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Disclosure of medical errors , patient perception

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https://www.readbyqxmd.com/read/28526169/the-second-victim-a-review
#1
REVIEW
B Coughlan, D Powell, M F Higgins
Amongst the lay and media population there is a perception that pregnancy, labour and delivery is always physiological, morbidity and mortality should be "never events" and that error is the only cause of adverse events. Those working in maternity care know that it is an imperfect art, where adverse outcomes and errors will occur. When errors do occur, there is a domino effect with three groups being involved - the patient (first victim), the staff (second victims) and the organization (third victims). If the perceived expectation of patients on all clinicians is that of perfection, then clinicians may suffer the consequences of adverse outcomes in isolation and silence...
June 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28466465/what-constitutes-competent-error-disclosure-insights-from-a-national-focus-group-study-in-switzerland
#2
Annegret F Hannawa
The question is no longer whether to disclose an error to a patient. Many studies have established that medical errors are co-owned by providers and patients and thus must be disclosed. However, little evidence is available on the concrete communication skills and contextual features that contribute to patients' perceptions of "competent disclosures" as a key predictor of objective disclosure outcomes. This study operationalises a communication science model to empirically characterise what messages, behaviours and contextual factors Swiss patients commonly consider "competent" during medical error disclosures, and what symptoms and behaviours they experience in response to competent and incompetent disclosures...
May 3, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28261397/learning-through-experience-influence-of-formal-and-informal-training-on-medical-error-disclosure-skills-in-residents
#3
Brian M Wong, Maitreya Coffey, Markku T Nousiainen, Ryan Brydges, Heather McDonald-Blumer, Adelle Atkinson, Wendy Levinson, Lynfa Stroud
BACKGROUND : Residents' attitudes toward error disclosure have improved over time. It is unclear whether this has been accompanied by improvements in disclosure skills. OBJECTIVE : To measure the disclosure skills of internal medicine (IM), paediatrics, and orthopaedic surgery residents, and to explore resident perceptions of formal versus informal training in preparing them for disclosure in real-world practice. METHODS : We assessed residents' error disclosure skills using a structured role play with a standardized patient in 2012-2013...
February 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28259161/improving-disclosure-of-medical-error-through-educational-program-as-a-first-step-toward-patient-safety
#4
Chan Woong Kim, Sun Jung Myung, Eun Kyung Eo, Yerim Chang
BACKGROUND: Although physicians believe that medical errors should be disclosed to patients and their families, they often hesitate to do so. In this study, we assessed the effectiveness of an education program for medical error disclosure. METHODS: In 2015, six medical interns and 79 fourth-year medical students participated in this study. The education program included practice of error disclosure using a standardized patient scenario, feedback, and short didactic sessions...
March 4, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28114911/the-intention-to-disclose-medical-errors-among-doctors-in-a-referral-hospital-in-north-malaysia
#5
Arvinder-Singh Hs, Abdul Rashid
BACKGROUND: In this study, medical errors are defined as unintentional patient harm caused by a doctor's mistake. This topic, due to limited research, is poorly understood in Malaysia. The objective of this study was to determine the proportion of doctors intending to disclose medical errors, and their attitudes/perception pertaining to medical errors. METHODS: This cross-sectional study was conducted at a tertiary public hospital from July- December 2015 among 276 randomly selected doctors...
January 23, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/27904743/frontline-worker-perceptions-of-medication-safety-in-india
#6
Sangeeta Sharma, Fauzia Tabassum, Sarbjeet Khurana, Kaveri Kapoor
BACKGROUND: To explore interprofessionals' perceptions about patient safety, particularly medication safety and associated factors and barriers. METHODS: A total of 389 respondents were recruited using convenience sample in the cross sectional survey. RESULTS: Medication safety was perceived as somewhat safe (60%). One-third of respondents witnessed 3-4 or more medication errors (MEs) within the past 1 year. Out of that, one quarter were reportedly, sentinel events...
December 2016: Therapeutic Advances in Drug Safety
https://www.readbyqxmd.com/read/27687526/assessment-of-patient-safety-culture-what-tools-for-medical-students
#7
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
https://www.readbyqxmd.com/read/27542889/perceptions-of-the-general-public-and-physicians-regarding-open-disclosure-in-korea-a-qualitative-study
#8
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
https://www.readbyqxmd.com/read/26534996/primary-care-physicians-willingness-to-disclose-oncology-errors-involving-multiple-providers-to-patients
#9
Kathleen Mazor, Douglas W Roblin, Sarah M Greene, Hassan Fouayzi, Thomas H Gallagher
BACKGROUND: Full disclosure of harmful errors to patients, including a statement of regret, an explanation, acceptance of responsibility and commitment to prevent recurrences is the current standard for physicians in the USA. OBJECTIVE: To examine the extent to which primary care physicians' perceptions of event-level, physician-level and organisation-level factors influence intent to disclose a medical error in challenging situations. DESIGN: Cross-sectional survey containing two hypothetical vignettes: (1) delayed diagnosis of breast cancer, and (2) care coordination breakdown causing a delayed response to patient symptoms...
October 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/26079455/developing-a-communication-curriculum-and-workshop-for-an-internal-medicine-residency-program
#10
Sherine Salib, Elizabeth M Glowacki, Lindsay A Chilek, Michael Mackert
OBJECTIVES: Learning effective communication is essential for physicians. Effective communication has been shown to affect healthcare outcomes, including patient safety, adherence rates, patient satisfaction, and enhanced teamwork. The importance of these skills has become even more apparent in recent years, with value-based purchasing programs and federal measures of patient satisfaction in the form of Hospital Consumer Assessment of Healthcare Providers and Systems scores becoming an important part of measuring the performance of a healthcare facility...
June 2015: Southern Medical Journal
https://www.readbyqxmd.com/read/26052463/disclosure-of-medical-errors-in-oman-public-preferences-and-perceptions-of-current-practice
#11
Mark I K Norrish
OBJECTIVES: This study aimed to provide insight into the preferences for and perceptions of medical error disclosure (MED) by members of the public in Oman. METHODS: Between January and June 2012, an online survey was used to collect responses from 205 members of the public across five governorates of Oman. RESULTS: A disclosure gap was revealed between the respondents' preferences for MED and perceived current MED practices in Oman. This disclosure gap extended to both the type of error and the person most likely to disclose the error...
May 2015: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/25155639/simulated-disclosure-of-a-medical-error-by-residents-development-of-a-course-in-specific-communication-skills
#12
Steven E Raper, Andrew S Resnick, Jon B Morris
OBJECTIVES: Surgery residents are expected to demonstrate the ability to communicate with patients, families, and the public in a wide array of settings on a wide variety of issues. One important setting in which residents may be required to communicate with patients is in the disclosure of medical error. This article details one approach to developing a course in the disclosure of medical errors by residents. DESIGN: Before the development of this course, residents had no education in the skills necessary to disclose medical errors to patients...
November 2014: Journal of Surgical Education
https://www.readbyqxmd.com/read/24597423/patients-experiences-with-disclosure-of-a-large-scale-adverse-event
#13
Carolyn D Prouty, Mary Beth Foglia, Thomas H Gallagher
BACKGROUND: Hospitals face a disclosure dilemma when large-scale adverse events affect multiple patients and the chance of harm is extremely low. Understanding the perspectives of patients who have received disclosures following such events could help institutions develop communication plans that are commensurate with the perceived or real harm and scale of the event. METHODS: A mailed survey was conducted in 2008 of 266 University of Washington Medical Center (UWMC) patients who received written disclosure in 2004 about a large-scale, low-harm/low-risk adverse event involving an incomplete endoscope cleaning process...
2013: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/24362375/assessing-medical-students-perceptions-of-patient-safety-the-medical-student-safety-attitudes-and-professionalism-survey
#14
Joshua M Liao, Jason M Etchegaray, S Tyler Williams, David H Berger, Sigall K Bell, Eric J Thomas
PURPOSE: To develop and test the psychometric properties of a survey to measure students' perceptions about patient safety as observed on clinical rotations. METHOD: In 2012, the authors surveyed 367 graduating fourth-year medical students at three U.S. MD-granting medical schools. They assessed the survey's reliability and construct and concurrent validity. They examined correlations between students' perceptions of organizational cultural factors, organizational patient safety measures, and students' intended safety behaviors...
February 2014: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/24332933/disclosing-medical-errors-to-patients-effects-of-nonverbal-involvement
#15
RANDOMIZED CONTROLLED TRIAL
Annegret F Hannawa
OBJECTIVE: The purpose of this study was to test causal effects of physicians' nonverbal involvement on medical error disclosure outcomes. METHODS: 216 hospital outpatients were randomly assigned to two experimental treatment groups. The first group watched a video vignette of a verbally effective and nonverbally involved error disclosure. The second group was exposed to a verbally effective but nonverbally uninvolved error disclosure. All patients responded to seven outcome measures...
March 2014: Patient Education and Counseling
https://www.readbyqxmd.com/read/24250327/patients-knowledge-and-perceived-reactions-to-medical-errors-in-a-tertiary-health-facility-in-nigeria
#16
B A Ushie, K K Salami, A S Jegede, M Oyetunde
BACKGROUND: Human errors in healthcare delivery pose serious threats to patients undergoing treatment. While clinical concern is growing in response, there is need to report social and behavioural context of the problem in Nigeria. OBJECTIVE: To examine patients' knowledge and perceived reactions to medical errors. METHODS: A cross-sectional survey was conducted using a semi-structured questionnaire was used to collect data from 269 in-patients and 10 In-Depth Interviews were conducted among health caregivers in the University of Calabar Teaching Hospital, Nigeria...
September 2013: African Health Sciences
https://www.readbyqxmd.com/read/23641998/open-disclosure-ethical-professional-and-legal-obligations-and-the-way-forward-for-regulation
#17
Angus J F Finlay, Cameron L Stewart, Malcolm Parker
Open disclosure (OD) after adverse health care events is the subject of a national standard that has been implemented in state health policy documents, and is included in the Medical Board of Australia's code of conduct for doctors. Nevertheless, doctors have been slow to embrace the practice of OD. There is a strong ethical case for implementing OD in the primary interests of patients, and additionally from a medicolegal risk management point of view. There are no statutory requirements in relation to OD, but common law judgments have imposed a duty of OD in tort and contract...
May 6, 2013: Medical Journal of Australia
https://www.readbyqxmd.com/read/23528115/patients-for-patient-safety-in-china-a-cross-sectional-study
#18
Qiongwen Zhang, Yulin Li, Jing Li, Xuanyue Mao, Lijuan Zhang, Qinghua Ying, Xin Wei, Lili Shang, Mingming Zhang
OBJECTIVES: To investigate the baseline status of patients' awareness, knowledge, and attitudes to patient safety in China, and to determine the factors that influence patients' involvement in patient safety. METHODS: We conducted a cross sectional survey using questionnaires adapted from recent studies on patient safety from outside China. The items included medical errors, infection, medication safety, and other aspects of patient safety. The questionnaire included 17 items and 5 domains...
February 2012: Journal of Evidence-based Medicine
https://www.readbyqxmd.com/read/23506198/the-invasive-cervical-cancer-review-psychological-issues-surrounding-disclosure
#19
REVIEW
S M Sherman, E Moss, C W E Redman
An audit of the screening history of all new cervical cancer cases has been a requirement since April 2007. While NHS cervical screening programmes (NHSCSP) guidance requires that women diagnosed with cervical cancer are offered the findings of the audit, as yet there has been no research to investigate the psychological impact that meeting to discuss the findings might have on patients. This is in spite of the fact that cytological under-call may play a role in as many as 20% of cervical cancer cases. This review draws on the literature concerning breaking bad news, discussing cancer and disclosing medical errors, in order to gain insight into both the negative and positive consequences that may accompany a cervical screening review meeting...
April 2013: Cytopathology: Official Journal of the British Society for Clinical Cytology
https://www.readbyqxmd.com/read/23380883/antecedents-of-willingness-to-report-medical-treatment-errors-in-health-care-organizations-a-multilevel-theoretical-framework
#20
Eitan Naveh, Tal Katz-Navon
BACKGROUND: To avoid errors and improve patient safety and quality of care, health care organizations need to identify the sources of failures and facilitate implementation of corrective actions. Hence, health care organizations try to collect reports and data about errors by investing enormous resources in reporting systems. However, despite health care organizations' declared goal of increasing the voluntary reporting of errors and although the Patient Safety and Quality Improvement Act of 2005 (S...
January 2014: Health Care Management Review
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