OBJECTIVE: Medical errors are a nearly universal experience for physicians. An error that harms a patient is one of the most difficult experiences that physicians face. Difficult experiences can result in growth. This study investigates how physicians coped positively with having made a serious mistake. This paper describes common elements identified in how physicians coped positively with these difficult circumstances, and the positive ways in which they learned and changed.
METHODS: Physicians were recruited nationally through advertisement and word of mouth. Researchers conducted in-depth interviews with 61 physicians who had made a serious medical error. Verbatim transcripts were analyzed using a grounded theory approach and constant comparative analysis methodology.
RESULTS: Our analysis identified five major elements in the process of coping positively with the experience of a serious medical error. These elements included acceptance, stepping in, integration, new narrative and wisdom. Subthemes further detail the content within each element.
CONCLUSION: This study provides evidence that the experience of coping with a serious mistake can be formative in a positive way for physicians and provides a "roadmap" for growth through this experience.
PRACTICE IMPLICATIONS: The profession must now seek ways to foster the development of wisdom out of these difficult experiences.
}, year = {2013}, journal = {Patient Educ Couns}, volume = {91}, pages = {236-42}, month = {05/2013}, issn = {1873-5134}, doi = {10.1016/j.pec.2012.12.006}, language = {eng}, }