Disclosure of Medical Errors

Shaikh, Sophie K.; Cohen, Sarah P.

doi:10.1542/pir.2018-0228

Cited by 9 publications

(9 citation statements)

References 6 publications

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“…It is worrisome to see only 63.2% of physicians felt it is “important or very important” to disclose medical error to close relatives. Current recommendations are to disclose errors in a clear statement by detailing the error and how it will affect the health of the patient [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Ethics knowledge, attitudes, and experiences of tertiary care pediatricians in Ethiopia

Tekleab

Lantos²

2022

BMC Med Ethics

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Background Pediatricians in developing countries face different ethical dilemmas than do doctors working in settings with more resources. There are very few studies from developing countries analyzing pediatricians’ knowledge and attitudes regarding the ethical dilemmas that arise in such settings. To address this gap, we explored the clinical ethical knowledge, attitude and experience of physicians who are working in the Department of Pediatrics and Child Health (DPCH) of St Paul’s Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia. Study population All pediatric resident doctors and pediatric consultants who were working in the DPCH of SPHMMC in December, 2020. Method A structured pretested self-administered questionnaire was distributed to all 79 of the residents and consultants in the department during the period December 15–27, 2020. The questionnaire assessed the knowledge (23 questions), attitude (9 questions) and experiences (9 questions) of the study participants regarding a variety of bioethical issues. Data were analyzed using SPSS version 20.0 for windows. The mean, median, standard deviation, and interquartile range of respondents’ scores were determined and compared using Fisher’s exact test. Result A total of 59/79 (75%) physicians completed the questionnaire. The mean age of the participants was 30.7 ± 4.1 years. Thirty six (61.0%) were female. At the time of data collection, more than half (57.6%) served < 5 years as a physician. The mean ethics knowledge score of the respondents was 12.3 ± 2.34 out of 23 knowledge questions. The lowest and highest knowledge scores were 8 and 19 respectively. Scores were highest on questions about confidentiality (94.9% correct) and lowest on questions about genetic testing and diagnosis (13.6% correct). Only 13 (22.4%) physicians agreed with the practice of children should never be treated without consent of the parent. Conclusion Tertiary care pediatricians at one hospital in Ethiopia lack knowledge about current standards in bioethics. There is a need for more ethics education in this setting.

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Section: Discussionmentioning

confidence: 99%

Ethics knowledge, attitudes, and experiences of tertiary care pediatricians in Ethiopia

Tekleab

Lantos²

2022

BMC Med Ethics

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“…were all factors identified as medication errors (12). In the literature when the causes of medicine administration errors originating from nurses and other health professionals are investigated; it is stated that factors such as not complying with duties and regulations, not knowing the allergic history, giving the medicine in the wrong way, wrong treatment time, giving the medicine inappropriately, communication problems, insufficient medicine information, carelessness, not checking the patient's identity, keeping records incompletely, insufficient information about patient safety, inadequate number of employees, long working hours, use of abbreviations, taking a verbal request, dividing the treatment preparation process for other reasons, not performing double checks, uncertainty in the requirements, not taking the file to the patient's room while administering medication, neglecting the six right principles are stated to be among the medical administration error reasons (14)(15)(16)(17)(18)(20)(21)(22)(23). Another research, focused on not taking verbal requests except in emergencies.…”

Section: Discussionmentioning

confidence: 99%

Bir Üniversite Hastanesinde Sözel İstem Alma Süreci, Kontrolü ve Sonuçlarının Değerlendirilmesi

MERT

ÖZKAN

ARSLAN>

et al. 2022

Artuklu International Journal of Health Sciences

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In hospitals, the immediate administration of the treatment recommended by the physician is important for the patient safety, quality patient care, not prolonging the hospitalization length and expense. When considering near-miss/happened medication administration error in patient safety, it is discovered that verbal requests also play a role. Aim: This study was conducted in a university hospital using a standardized verbal request process, control and result evaluation to identify problems that develop throughout the implementation process and to offer solutions. Design/Method: The study was carried out by retrospectively assessing verbal requests given between January and December 2019 in accordance with the standard of taking verbal request used in a 110-bed university hospital. The data were analyzed based on the department, the status of requests within and outside of working hours, the presence of the physician's signature on the form, academic staff, and the physician’s full-time/contracted job status. The SPSS 24 software was used to analyze the data. Results: It was established that a total of 2033 verbal requests were put in the hospital where this study was conducted; with medicine accounting for 51.6% (n=1048) of the verbal requests. It was determined that 53% (n=57) of the doctors who put in verbal requests were contracted, 47% (n=51) were permanent employees, and 50.6% (n=531) of the requests were given during working hours and 49.4% (n=517) were given outside of working hours. Conclusion: Considering the research results, it was detected that the number of signed verbal requests is low; that, despite the institution’s large number of contracted doctors, their own staff physicians use many verbal requests and do not sign the forms; and that more verbal requests are given during working hours.

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“…Medication administration errors have an important placeamong medical errors because they cause morbidity and mortality, threaten patient safety and are so common (Semiz Aydin, Akin and Isil, 2017;Shaikh and Cohen, 2020;Ustuner Top and Cam, 2016). National Coordinating Council for Medication Error Reporting and Prevention described medication administration errors as a "preventable event that may cause patient harm or improper medication use while it is under the control of healthcare professional/expert, patient or the consumer" (NCC MERP, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Medication administration errors are much more dangerous, especially for children; they are among the preventable causes of death in a pediatric group of patients (Aseeri, Banasser, Baduhduh, Baksh and Ghalibi, 2020;Baser and Manav, 2018;Gerceker, Didisen, Bolisik ve Basbakkal, 2015;Shaikh and Cohen, 2020). Likelihood to be exposed to medication administration errors and to get damage from these errors is three times more than adults among the children due to reasons such as the differences in their growth and development and their physiological and psychological traits different than the adults (Gerceker et al, 2015;Tural Buyuk, Gudek, Guney, Yildirim and Akkoca, 2014).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Medication Administration Errors and Professıonal Attitudes Of Pediatric Nurses

Büyük

2022

Ege Üniversitesi Hemşirelik Fakültesi Dergisi

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Aim: This study was carried out to determine the relationship between medication administration errors and professional attitudes of the pediatric nurses. Materials and Methods: The study was conducted with 115 pediatric nurses who were working in three hospitals located in a city between 11.01.2020-05.01.2021. This was a descriptive and correlational study. A Personal Information Form, Questionnaire for Medication Administration Errors among Pediatric Nurses, Tendency to Medical Error in Nursing Scale (Medication and Transfusion Applications subscale) and the Inventory of Professional Attitude at Occupation were used to collect data. Data were analyzed by SPSS 26.0 package program. Results: 34% of the pediatric nurses indicated that they experienced medication administration errors whereas 52% of them declared that they observed medication administration errors among their colleagues. The nurses also stated the most common medication administration error they experienced (36.5%) and observed (24.8%) as improper dose. It was also determined that the tendency of participants to medication administration errors was low (85.44±5.26) and their professional attitudes were high (140.32±11.33). The tendency of nurses to medication administration errors was found to differ significantly based on their age, marital status, duration of professional experience, duration of experience in the current clinic and status of satisfaction with the current clinic (p

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Disclosure of Medical Errors

Cited by 9 publications

References 6 publications

Ethics knowledge, attitudes, and experiences of tertiary care pediatricians in Ethiopia

Ethics knowledge, attitudes, and experiences of tertiary care pediatricians in Ethiopia

Bir Üniversite Hastanesinde Sözel İstem Alma Süreci, Kontrolü ve Sonuçlarının Değerlendirilmesi

The Relationship Between Medication Administration Errors and Professıonal Attitudes Of Pediatric Nurses

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