PMID: 16649649May 3, 2006Paper

Facilitating and impeding factors for physicians' error disclosure: a structured literature review

Joint Commission Journal on Quality and Patient Safety
Lauris C KaldjianGary E Rosenthal

Abstract

It is important for physicians to disclose medical errors to institutions (for patient safety), to colleagues (for professional learning), and to patients (as part of direct patient care), but no comprehensive review of factors that may facilitate or impede disclosure has been undertaken. A MEDLINE search was conducted of English-language articles published from 1975-2004, with review of bibliographies. A total of 5,509 articles were reviewed by title, 881 articles were retrieved for full text review, and 475 articles satisfied the inclusion criteria. Article content was assessed by identifying factors that facilitate or impede disclosure and classifying each article's primary goal of disclosure. Thirty-five factors believed to facilitate disclosure were identified (for example, accountability, honesty, restitution), as were 41 factors believed to impede it (for example, professional repercussions, legal liability, blame). The three most common goals of disclosure were to improve patient safety, enhance learning, and inform patients. Facilitating factors were more commonly cited when the goal of disclosure was to inform patients. A wide range of factors are capable of facilitating or impeding the disclosure of medical errors. I...Continue Reading

Citations

May 3, 2007·Journal of General Internal Medicine·Lauris C KaldjianGary E Rosenthal
Jan 10, 2008·The American Journal of Hospice & Palliative Care·Ciarán T Bradley, Karen J Brasel
Apr 13, 2012·Cytopathology : Official Journal of the British Society for Clinical Cytology·I PrabakarC W E Redman
Jan 22, 2013·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Francisco M Matos, Daniel B Raemer
Mar 31, 2018·Nursing Open·Lisa Skär, Siv Söderberg
Jan 23, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·William MartinezLisa Soleymani Lehmann
Feb 20, 2014·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·Seth W WolkDouglas E Paull
Jun 30, 2018·Anesthesia and Analgesia·Crispiana CozowiczStavros G Memtsoudis
Mar 25, 2015·Journal of Patient Safety·Ashraf Ahmad ZaghloulRasha Mosallam
Jul 27, 2012·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·Vinita SinghDaniel Stanley
Aug 29, 2016·The International Journal of Risk & Safety in Medicine·Ashraf Ahmad ZaghloulNagwa Younes Abou El-Enein
Jul 7, 2009·Journal of General Internal Medicine·Albert W WuPeter J Pronovost
Aug 17, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Elaine O'ConnorAlbert W Wu
Mar 4, 2014·Journal of Patient Safety·Daniel B RaemerRobert Simon
Aug 29, 2009·Journal of Manipulative and Physiological Therapeutics·Beatrice Zaugg, Martin Wangler

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