scholarly journals Medical Interns’ Perceptions about Disclosing Medical Errors

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Sedigheh Ebrahimi ◽  
Seyed Ziaedin Tabei ◽  
Fatemeh Kalantari ◽  
Alireza Ebrahimi
Keyword(s):  
Data Collection ◽  
Communication Skills ◽  
Medical Errors ◽  
Medical Error ◽  
Training And Education ◽  
Ethical Duty ◽  
Error Disclosure ◽  
Willingness To Disclose ◽  
Males And Females ◽  
Medical Interns

Background. Honest and timely reporting of medical errors is the professional and ethical duty of any physician as it can help the patients and their families to understand the condition and enable the practitioners to prevent the consequences of the error. This study aims to investigate the viewpoints of medical interns regarding medical error disclosure in educational hospitals in Shiraz, Iran. Methods. A researcher-made questionnaire was used for data collection. The survey consisted of questions about the medical error disclosure, the willingness to disclose an error, the interns’ experiences and intentions of reporting the medical error, and two scenarios to assess the students’ response to a medical error. Results. Medical interns believed that a medical error must be reported for the sake of conscience and commitment and prevention of further consequences. The most important cause of not reporting an error was found to be inappropriate communication skills among the students. The results indicated that the willingness to disclose the hypothetical error among females was more than males (R < 0.005), but in practice, there was no difference between males and females (R > 0.005). The willingness to disclose minor and major hypothetical errors had a positive correlation ( P < 0.001 , R = 0.848). Conclusion. More ethical training and education of communication skills would be helpful to persuade physicians to disclose medical errors.

Confessional Approach to Disclosure of Medical Error

2021 ◽  
Author(s):  
Jordan Mason
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Recent Literature ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Error Disclosure ◽  
Patient Relationships ◽  
Physician Patient

Abstract Recent literature on the ethics of medical error disclosure acknowledges the feelings of injustice, confusion, and grief patients and their families experience as a result of medical error. Substantially less literature acknowledges the emotional and relational discomfort of the physicians responsible or suggests a meaningful way forward. To address these concerns more fully, I propose a model of medical error disclosure that mirrors the theological and sacramental technique of confession. I use Aquinas’ description of moral acts to show that all medical errors are evil, and some accidental medical errors constitute venial sins; all sin and evil should be confessed. As Aquinas urges confession for sins, here I argue that confession is necessary to restore physicians to the community and to provide a sense of absolution. Even mistakes for which physicians are not morally culpable ought to be confessed in order to heal the physician–patient relationship and to address feelings of professional distress. This paper utilizes an Episcopal theology of confession that affirms verbal admission and responsibility-taking as freeing and relationally restoring acts, arguing that a confessional stance toward medical error both leads to better outcomes in physician–patient relationships and is more compassionate toward physicians who err.

scholarly journals HUBUNGAN KEPEMIMPINAN KEPALA RUANG SAAT HANDOVER DENGAN PELAKSANAAN HANDOVER

2018 ◽  
pp. 72-77
Author(s):  
Anita Istiningtyas ◽  
Yunita Wulandari
Keyword(s):  
Data Collection ◽  
Medical Errors ◽  
Medical Error ◽  
Quantitative Research ◽  
Effective Communication ◽  
Chi Square ◽  
Leadership And Management ◽  
Process Technique ◽  
Chi Square Test ◽  
Relationship Of

ABSTRAK Banyak data baik dari luar negeri maupun dalam negeri yang menyatakan bahwa sebagian besar penyebab kesalahan medis adalah ketidaktepatan komunikasi handover , dilihat dari proses, teknik, maupun dokumentasi. Perlu pengkajian lebih mendalam agar menjadi komunikasi yang lebih baik sehingga mengurangi terjadinya kesalahan medis. Tujuan penelitian ini adalah untuk menganalisi hubungan kepemimpinan kepala ruang saat handover dengan pelaksanaan handover. Penelitian ini menggunakan  penelitian  kuantitatif  non  eksperimental  dengan  uji  chi  square.  Sampelnya  adalah 104  perawat  pelaksana.  Pengumpulan  data  menggunakan  kuesioner.Hasil  penelitiannya  adalah ada hubungan antara kepemimpinan kepala ruang saat handover dengan pelaksanaan handover di ruang rawat inap (p = 0,0014). Bagi Rumah Sakit diharapkan dapat mengoptimalkan kembali fungsi kepemimpinan dan manajemen kepala ruang dalam komunikasi efektif handover.   Kata kunci : kepemimpinan,kepala ruang, handover       ABSTRACT Many  data  both  from  abroad  and  domestic  states  that  most  of  the  causes  of  medical  error is   the   inappropriateness   of   handover   communication,   seen   from   the   process,   technique, and  documentation.  It  needs  more  in-depth  review  to  become  better  communication  so  as to  reduce  the  occurrence  of  medical  errors.  The  purpose  of  this  research  is  to  analyze  the leadership   relationship   of   the   head   room   when   handover   with   handover   implementation. This research uses non experimental quantitative research with chi square test. The sample was 104 implementing nurses. Data collection using questionnaires.The result of the research is there is correlation between headroom leadership when handover with handover implementation in inpatient room (p = 0,0014). For hospitals expected to re-optimize the function of leadership and management of the head of space in effective communication handover.   Keywords: leadership, head of space, handover

Teaching Empathic Communication to Pediatric Interns: Immediate and 3-Month Impact

2021 ◽  
pp. 104990912199979
Author(s):  
Jason Z. Niehaus ◽  
Megan M. Palmer ◽  
James E. Slaven ◽  
Lyle Fettig
Keyword(s):  
Communication Skills ◽  
Medical Error ◽  
Communication Training ◽  
Reflective Teaching ◽  
Communication Course ◽  
Error Disclosure ◽  
Clinical Scenarios ◽  
Simulation Based ◽  
Empathic Communication

Objective: Evaluate pediatric intern self-reported preparedness to Deliver Serious News, Express Empathy, and Medical Error Disclosure after a 1-day simulation based-empathic communication training. Additionally, we sought to evaluate self-reported use of communication skills and describe the clinical scenarios in which the skills were used. Methods: Pediatric interns completed the survey immediately and 3 months after participating in the communication course. Results: Self-reported preparedness to Deliver Serious News, Express Empathy, and Medical Error Disclosure all significantly improved. At 3 months, 73.9% of respondents reported using the skills at least weekly and 62% described the clinical scenarios in which they used skills. These descriptions show an ability to use the skills appropriately, and in some cases apply the skills in advanced, more difficult scenarios. Conclusion: A 1 day simulation-based reflective teaching course for pediatric interns is an effective way to teach empathic communication skills. They feel more prepared to deliver serious news, respond with empathy and disclose a medical error. In addition, the interns value the training as a part of their education and report using the skills in appropriate scenarios at 3 months.

scholarly journals A study of the validity and reliability of the questionnaire entitled “physicians' approach to and disclosure of medical errors and the related ethical issues

2019 ◽  
Author(s):  
Mohammad Mohammadi ◽  
Bagher Larijani ◽  
Seyed Mahmoud Tabatabaei ◽  
Saharnaz Nedjat ◽  
Masud Yunesian ◽  
...  
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Ethical Issues ◽  
Correlation Coefficients ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Intra Class Correlation ◽  
Cronbach's Alpha ◽  
Error Disclosure ◽  
The Status

Medical errors are among the major challenges that threaten patients’ health worldwide. The aim of this study was to design a valid and reliable questionnaire to investigate the status of medical error disclosure by physicians. A preliminary questionnaire was developed based on the extracted results from 37 interviews with specialists. To test the validity of the questionnaire, 20 medical practitioners and medical ethics authorities were asked to evaluate the relevance and clarity of each item. To measure the instrument’s reliability (the intra-class correlation coefficient and Cronbach’s alpha), a test-retest study was conducted on 20 randomly selected physicians twice with a 2-week interval. Statistical analyses were performed using SPSS software version 20.  The overall relevance and clarity of the instrument, with an average approach, were measured at 97.22 and 94.03 percent respectively. The Cronbach’s alpha, which presents the internal consistency was satisfactory (0.70 - 0.79) for various domains of the questionnaire. The range of intra-class correlation coefficients for the items in all domains of the questionnaire was 0.76 to 1.00. Regarding the validity and reliability of the questionnaire, it can be an appropriate instrument in the assessment and monitoring of the status of medical error disclosure by physicians.

scholarly journals Disclosure of Medical Errors: A Literature Review and the Situation in Turkey

2018 ◽  
Vol 02 (01) ◽  
pp. 1850003 ◽  
Author(s):  
Gülkızılca Yürür ◽  
Kristel P. Ramirez Valdez
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Pay For Performance ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Performance Incentives ◽  
University Environment ◽  
Clinical Encounters ◽  
Error Disclosure ◽  
The University

Evaluating the efficacy and accuracy of clinical reasoning and distinguishing between complications and medical errors is a difficult task. However, it seems to be an even more difficult task to provide models for systematically reporting and reducing those errors through improvements in the entire web of healthcare delivery.The report “To Err Is Human: Building a Safer Health System” published in 1999 highlighted the importance of patient safety and proposed some interventions. However, a follow up by the authors of the report in 2005 stated that progress in matters of safer care delivery and improved communications was slow. The interventions proposed include “pay for performance” incentives, implementation of electronic health records, diffusion of safe practices and team training for full disclosure of medical errors to patients following injury.As patients increasingly are consumers, customers and regulatory actors in their own healthcare, it becomes harder to hide medical mistakes in clinical encounters. Explaining why and how the medical error happened, giving informed assurance that the mistake will be avoided in the future and offering sincere apologies to patients and families are skills that need to be taught to medical students as early as the undergraduate level. Those skills are very difficult to teach in the university environment and would be learned more effectively with years of experience. However, structured educational programs focusing in the necessity and components of a good medical error disclosure would improve awareness in the importance of an effective and honest doctor–patient relationship.In this review paper, we compare international literature and examples from Turkey with regard to disclosure of medical errors. The Turkish literature on malpractice cases is rich and most of them point out that medical errors occur because of heavy workloads, insufficient infrastructure and lack of high quality medical education. However, the lack of any papers on medical disclosure to patients in Turkey seems to point out to the big communication gap between patients and doctors, among other reasons. We will address some of the reasons for such lack in Turkey and present recommendations about how to disclose medical errors to patients such as implementation of electronic medical error disclosure systems, education and training, and legislation.

Simulation-Based Medical Error Disclosure Training for Pediatric Healthcare Professionals

2007 ◽  
Vol 29 (4) ◽  
pp. 12-19 ◽  
Author(s):  
Karen I. Wayman ◽  
Kimberly A. Yaeger ◽  
Paul J. Sharek ◽  
Sandy Trotter ◽  
Lisa Wise ◽  
...  
Keyword(s):  
Medical Error ◽  
Healthcare Professionals ◽  
Error Disclosure ◽  
Simulation Based ◽  
Pediatric Healthcare

Narrowing the mindware gap in medicine

Diagnosis ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Pat Croskerry
Keyword(s):  
United States ◽  
Cognitive Performance ◽  
Clinical Reasoning ◽  
Medical Errors ◽  
Medical Error ◽  
Causes Of Death ◽  
The United States ◽  
Morbidity And Mortality ◽  
Medical Educators ◽  
High Degree

Abstract Medical error is now recognized as one of the leading causes of death in the United States. Of the medical errors, diagnostic failure appears to be the dominant contributor, failing in a significant number of cases, and associated with a high degree of morbidity and mortality. One of the significant contributors to diagnostic failure is the cognitive performance of the provider, how they think and decide about the process of diagnosis. This thinking deficit in clinical reasoning, referred to as a mindware gap, deserves the attention of medical educators. A variety of specific approaches are outlined here that have the potential to close the gap.

Radiology Trainees’ Comfort With Difficult Conversations and Attitudes About Error Disclosure: Effect of a Communication Skills Workshop

2014 ◽  
Vol 11 (8) ◽  
pp. 781-787 ◽  
Author(s):  
Stephen D. Brown ◽  
Michael J. Callahan ◽  
David M. Browning ◽  
Robert L. Lebowitz ◽  
Sigall K. Bell ◽  
...  
Keyword(s):  
Communication Skills ◽  
Error Disclosure ◽  
Difficult Conversations

scholarly journals (Re)Introducing communication competence to the health professions

2013 ◽  
Vol 2 (3) ◽  
pp. 23 ◽  
Author(s):  
Brian H. Spitzberg
Keyword(s):  
Health Care ◽  
Communication Skills ◽  
Care Delivery ◽  
Communication Competence ◽  
Health Professions ◽  
Theoretical Background ◽  
Integrative Model ◽  
Individual Motivation ◽  
Error Disclosure ◽  
Effective Health Care

<p>Despite the central role that communication skills play in contemporary accounts of effective health care delivery in general, and the communication of medical error specifically, there is no common or consensual core in the health professions regarding the nature of such skills. This lack of consensus reflects, in part, the tendency for disciplines to reinvent concepts and measures without first situating such development in disciplines with more cognate specialization in such concepts. In this essay, an integrative model of communication competence is introduced, along with its theoretical background and rationale. Communication competence is defined as an impression of appropriateness and effectiveness, which is functionally related to individual motivation, knowledge, skills, and contextual facilitators and constraints. Within this conceptualization, error disclosure contexts are utilized to illustrate the heuristic value of the theory, and implications for assessment are suggested.</p>

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