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Search results for "Just Culture"
- Just Culture
- Patient Disclosure
Journal Article > Study
Gallagher TH, Mello MM, Levinson W, et al. N Engl J Med. 2013;369:1752-1757.
Physicians are notably loath to fully disclose their own errors, but some progress is being made in this area due to institutional policies supporting error disclosure. This article is intended to foster discussion of an especially thorny issue: how clinicians should approach error disclosure when the error was committed by a colleague. As little prior literature exists regarding this dilemma, the authors emphasize a patient-centered approach that begins with a respectful peer-to-peer conversation and does not shirk the need to fully disclose the error. The importance of institutional support, particularly in establishing a just culture that promotes error disclosure, is also emphasized. The article's lead author, Dr. Thomas Gallagher, was interviewed by AHRQ WebM&M in 2009.
Journal Article > Review
Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement.
Lipira LE, Gallagher TH. World J Surg. 2014;38:1614-1621.
Weber DO. Hosp Health Networks Daily. February 25, 2014.
This article reports on the pervasive challenges to error disclosure and advocates for establishing a just culture to promote these conversations and enhance safety. The author discusses a study that highlighted the need for a patient-centered approach to facilitate peer-to-peer conversations about errors, along with responses solicited regarding a disclosure scenario.