Abstract
A general consensus has been reached in health care organizations that the disclosure of medical errors can be a very powerful way to improve patients and physicians well-being and serves as a core component to high quality health care. This practice strongly encourages transparent communication with patients after medical errors or unanticipated outcomes. However, many countries, such as Brazil, do not have a culture of disclosing harmful errors to patients or standards emphasizing the importance of disclosing, taking responsibility, apologizing, and discussing the prevention of recurrences. Medical error is not discussed or approached during medical school. The stigma of error has a strong connection with value judgments, and emotional support for physicians does not exist. This paper suggests that open communication with the patient is essential. Guidance about error disclosure from health care organizations would be helpful for quality and patient safety and for health care professionals in countries like Brazil.
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References
Committee on the Quality of Healthcare in America. (2000). To err is human: Building a safer health system. Washington: National Academy Press.
David, G., & Sureau, C. (2006). From sanction to the prevention of medical error. Paris: Lavoisier (in French).
Federal Council of Medicine. (2009). Resolution CFM no 1931, September 17 2009. http://www.huntington.com.br/wp-content/uploads/2013/04/Resolution-CFM-N-1931-17-de-setembro-de-2009.pdf. Accessed 30 Aug 2018 (in Portuguese).
Fujita, R. R., & Santos, I. C. (2009). Complaints for medical error in Goias. Journal of the Brazilian Medical Association, 55(3), 283–289 (in Portuguese).
Galam, E. (2012). Medical error, burnout and caregiver. Paris: Springer (in French).
Gallagher, T. H., Bell, S. K., Smith, K. M., Mello, M. M., & McDonald, T. B. (2009). Disclosing harmful medical errors to patients: Tackling three tough cases. Chest, 136(3), 897–903.
Gallagher, T. H., Studdert, D., & Levinson, W. (2007). Disclosing harmful medical errors to patients. New England Journal of Medicine, 356(26), 2713–2719.
Gallagher, T. H., Waterman, A. D., Ebers, A. G., Fraser, V. J., & Levinson, W. (2003). Patients’ and physicians’ attitudes regarding the disclosure of medical errors. JAMA, 289(8), 1001–1007.
Gallagher, T. H., Waterman, A. D., Garbutt, J. M., Kapp, J. M., Chan, D. K., Dunagan, W. C., et al. (2006). US and Canadian physicians’ attitudes and experiences regarding disclosing errors to patients. Archives of Internal Medicine, 166(15), 1605–1611.
Gomes, J. C. M., Drumond, J. G. F., & França, G. V. (2001). Medical error. Montes Claros: Ed. Unimontes (in Portuguese).
Grange, P., & Papilon, F. (2008). Medical errors. Paris: ANF (in French).
Hiatt, H. (1992). Medical malpractice. Bulletin of the New York Academic Medicine, 68(2), 254–264.
Hofstede, G. (1980). Culture’s consequences: International differences in work-related values. Beverly Hills, CA: Sage.
Hofstede, G. (2006). What did GLOBE really measure? Researchers’ minds versus respondents’ minds. Journal of International Business Studies, 37(6), 882–896.
Mendonça V. S., Delamanha R. L., Carvalho J. B., & Custodio E. M. (2013). Medical error in Brazil: An overview of the publications between the years 2003 to 2012. Portugal: Algarve University (in Portuguese).
Schwappach, D. L. B., & Boluarte, T. A. (2008). The emotional impact of medical error involvement on physicians: A call for leadership and organizational accountability. Swiss Medical Weekly, 139(1–2), 9–15.
Shapiro, J., & Galowitz, P. (2016). Peer support for clinicians: A programmatic approach. Academic Medicine, 91(9), 1200–1204.
Truog, R. D., Browning, D. M., Johnson, J. A., & Gallagher, T. H. (2011). Talking with patients and families about medical error: A guide for education and practice. Baltimore: The Johns Hopkins University Press.
Waterman, A. D., Garbutt, J., Hazel, E., Dunagan, W. C., Levinson, W., Fraser, V. J., & Gallagher, T. H. (2007). The emotional impact of medical error on practicing physicians in the United States and Canada. Joint Commission Journal on Quality and Patient Safety, 33(8), 467–476.
Weerakkody, R. A., Cheshire, N. J., Riga, C., Lear, R., Hamady, M. S., Moorth, K., Darzi, A. W., et al. (2013). Surgical technology and operating-room safety failures: A systematic review of quantitative studies. BMJ Quality and Safety, 22(9), 710–718.
Wu, A. W. (2000). Medical error: The second victim. BMJ, 320(7237), 726–727.
Wu, A. W., McCay, L., Levinson, W., Iedema, R., Wallace, G., Boyle, D. J., McDonald, T. B., et al. (2017). Disclosing adverse events to patients: International norms and trends. Patient Safety, 13(1), 43–49.
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This study was funded by Sao Paulo Research Foundation [2016/02973-4].
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Mendonca, V.S., Gallagher, T.H. & de Oliveira, R.A. The Function of Disclosing Medical Errors: New Cultural Challenges for Physicians. HEC Forum 31, 167–175 (2019). https://doi.org/10.1007/s10730-018-9362-7
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DOI: https://doi.org/10.1007/s10730-018-9362-7