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Who is disclosure the error to the patients

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
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
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
Margaret Plews-Ogan, Natalie May, Justine Owens, Monika Ardelt, Jo Shapiro, Sigall K Bell
PURPOSE: Confronting medical error openly is critical to organizational learning, but less is known about what helps individual clinicians learn and adapt positively after making a harmful mistake. Understanding what factors help doctors gain wisdom can inform educational and peer support programs, and may facilitate the development of specific tools to assist doctors after harmful errors occur. METHOD: Using "posttraumatic growth" as a model, the authors conducted semistructured interviews (2009-2011) with 61 physicians who had made a serious medical error...
February 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Priscila Giraldo, Isabel Trespaderne, Cristina Díaz, María Dolores Bardallo
OBJECTIVES: To describe the approach to the communication and blame of an adverse by nursing students. METHOD: A descriptive study on disclosure and apologies for adverse events by nursing students in the academic years 2011-12 and 2012-13. The study included group discussion and drafting a written communication to the injured patient about adverse events during hospitalization. An ad hoc checklist was used and an analysis was performed on items related to the disclosure and apologies issues...
September 2015: Enfermería Clínica
Sigall K Bell, Andrew A White, Jean C Yi, Joyce P Yi-Frazier, Thomas H Gallagher
OBJECTIVES: Transparent communication after medical error includes disclosing the mistake to the patient, discussing the event with colleagues, and reporting to the institution. Little is known about whether attitudes about these transparency practices are related. Understanding these relationships could inform educational and organizational strategies to promote transparency. METHODS: We analyzed responses of 3038 US and Canadian physicians to a medical error communication survey...
February 24, 2015: Journal of Patient Safety
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
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
Aimee G Russell, Lei Chen, Kelli Jones, Alan N Peiris
Diabetes mellitus is increasing in frequency and is associated with disabling acute and chronic complications. There is evidence to indicate that excellent glucose control may retard the development and/or progression of these complications. In order to optimize diabetic control, patients are encouraged to monitor their glucose frequently We describe a patient who provided inaccurate glucose monitoring results, delaying effective management of his progressively increasing glycosylated hemoglobin level. The diagnostic clue to his erroneous glucose monitoring results was the lack of intra-day variation in this patient on insulin therapy...
January 2014: Tennessee Medicine: Journal of the Tennessee Medical Association
Jason M Etchegaray, Madelene J Ottosen, Landrus Burress, William M Sage, Sigall K Bell, Thomas H Gallagher, Eric J Thomas
The study of adverse event disclosure has typically focused on the words that are said to the patient and family members after an event. But there is also growing interest in determining how patients and their families can be involved in the analysis of the adverse events that harmed them. We conducted a two-phase study to understand whether patients and families who have experienced an adverse event should be involved in the postevent analysis following the disclosure of a medical error. We first conducted twenty-eight interviews with patients, family members, clinicians, and administrators to determine the extent to which patients and family members are included in event analysis processes and to learn how their experiences might be improved...
January 2014: Health Affairs
Ann Hendrich, Christine Kocot McCoy, Jane Gale, Lora Sparkman, Palmira Santos
Communicating openly and honestly with patients and families about unexpected medical events-a policy known as full disclosure-improves outcomes for patients and providers. Although many certification and licensing organizations have declared full disclosure to be imperative, the adoption of and adherence to a full disclosure protocol is not common practice in most clinical settings. We conducted a case study of Ascension Health's implementation of a full disclosure protocol at five labor and delivery demonstration sites...
January 2014: Health Affairs
M C Martín-Delgado, M Fernández-Maillo, J Bañeres-Amella, C Campillo-Artero, L Cabré-Pericas, R Anglés-Coll, R Gutiérrez-Fernández, J M Aranaz-Andrés, A Pardo-Hernández, A Wu
OBJECTIVE: To develop recommendations regarding «Information about adverse events to patients and their families», through the implementation of a consensus conference. MATERIAL AND METHODS: A literature review was conducted to identify all relevant articles, the major policies and international guidelines, and the specific legislation developed in some countries on this process. The literature review was the basis for responding to a series of questions posed in a public session...
November 2013: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
Ruth Tevlin, Eva Doherty, Oscar Traynor
INTRODUCTION: Human error is the major causal factor of industrial and transportation accidents and healthcare is not immune to the effects of human error. Medical error can be defined as the failure of the planned action to be completed as intended or the use of a wrong plan to achieve an aim. AIM: The objective of this literature review was to explore the practices of medical error management and disclosure by surgical trainees and to examine how to better prepare and educate the surgeons of tomorrow...
December 2013: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Uchenna Ofoma, Rahul Kashyap, Craig Daniels, Ognjen Gajic, Brian Pickering, Christopher Farmer
SESSION TYPE: ICU: Improving OutcomesPRESENTED ON: Sunday, October 21, 2012 at 10:30 AM - 11:45 AMPURPOSE: Readmission to the Intensive Care Unit (ICU) is associated with worse outcomes and increased cost. Discharge processes are often fraught with errors and providers are poor judges of the risk of patient readmission. The Stability and Workload Index for Transfer (SWIFT) score is a previously validated tool which predicts unplanned ICU readmission. A score >15 is associated with a 6-15% risk of return to the ICU within 24 hours of discharge...
October 1, 2012: Chest
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
Alexander Putnam Cole, Lauren Block, Albert W Wu
BACKGROUND: There is broad consensus that disclosure of harmful medical errors is vital to improve safety and is ethically required. Although most physicians-in-training are taught ethics, there have been no empirical studies on whether ethical reasoning is related to disclosure. We examined whether scores on a test of ethical reasoning were associated with greater willingness to disclose errors. METHODS: We conducted a cross-sectional survey of house officers in internal medicine at Johns Hopkins Hospital...
July 2013: BMJ Quality & Safety
Martin L Smith
Medical mistakes, especially ones with significant adverse events, can erode the trust and bonds between and among parents, patients, and health care professionals. Prevention of medical mistakes should be the goal of every health care organization, and participation in quality improvement processes aimed at patient safety is an ethical duty for all health care professionals. But when mistakes occur, health care organizations and professionals should rapidly move toward disclosure and apology. These duties of honesty, disclosure and apology are based ethically on core health care principles and values...
June 2013: Journal of Child Neurology
Francisco M Matos, Daniel B Raemer
INTRODUCTION: Physicians have an ethical duty to disclose adverse events to patients or families. Various strategies have been reported for teaching disclosure, but no instruments have been shown to be reliable for assessing them.The aims of this study were to report a structured method for teaching adverse event disclosure using mixed-realism simulation, develop and begin to validate an instrument for assessing performance, and describe the disclosure practice of anesthesiology trainees...
April 2013: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Sigall K Bell, Peter B Smulowitz, Alan C Woodward, Michelle M Mello, Anjali Mitter Duva, Richard C Boothman, Kenneth Sands
CONTEXT: The Disclosure, Apology, and Offer (DA&O) model, a response to patient injuries caused by medical care, is an innovative approach receiving national attention for its early success as an alternative to the existing inherently adversarial, inefficient, and inequitable medical liability system. Examples of DA&O programs, however, are few. METHODS: Through key informant interviews, we investigated the potential for more widespread implementation of this model by provider organizations and liability insurers, defining barriers to implementation and strategies for overcoming them...
December 2012: Milbank Quarterly
Xiuzhu Gu, Kenji Itoh
OBJECTIVES: To explore Chinese patients' views on physician disclosure actions after an adverse event and their acceptance of different types of apologies from the physician who caused the event. METHODS: A questionnaire survey was conducted in 2009, collecting 934 valid responses (52% response rate) from inpatients and families in 3 Chinese hospitals. Respondents' views on and attitudes toward physician actions after a medical error were elicited as responses to 2 fictitious adverse events (vignettes) with different levels of outcome severity...
December 2012: Journal of Patient Safety
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