scholarly journals Teaching Patient Safety via a Structured Review of Medical Errors: A Novel Approach to Educating Residents About Medical Error, Disclosure, and Malpractice

MedEdPORTAL ◽  
2007 ◽  
Vol 3 (1) ◽  
Author(s):  
Ethan Cumbler ◽  
Jeffrey Glasheen
Keyword(s):  
Patient Safety ◽  
Medical Errors ◽  
Medical Error ◽  
Error Disclosure ◽  
Novel Approach

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 Langkah- Langkah Menuju Budaya Keselamatan Pasien

2019 ◽  
Author(s):  
Monika Naulia Marina
Keyword(s):  
Adverse Event ◽  
Patient Safety ◽  
Literature Review ◽  
Medical Errors ◽  
Medical Error ◽  
Near Miss

AbstrakLatar belakang : Hampir setiap tindakan medic menyimpan potensi resiko. Banyaknya jenis obat, jenis pemeriksaan dan prosedur, serta jumlah pasien dan staf Rumah Sakit yang cukup besar, merupakan hal yang potensial bagi terjadinya kesalahan medis (medical errors). Artinya kesalahan medis didefinisikan sebagai: sLuatu Kegagalan tindakan medis yang telah direncanakan untuk diselesaikan tidak seperti yang diharapkan (yaitu., kesalahan tindakan) atau perencanaan yang salah untuk mencapai suatu tujuan (yaitu., kesalahan perencanaan). Tujuan : untuk mengetahui langkah-langkah menuju budaya keselamatan pasien. Metode : metode yang digunakan adalah literature review. Hasil : Kesalahan yang terjadi dalam proses asuhan medis ini akan mengakibatkan atau berpotensi mengakibatkan cedera pada pasien, bisa berupa Near Miss atau Adverse Event (Kejadian Tidak Diharapkan/KTD). Pembahasan : Kesalahan tersebut bisa terjadi dalam tahap diagnostic seperti kesalahan atau keterlambatan diagnose, tidak menerapkan pemeriksaan yang sesuai, menggunakan cara pemeriksaan yang sudah tidak dipakai atau tidak bertindak atas hasil pemeriksaan atau observasi. Penutup : Mempertimbangkan betapa pentingnya misi rumah sakit untuk mampu memberikan pelayanan kesehatan yang terbaik terhadap pasien mengharuskan rumah sakit untuk berusaha mengurangi medical error sebagai bagian dari penghargaannya terhadap kemanusiaan, maka dikembangkan system Patient Safety yang dirancang mampu menjawab permasalahan yang ada.

Medical error, disclosure and patient safety: A global view of quality care

2013 ◽  
Vol 46 (13-14) ◽  
pp. 1161-1169 ◽  
Author(s):  
Jawahar Kalra ◽  
Natasha Kalra ◽  
Nick Baniak
Keyword(s):  
Patient Safety ◽  
Medical Error ◽  
Quality Care ◽  
Error Disclosure ◽  
Global View

scholarly journals Improving Patient Safety and Reducing Medical Errors in Saudi Healthcare Organizations

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Rasha Mohammadmaki Bokhari
Keyword(s):  
Patient Safety ◽  
Healthcare System ◽  
Medical Errors ◽  
Medical Error ◽  
The United States ◽  
Moral Issue ◽  
Ethical Responsibility ◽  
Inclusion Criteria ◽  
Healthcare Organizations ◽  
Critical Areas

This paper aimed to identify the critical areas that need improvement within the health care institutions' systems in Saudi Arabia to enhance patient safety and reduce medical errors. Methodology: A systematic literature review was conducted to explore the moral issue of medical error and patient safety in the Saudi healthcare organizations system. Database yielded more than 4,000 candidate articles, of which 45 studies randomly selected after they fulfilled the inclusion criteria in this study. Results: The outcome of the research study was more than 45 articles that met the inclusion criteria and appeared to be highly relevant to the subject under investigation. The lack of the ethical responsibility to continuously improve the healthcare system, the lack of proper safety culture and active reporting system, and the lack of patient-centered care were documented as critical areas in Saudi healthcare organizations’ system in need of improvement to enhance patients’ safety and to reduce medical errors. Practical implication: the researcher made several recommendations based on what has been done in the United States' healthcare system that systemically addresses improving patient safety and reducing medical errors. For instance, healthcare organizations devoted to improve patient safety and reduce medical error should abandon the routine assignment of individual blame and shift toward a system thinking approach. The devotion to enhancing patient safety stems from ethical responsibility and accountability of healthcare organizations toward the patients they serve. Also, healthcare organizations that lack a strong culture of safety will consequently not achieve a high level of patient safety. Finally, Healthcare organizations should pay attention to the essential role that patient involvement play in improving safety and reducing medical errors.

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.

scholarly journals Relationship Between Factors Associated with Incidence of Medical Error in Iran

2021 ◽  
Author(s):  
Ehsan Ahsani Estahbanati ◽  
Hossein Bevrani ◽  
Leila Doshmangir
Keyword(s):  
Patient Safety ◽  
Medical Errors ◽  
Medical Error ◽  
Night Shift ◽  
Public Hospitals ◽  
Near Miss ◽  
Influential Factor ◽  
Health Coverage ◽  
Error Type ◽  
Main Challenge

Abstract Background Providing safe, efficient, and quality services to all people is critical for achieving effective universal health coverage and the health-related sustainable development goals (SDGs) and in particular SDG 3.8. Medical error as a main challenge of delivery systems is a main influential factor on patient safety and quality of health care services. Investigating factors influencing on medical errors can help to improve quality patient safety. This study aimed to investigate the relationship between several contributed factors on incidence of medical errors in East Azarbaijan province, Iran. Methods We conducted a cross-sectional study, resulting in 10700 voluntary reporting of medical errors by medical staff working in all types of hospitals including public and non-educational, educational, private, military, charity and social security hospitals. Poisson regression was used for data analysis. Results The most frequency of medical errors reported by 41 studied hospitals was related to educational public hospitals, medical errors with no harm in the fall and the least frequency was related to non-educational public hospitals and surgical errors in the spring season. As the results show, spring and summer have a significantly lower incidence of medical error compared to winter (P < 0.001). Also, the incidence of medical error in the morning shift was significantly higher than the night shift (P < 0.001). According to the results, the incidence of errors with the consequence of near miss, no harm was significantly higher than the sentinel event error. Conclusions The results of the present study showed that the factors, different season, work shift, medical error type, medical error intensity and hospital type have a significant relationship with the incidence of medical error.

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 Retrospective analysis of medical malpractice claims in tertiary hospitals of China: the view from patient safety

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e034681
Author(s):  
Heng Li ◽  
Shengjie Dong ◽  
Ziyi Liao ◽  
Yao Yao ◽  
Suwei Yuan ◽  
...  
Keyword(s):  
Patient Safety ◽  
Medical Errors ◽  
Medical Error ◽  
Medical Malpractice ◽  
Error Rates ◽  
Death Rates ◽  
Malpractice Claims ◽  
Tertiary Hospitals ◽  
Proportionate Liability ◽  
Medical Malpractice Claims

ObjectivesThe study analysed medical malpractice claims to assess patient safety in hospitals. The information derived from malpractice claims reflects potential risks and could help lead to reducing medical errors and improving patient safety.Design, settingWe analysed 4380 medical malpractice claims from 351 grade-A tertiary hospitals in China for 2008–2017. We examined the characteristics of medical errors and patient safety, including the types of medical errors, proportionate liabilities and payments for medical malpractice in different clinical specialties.Main outcome measuresWe assessed claim characteristics, payment amounts and liability.ResultsOur data analysis demonstrated that 72.5% of the claims involved medical errors, with average payments of US$31 430. The hospital’s errors in medical malpractice resulted in 41.4% average liability in patient injury payments. Most medical malpractice cases occurred in Shanghai (817 claims, 18.7%) and Beijing (468 claims, 10.7%). The highest risks for medical error and malpractice claims were related to orthopaedics (11.3% of all claims, 72.8% with medical errors) and obstetrics and gynaecology (10.0% of all claims, 76.0% with medical errors). The highest rates related to proportionate liabilities were observed in otolaryngology (51.9%) and endocrinology (47.7%). Respiratory medicine had the highest proportion of claims in death rates (77.3%). Medical technology errors accounted for 91.8% of the claims and medical ethics errors for 5.8%. The highest average payment was found in cardiovascular surgery (US$41 733) and the lowest in stomatology (US$8822).ConclusionsA previous study found that grade-A tertiary hospitals in China have similar medical error rates to general Chinese hospitals. 36Different specialties had different risk characteristics regarding medical errors, payments and proportionate liabilities. Orthopaedics had the highest number of malpractices claims and higher proportionate liability but lower death rates.

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