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While the lower rate of restatements can represent an absence of errors, it can also indicate a lack of detection and disclosure of errors and irregularities.
But organizations representing doctors and hospitals fear that mandatory public disclosure of errors that cause death or serious injury will subject doctors and hospitals to ruinous lawsuits, driving doctors to hide their mistakes.
A senior physician added that if we want to establish an environment that promotes disclosure of errors and near misses, the fastest way to drive reporting underground is to punish someone who has made a mistake.
The IOM report committee determined that diagnostic errors happen because there isn't enough collaboration among clinicians, patients, and their families, clinicians only get limited feedback about the accuracy of their diagnoses, and the healthcare culture discourages transparency and the disclosure of errors.
However, when not talking about those "special cases", our psychoanalyst PTs still report disclosure of errors and apologizing for them.
On closer scrutiny, disclosure of errors in psychotherapy seems to be influenced by further factors – again comparable to the medical literature [ 37].
Similar(47)
There has been increasing interest in open disclosure of error, with formal apology to the patient, a practice which has been shown to decrease the number of legal claims [5]6.
12. Disclosure of error or adverse event.
In a system which contemplates the possibility of immediate repair of injury suffered by a patient, it has been observed that the disclosure of error and adverse events does not lead to an increase in the number of lawsuits for compensation and would, in fact, help to reduce legal costs.
Therefore, we have to better understand how to promote frank disclosures of errors to the patients.
I agree that we need to change the culture regarding the disclosure of medical errors.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com