Patient Safety pp 329-340 | Cite as

Error Disclosure

Chapter

Abstract

Promoting patient safety using systems assessments and analysis has shown promise in improving healthcare operations and delivery system resiliency to medical error occurrence. However, promoting patient safety through error disclosure and the creation of a transparent safety culture has not yet been rigorously assessed or implemented. We illustrate how the traditional, “deny and defend, shut up and fight” adversarial model is ineffective in addressing and identifying key safety concerns in health delivery systems, and then contrast this traditional method with an alternative, systems-focused approach to medical error disclosure and assessment. We also review some of the potential legal issues associated with apology and its use in disclosure systems. Finally, we provide some suggestions to integrate these processes into the delivery system culture to promote patient safety.

Keywords

Syringe Defend Versed Phenylephrine Labetalol 

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Copyright information

© Springer Science+Business Media, LLC 2014

Authors and Affiliations

  1. 1.Institute of Health Law Studies, California Western School of LawSan DiegoUSA
  2. 2.Department of Anesthesiology, San Diego Center for Patient SafetyUniversity of California, San Diego School of MedicineSan DiegoUSA
  3. 3.Department of Family MedicineSouthern California Permanente Medical GroupEl CajonUSA

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