Advertisement

Communicating Errors

  • Christian J. Vercler
  • Peter Angelos
Part of the Cancer Treatment and Research book series (CTAR, volume 140)

Keywords

Medical Error Virtue Ethic Full Disclosure Medical Malpractice Malpractice Suit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Gallagher TH, Garbutt JM, Waterman AD, Flum DR, Larson EB, Waterman BM, Dunagan WC, Fraser VJ, Levinson W. Choosing your words carefully: how physicians would disclose harmful medical errors to patients. Arch Intern Med 2006; 166: 1585–1593.PubMedCrossRefGoogle Scholar
  2. 2.
    Gallagher TH, Waterman AD, Garbutt JM, Kapp JM, Chan DK, Dunagan WC, Fraser VJ, Levinson W. US and Canadian physicians’ attitudes and experiences regarding disclosing errors to patients. Arch Intern Med 2006; 166(15): 1605–1611.PubMedCrossRefGoogle Scholar
  3. 3.
    Chan DK, Gallagher TH, Reznick R, Levinson W. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery 2005; 138:851–858.PubMedCrossRefGoogle Scholar
  4. 4.
    Gallagher TH, Waterman AD, Ebers AG, Fraser VJ, Levinson W. Patients’ and physicians’ attitudes regarding the disclosure of medical errors. JAMA 2003; 289:1001–1107.PubMedCrossRefGoogle Scholar
  5. 5.
    Hébert PC, Levin AV, Robertson G. Bioethics for clinicians: 23. Disclosure of medical error. CMAJ 2001; 164: 509–513.PubMedGoogle Scholar
  6. 6.
    Bosk CL. Forgive and Remember: Managing Medical Failure 2nd edn., 2003; University of Chicago Press: Chicago, p.xxiii.Google Scholar
  7. 7.
    Bosk CL. Forgive and Remember: Managing Medical Failure 2nd edn., 2003; University of Chicago Press: Chicago, p.37.Google Scholar
  8. 8.
    Rosenthal MM, Sutcliffe KM. Medical Error: What Do We Know? What Do We Do? 2002; Jossey-Bass: San Francisco, CA, pp. 267–283.Google Scholar
  9. 9.
    Joint Commision on Accreditation of Healthcare Organizations. 2002 Hospital Accreditation Standards. 2002; Joint Commission on Accreditation of Healthcare Organizations: Oakbrook Terrace, IL, p. 339.Google Scholar
  10. 10.
    Kohn LT, Corrigan JM, Donaldson MS. To Err is Human: Building a Safer Health System. 2000; National Academy Press: Washington, DC, p.210.Google Scholar
  11. 11.
    Banja JD. Medical Error and Medical Narcissism. 2005; Jones & Bartlett: Sudbury, MA, p.5.Google Scholar
  12. 12.
    Espin S, Levinson W, Regeher G, Baker GR, Lingard L. Error or “act of God”? A study of patients’ and operating room team members’ perceptions of error definition, reporting, and disclosure. Surgery 2006; 139: 6–14.PubMedCrossRefGoogle Scholar
  13. 13.
    Wu AW. Is there an obligation to disclose near-misses in medical care? in Sharpe VA. Accountability: Patient Safety and Policy Reform. 2004; Georgetown University Press: Washington, DC, pp. 135–142.Google Scholar
  14. 14.
    Krizek TJ. Surgical error: ethical issues of adverse events. Arch Surg 2000; 135:1359–1366.PubMedCrossRefGoogle Scholar
  15. 15.
    Cushieri A. Nature of human error: implications for surgical practice. Ann Surg 2006; 244: 642–648.CrossRefGoogle Scholar
  16. 16.
    Reason J. Human Error. 1990; Cambridge University Press: Cambridge, MA.Google Scholar
  17. 17.
    Reason J. Education and debate. Human error: models and management. BMJ 2000; 320: 768–770.PubMedCrossRefGoogle Scholar
  18. 18.
    Wu AW, Cavanaugh TA, McPhee SJ, Lo B, Micco GP. To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. J Gen Intern Med 1997; 12: 770–775.PubMedCrossRefGoogle Scholar
  19. 19.
    Leape LL. Full disclosure and apology—an idea whose time has come. Physician Exec 2006; March–April: 16–18.Google Scholar
  20. 20.
    Hickson GB, Clayton EW, Githens PB, Sloan FA. Factors that prompted families to file medical malpractice claims following perinatal injuries. JAMA 1992; 267: 1359–1363.PubMedCrossRefGoogle Scholar
  21. 21.
    Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Arch Intern Med 1996; 156: 2565–2569.PubMedCrossRefGoogle Scholar
  22. 22.
    Penchansky R. Macnee C. Initiation of medical malpractice suits: a conceptualization and test. Med Care 1994; 42: 813–831.CrossRefGoogle Scholar
  23. 23.
    Vincent C, Young M, Phillips A. Why do patients sue doctors? A study of patients and relatives taking legal action. Lancet 1995; 343: 1609–1613.CrossRefGoogle Scholar
  24. 24.
    Beauchamp TL, Childress JF. Principles of Biomedical Ethics, 5th edn, 2001, Oxford University Press: New York.Google Scholar
  25. 25.
    Kant I. Groundwork of the Metaphysics of Morals. Gregor M, trans., 1997, Cambridge University Press: Cambridge, UK.Google Scholar
  26. 26.
    American Medical Association, Code of Medical Ethics, Ethical Opinions, E-8.12. 1981, updated 1994. Available online at www.ama-assn.org.Google Scholar
  27. 27.
    Hippocrates. The History of Epidemics. Farr M. trans. 1780; T. Cadell: London, Book I, Sect. II, p.10.Google Scholar
  28. 28.
    Bernstein M, Barry B. Doctors’ duty to disclose error: a deontological or Kantian ethical analysis. Can J Neurol Sci 2004; 31: 169–174.PubMedGoogle Scholar
  29. 29.
    Berlinger N. After Harm: Medical Error and the Ethics of Forgiveness. 2005; Johns Hopkins: Baltimore, MD, pp. 81–91.Google Scholar
  30. 30.
    Hilfiker D. Facing our mistakes. N Engl J Med. 1984; 310: 118–122.PubMedCrossRefGoogle Scholar
  31. 31.
    Levinson W. Patient-physician communication: a key to malpractice prevention. JAMA. 1994; 272: 1619–1620.PubMedCrossRefGoogle Scholar
  32. 32.
    Robertson G. Fraudulent concealment and the duty to disclose medical mistakes. Alberta Law Rev. 1986; 25: 215–223.Google Scholar
  33. 33.
    Banja JD. Medical Error and Medical Narcissism. 2005; Jones & Bartlett: Sudbury, MA, p. 48 ff.Google Scholar
  34. 34.
    Banja JD. Medical Error and Medical Narcissism. 2005; Jones & Bartlett: Sudbury, MA, p. 164.Google Scholar
  35. 35.
    Kaldjian LC, Jones EW, Rosenthal GE, Tripp-Reimer T, Hills SL. An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. J Gen Intern Med 2006; 21: 942–948.PubMedCrossRefGoogle Scholar
  36. 36.
    Mazor KM, Simon SR, Gurwitz. Communicating with patients about medical errors. Arch Intern Med 2004; 164: 1690–1697.PubMedCrossRefGoogle Scholar
  37. 37.
    Beauchamp TL, Childress JF. Principles of Biomedical Ethics 5th edn, 2001; Oxford University Press: Oxford: UK, pp. 41ff.Google Scholar
  38. 38.
    Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med 1999; 131: 963–967.PubMedGoogle Scholar
  39. 39.
    Berlinger N. After Harm: Medical Error and the Ethics of Forgiveness. 2005; Johns Hopkins: Baltimore, MD, pp. 74–80.Google Scholar
  40. 40.
    Gawande A. When doctors make mistakes. Complications: a surgeon’s notes on an imperfect science. 2002; Metropolitan Books: New York, NY.Google Scholar
  41. 41.
    Pinkus RL. Mistakes as a social construct: an historical approach. Kennedy Institute of Ethics Journal 2001; 11: 117–133.Google Scholar
  42. 42.
    www.jointcommission.org/sentinelevents/statisticsGoogle Scholar
  43. 43.
    Griffen FD. ACS closed claim study reveals critical failures to communicate. Bull Am Coll Surg 2007; 92: 11–16.PubMedGoogle Scholar
  44. 44.
    Banja JD. Medical Error and Medical Narcissism. 2005; Jones & Bartlett: Sudbury, MA, pp. 173–191.Google Scholar
  45. 45.
    Buckman R, Kason Y. How to Break Bad News. 1992; Johns Hopkins University Press: Baltimore, MD, pp. 45–46.Google Scholar
  46. 46.
    Banja JD. Medical Error and Medical Narcissism. 2005; Jones & Bartlett: Sudbury, MA, p. 178.Google Scholar
  47. 47.
    Banja JD. Medical Error and Medical Narcissism. 2005; Jones & Bartlett: Sudbury, MA, p. 184.Google Scholar
  48. 48.
    Schwappach DLB, Koeck CM. What makes an error unacceptable? A factorial survey on the disclosure of medical errors. Int J Qual Health Care 2004; 16: 317–326.PubMedCrossRefGoogle Scholar
  49. 49.
    American College of Surgeons, Division of Education. “Communicating With Patients About Surgical Errors and Adverse Outcomes.”Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Christian J. Vercler
  • Peter Angelos

There are no affiliations available

Personalised recommendations