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Medical error disclosure among pediatricians: choosing carefully what we might say to parents.
Loren DJ, Klein EJ, Garbutt J, et al. Arch Pediatr Adolesc Med. 2008;162:922-927.
Studies of medical error
disclosure
have demonstrated that, while physicians
support
disclosure of errors in theory, most "
choose their words carefully
" in practice and fail to disclose important elements of the error. In this study, pediatricians were presented with error scenarios and asked to describe what they would disclose to the child's parents. Overall, a minority of physicians would
fully disclose
the error, and most would not offer an explicit apology. An accompanying editorial discusses barriers to disclosing errors and strategies (including communication training) that should be implemented to improve this aspect of patient–physician communication.
PubMed citation
Available at
Related editorial
Related news article
Related Resources
TOOLKIT
University of Michigan Health System Patient Safety Toolkit.
University of Michigan; Ann Arbor: 2002.
NEWSPAPER/MAGAZINE ARTICLE
Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.
Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.
MULTI-USE WEBSITE
Quality & Safety Research Group.
Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.
BOOK/REPORT
When Things Go Wrong: Responding to Adverse Events.
A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
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Resource Type
Study
Setting of Care
Hospitals
Ambulatory Clinic or Office
Target Audience
Health Care Providers
Educators
Clinical Area
General Pediatrics
Approach to Improving Safety
Patient Disclosure
Provider-Patient Communication
Education and Training
Origin/Sponsor
United States of America