Medical Errors Disclosure: Is It Good or Bad?

Nasiripour, Amir Ashkan; Raeissi, Pouran; Jafari, Mehrnoosh

doi:10.15171/hpr.2018.04

Cited by 2 publications

(3 citation statements)

References 30 publications

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“…Ten common recommendations for reducing/eliminating medical errors are provided in Table 5 [58]. Meanwhile, the errors should be disclosed without considering the consequences from blaming, negative emotions, expectations, and so forth in order to perform better management of these cases, refer to Figure 7 [63].…”

Section: Care Flow Processmentioning

confidence: 99%

An Overview of Medical Electronic Hardware Security and Emerging Solutions

Taheri

Asadizanjani

2022

Electronics

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Electronic healthcare technology is widespread around the world and creates massive potential to improve clinical outcomes and transform care delivery. However, there are increasing concerns with respect to the cyber vulnerabilities of medical tools, malicious medical errors, and security attacks on healthcare data and devices. Increased connectivity to existing computer networks has exposed the medical devices/systems and their communicating data to new cybersecurity vulnerabilities. Adversaries leverage the state-of-the-art technologies, in particular artificial intelligence and computer vision-based techniques, in order to launch stronger and more detrimental attacks on the medical targets. The medical domain is an attractive area for cybercrimes for two fundamental reasons: (a) it is rich resource of valuable and sensitive data; and (b) its protection and defensive mechanisms are weak and ineffective. The attacks aim to steal health information from the patients, manipulate the medical information and queries, maliciously change the medical diagnosis, decisions, and prescriptions, etc. A successful attack in the medical domain causes serious damage to the patient’s health and even death. Therefore, cybersecurity is critical to patient safety and every aspect of the medical domain, while it has not been studied sufficiently. To tackle this problem, new human- and computer-based countermeasures are researched and proposed for medical attacks using the most effective software and hardware technologies, such as artificial intelligence and computer vision. This review provides insights to the novel and existing solutions in the literature that mitigate cyber risks, errors, damage, and threats in the medical domain. We have performed a scoping review analyzing the four major elements in this area (in order from a medical perspective): (1) medical errors; (2) security weaknesses of medical devices at software- and hardware-level; (3) artificial intelligence and/or computer vision in medical applications; and (4) cyber attacks and defenses in the medical domain. Meanwhile, artificial intelligence and computer vision are key topics in this review and their usage in all these four elements are discussed. The review outcome delivers the solutions through building and evaluating the connections among these elements in order to serve as a beneficial guideline for medical electronic hardware security.

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Section: Care Flow Processmentioning

confidence: 99%

An Overview of Medical Electronic Hardware Security and Emerging Solutions

Taheri

Asadizanjani

2022

Electronics

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“…In line with our findings, two former studies reported the organizational culture of error communication among the most important factors affecting error communication in healthcare organizations. 38,39 A study reported that inappropriate organizational characteristics such as poor safety guidelines, low error intolerance threshold, lack of team-based accountability, person-centered approach to errors, blame and reproach culture, inappropriate managerial reaction to errors, and incongruence between error severity and error-related reactions can make staff hide their errors. 40…”

Section: The Culture Of Error Communicationmentioning

confidence: 99%

“…56 Another study also showed that nurses’ professional characteristics such as professional commitment, accountability, and inter-professional relationships indirectly facilitate or interfere with error communication. 39…”

Section: Ethical and Professional Characteristicsmentioning

confidence: 99%

Factors affecting nursing error communication in intensive care units: A qualitative study

2020

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Background: Error communication includes both reporting errors to superiors and disclosing their consequences to patients and their families. It significantly contributes to error prevention and safety improvement. Yet, some errors in intensive care units are not communicated. Objectives: The aim of the present study was to explore factors affecting error communication in intensive care units. Design and participants: This qualitative study was conducted in 2019. Participants were 17 critical care nurses purposively recruited from the intensive care units of 2 public hospitals affiliated to Iran University of Medical Sciences, Tehran, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional content analysis method proposed by Graneheim and Lundman. Ethical considerations: The Ethics Committee of Iran University of Medical Sciences, Tehran, Iran approved the study (code: IR.IUMS. REC.1397.792). Participants were informed about the study aim and methods and were ensured of data confidentiality. They were free to withdraw from the study at will. Written informed consent was obtained from all of them. Findings: Factors affecting error communication in intensive care units fell into four main categories, namely the culture of error communication (subcategories were error communication organizational atmosphere, clarity of processes and guidelines, managerial support for nurses, and learning organization), the consequences of errors for nurses and nursing (subcategories were fear over being stigmatized as incompetent, fear over punishment, and fear over negative judgments about nursing), the consequences of errors for patients (subcategories were monitoring the effects of errors on patients and predicting the effects of errors on patients), and ethical and professional characteristics (subcategories were ethical characteristics and inter-professional relationships). Discussion: The results of this study show many factors affect error communication, some facilitate and some prohibit it. Organizational factors such as the culture of error communication and the consequences of error communication for the nurse and the patient, as well as individual and professional characteristics, including ethical characteristics and interprofessional relationship, influence this process. Conclusion: Errors confront nurses with ethical challenges and make them assess error consequences and then, communicate or hide them based on the results of their assessments. Health authorities can promote nurses’ error communication through creating a supportive environment for them, developing clear error communication processes and guidelines, and providing them with education about the principles of ethical practice.

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Medical Errors Disclosure: Is It Good or Bad?

Cited by 2 publications

References 30 publications

An Overview of Medical Electronic Hardware Security and Emerging Solutions

An Overview of Medical Electronic Hardware Security and Emerging Solutions

Factors affecting nursing error communication in intensive care units: A qualitative study

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