Narrow Results Clear All
- Communication Improvement 2
Education and Training
- Students 1
- Error Reporting and Analysis
- Legal and Policy Approaches
- Quality Improvement Strategies 1
Search results for "Patient Disclosure"
- Patient Disclosure
- Role of the Media
Miller N. The Pathologist. June 2016(20):18-29; July 2016(21):18-33.
In light of the growing focus on diagnostic errors, this magazine series reports on unique challenges that pathologists face when they discover potential errors. The first article in the series discusses how pathologists may experience barriers to disclosure including feeling shame in disclosing their own error, discomfort with raising concerns about a colleague who has misdiagnosed a patient, and lack of direct relationships with patients. The second article expands the discussion to focus on how industry support of open transparency can enable pathologists to participate in reporting and disclosure activities.
Journal Article > Study
Hinchcliff R, Westbrook J, Greenfield D, Baysari M, Moldovan M, Braithwaite J. Int J Qual Health Care. 2012;24:1-8.
Journal Article > Commentary
Dudzinski DM, Hébert PC, Foglia MB, Gallagher TH. N Engl J Med. 2010;363:978-986.
Error disclosure policies for events that affect individual patients have traditionally focused on what information to share and how to share it; of course, discussions about individual disclosure occur in the context of the active debate about whether disclosure has an impact on liability risk. This study discusses large-scale adverse events (such as failure to sterilize an endoscope used on scores of patients), which harm or carry a potential to harm groups of patients, and how individual organizations should manage their disclosure process. Drawing on a number of representative cases, the authors recommend key elements for a disclosure policy. They include developing an institutional policy, planning proactively for disclosures, communicating with the public, and planning for appropriate patient follow-up. Although the authors point out the challenge these events often raise, they advocate for disclosure as a norm to reinforce transparency, trust, and integrity with the public.
Gubar S. New York Times. October 30, 2014.
This newspaper article describes how surgical complications, health care–associated infections, and ineffective patient–provider communication contributed to a patient's experience with harm and suggests that transparency around the incident and preoperative patient briefings could have improved the situation.
Kowalczyk L. Boston Globe. August 31, 2014.
Reporting on an incident involving administration of an inappropriate dye which led to a patient's death, this newspaper article reveals how cognitive biases may have played a role and steps the hospital took to prevent similar errors. Six Massachusetts hospitals have launched a pilot program for early apology and resolution in an effort to enhance patient satisfaction and safety.
Khullar D. New York Times. May 15, 2014.
Jain M. Washington Post. May 27, 2013.
Perspectives on Safety > Interview
The Patient's Role in Safety, March 2007
Sorrel King is the mother of Josie King, who died tragically in 2001 at age 18 months because of medical errors during a hospitalization at Johns Hopkins Hospital. She has subsequently become one of the nation’s foremost patient advocates for safety, forming an influential foundation (the Josie King Foundation) and partnering with Johns Hopkins to promote the field of patient safety around the world.
Journal Article > Study
Soleimani F. N Z Med J. 2006;119:U2099.
The author surveyed New Zealand physicians regarding their medical error reporting behaviors. Most respondents felt they should report an error to both the patient and hospital if a major adverse event was anticipated, but they were less likely to report errors with minor complications.