Health professionals faced with error
Do physicians report medical errors based on years of experience?
While some studies showed no significant gender differences regarding medical error disclosure, reporting was affected by years of experience, and physicians with more years of experience were more likely to report medical errors resulting in no harm, minor harm, and major harm than residents and physicians with less years of experience [ 33 ].
What is an example of a medical error?
Examples include administering a medication to which a patient has a known allergy or not labeling a laboratory specimen that is subsequently ascribed to the wrong patient. Health care professionals experience profound psychological effects such as anger, guilt, inadequacy, depression, and suicide due to real or perceived errors.
What are the challenges and barriers to disclosing medical errors?
Challenges and barriers of disclosing medical errors are not limited only to the fear of disclosing the event to the patients, but also include the repercussions of discussion with peers such as blame, embarrassment or even loss of reputation [ 19, 20 ].
Why are diagnostic errors most common in primary care solo practice?
Diagnostic errors are most common in primary care solo practice due to workload and the inability to cross-reference easily with colleagues. In healthcare institutions, patients are usually seen by many health care providers, e.g. attendings, residents, fellows, and medical students) decreasing the chance of diagnostic error.
Background
Between the need for transparency in healthcare, widely promoted by patient’s safety campaigns, and the fear of negative consequences and malpractice threats, physicians face challenging decisions on whether or not disclosing medical errors to patients and families is a valid option. We aim to assess the knowledge, attitudes and practices (KAP) of
Methods
This is a cross-sectional self-administered questionnaire study. The questionnaire was piloted and no major modifications were made. A day-long training workshop consisting of didactic lectures, short and long case scenarios with role playing and feedback from the instructors, were conducted. Physicians who attended these training workshops were in
Results
Eighty-eight physicians completed the questionnaire (55 attended training (62.50%), and 33 did not (37.50%)). Sixty Five percent of physicians were males and the mean number of years of experience was 16.5 years. Eighty-Seven percent (n = 73) of physicians were more likely to report major harm, compared to minor harm or no harm. Physicians who atte
Conclusion
Formal training workshops on disclosing medical errors have the power to positively influence physicians’ KAP toward disclosing medical errors to patients and possibly promoting a culture of transparency in the health care system. bmcmedethics.biomedcentral.com
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