Disclosing Adverse Events to Patients: International Norms and Trends

Wu, Albert W.; McCay, Layla; Levinson, Wendy; Iedema, Rick; Wallace, Gordon G.; Boyle, Dennis J.; McDonald, Timothy; Bismark, Marie; Kraman, Steve S.; Forbes, Emma S.; Conway, James; Gallagher, Thomas H.

doi:10.1097/pts.0000000000000107

Cited by 59 publications

(60 citation statements)

References 34 publications

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“…One such strategy is promoting policies that encourage disclosure of patient safety incidents. [3]. Open disclosure is a communications approach that focuses on immediate, honest disclosure to patients and families when adverse events occur in healthcare.…”

Section: Introductionmentioning

confidence: 99%

“…Open disclosure includes expressing regret for what has happened and giving information to patients regarding both investigations into the adverse event and steps taken to prevent a recurrence [4]. Open disclosure maintains trust between healthcare providers and patients, reduces medical disputes, and decreases medical malpractice claims [3]. Healthcare providers favor open disclosure programs and are more likely to continue to work at institutions which encourage them [5].…”

Section: Introductionmentioning

confidence: 99%

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The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study

Lee

Kim

2020

PLoS ONE

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Disclosure of patient safety incidents is a healthcare management strategy that primarily involves responding after incidents. We investigated the association between nursing students' moral sensitivity, attitudes about patient safety, and perceptions of open disclosure of patient safety incidents in Korea. Data were collected from 407 nursing students at four nursing universities using self-reported moral sensitivity, attitudes about patient safety, and perceptions about open disclosure of patient safety incidents as measures. The data were analyzed using t-test, one-way analysis of variance, and a multiple regression. As moral sensitivity and attitudes about patient safety improved, nursing students' perceptions regarding the open disclosure of patient safety incidents improved significantly. After controlling for gender, grade, and major satisfaction, the effect of changing attitudes about patient safety was greater than that of moral sensitivity for all perceptions of open disclosure. An education and intervention program is needed to improve nursing students' attitudes about patient safety and promote the open disclosure of patient safety incidents during undergraduate training.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study

Lee

Kim

2020

PLoS ONE

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“…The numbers of formal complaints against doctors' attitudes that have resulted in investigations have been growing both domestically and internationally. 3 Once a complaint has been lodged, the full regional medical board or the board's investigation committee opens an investigation to assess the facts of the case.…”

Section: Introductionmentioning

confidence: 99%

Classification of plastic surgery malpractice complaints brought before the São Paulo Medical Board that were treated as professional-misconduct cases: a cross-sectional study

2020

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BACKGROUND: Nowadays, there is an ethical and moral necessity to establish rules that govern professional attitudes and conduct. In the medical field, these rules are multifaceted, given the health consequences inherent to medical procedures. Ethics is an even more delicate subject when it comes to plastic surgery, since one of the aims of this particular medical specialty is esthetic improvement of the body. OBJECTIVE: To survey and classify São Paulo State Medical Board investigations of plastic-surgery complaints that were treated as professional-misconduct cases between 2007 and 2016. DESIGN AND SETTING: Cross-sectional study conducted in a medical council. METHODS: A total of 360 cases were reviewed. Among these, 8 (2.23%) were dismissed, 1 (0.27%) became an administrative lawsuit and 351 (97.50%) were treated as professional-misconduct cases. RESULTS: A breakdown of the complaints filed over the nine-year period showed that complaints concerning malpractice were the most common (28.43%), followed by those regarding medical advertising (24.19%) and poor doctor-patient relationships (10.39%). CONCLUSION: Overall, the number of complaints lodged decreased over the last two years reviewed, although complaints regarding malpractice and poor doctor-patient relationships increased by 10% over the same period. In order to further reduce the number of medical board investigations, the medical establishment needs to carefully review the medical training of students and doctors at every stage of their careers.Classification of plastic surgery malpractice complaints brought before the São Paulo Medical Board that were treated as professional-misconduct cases: a cross-sectional study | ORIGINAL ARTICLE

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“…In 2009, the World Health Organization (WHO) developed an International Classification for Patient Safety (ICPS) (World Health Organization, 2009;Wu et al, 2017).…”

Section: Defining Patient Safety Incidentsmentioning

confidence: 99%

“…The way in which these experiences are dealt with are often the deciding factor between whether the patient and/or family members file a complaint and/or medical malpractice claim (Mazor et al, 2010;Witman et al, 1996). Healthcare providers are often deemed the "second-victims" (Coughlan, Powell, & Higgins, 2017;Wu, 2000) of patient safety incidents because of the detrimental emotional effects of causing and/or witnessing preventable harm or near misses, and the blame and shame that follow such events (Wu et al, 2017). When patient safety incidents are reported it often instigates an investigation, regulatory bodies may be involved and the healthcare providers may face legal action (Wu et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Prevention of RhD alloimmunization in Northern British Columbia

Fyfe¹

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Despite best practice guidelines, international evidence suggests that the provision of anti-D prophylaxis to RhD negative pregnant women is suboptimal. Missing from the literature is research exploring the factors that perpetuate suboptimal care and continue to put RhD negative pregnant women at risk for RhD alloimmunization. The purpose of this study was to understand why RhD negative pregnant women continue to be at risk for RhD alloimmunization in northern BC. The specific research questions were: How do healthcare providers make decisions regarding the care of RhD negative pregnancies in northern BC? How do RhD negative women in northern BC experience pregnancy? A qualitative approach utilizing interpretive description was used to address the need for the development of rural centric clinical guidelines. Interviews were conducted with RhD negative women about pregnancy and healthcare providers' experiences in caring for RhD negative pregnancies in northern BC. A Stakeholder Committee guided the research process and provided insight into data analysis to ensure applicability to practice. A qualitative approach with these two populations has provided a greater understanding into the depth of quality of care for RhD negative pregnancies and the decisions that inform patient safety by revealing nuances of care that lead to potential miscommunication and near misses. Recommendations into guideline adaptation, decision-making and health literacy in rural healthcare settings are presented.

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Disclosing Adverse Events to Patients: International Norms and Trends

Cited by 59 publications

References 34 publications

The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study

The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study

Classification of plastic surgery malpractice complaints brought before the São Paulo Medical Board that were treated as professional-misconduct cases: a cross-sectional study

Prevention of RhD alloimmunization in Northern British Columbia

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