016: European Review for Medical and Pharmacological Sciences
Mayer Brezis, Yael Orkin-Bedolach, Daniel Fink, Alexander Kiderman
PURPOSE: Although transparency is critical for reducing medical errors, physicians feel discomfort with disclosure. We explored whether overconfidence relates to physician's reluctance to admit that an error may have occurred. METHOD: At 3 university medical centers, a survey presented a clinical vignette of a girl with urinary infection and penicillin allergy to medical students and physicians, asking them to rate their level of confidence for each step of the diagnosis and management...
January 11, 2016: Journal of Patient Safety
Priscila Giraldo, Josep Corbella, Carmen Rodrigo, Mercè Comas, Maria Sala, Xavier Castells
OBJECTIVE: To identify opportunities for disclosing information on medical errors in Spain and issuing an apology, as well as legal-ethical barriers. METHOD: A cross-sectional study was conducted through a questionnaire sent to health law and bioethics experts (n=46). RESULTS: A total of 39 experts (84.7%) responded that health providers should always disclose adverse events and 38 experts (82.6%) were in favour of issuing an apology. Thirty experts (65...
March 2016: Gaceta Sanitaria
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