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
have demonstrated that, while physicians
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
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.
Related news article
University of Michigan Health System Patient Safety Toolkit.
University of Michigan; Ann Arbor: 2002.
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.
Quality & Safety Research Group.
Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.
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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