Evaluating the expected effects of disclosure of patient safety incidents using hypothetical cases in Korea

Ock, Minsu; Choi, Eun Young; Jo, Min‐Woo; Lee, Sang-il

doi:10.1371/journal.pone.0199017

Cited by 18 publications

(31 citation statements)

References 17 publications

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“…Thus, it is crucial to assist healthcare professionals in managing the disclosure of PSIs, which concerns communicating with patients and caregivers after a PSI. As disclosure of PSIs is known to reduce healthcare professionals’ feelings of guilt, it is expected that such a measure can improve the relationship between patients and caregivers and healthcare professionals, while also alleviating the symptoms of second victims [25, 26]. In other words, coaching healthcare professionals regarding the disclosure of PSIs must be considered a prerequisite for a support program for second victims [27].…”

Section: Discussionmentioning

confidence: 99%

Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study

Lee

Pyo

Jang

et al. 2019

BMC Health Serv Res

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BackgroundHealthcare professionals who experience trauma due to patient safety incidents can be considered second victims, and they also suffer from various difficulties. In order to support second victims, it is necessary to determine the circumstances of the incidents in question, along with the symptoms that the victims are experiencing and the support they require. A qualitative study on healthcare professionals of various occupations, such as physicians and nurses working in Korea, was conducted, and the experiences and response methods and processes of second victims were examined.MethodsIn-depth interviews were conducted with 16 healthcare professionals (six physicians, eight nurses, and two pharmacists) who had experienced a patient safety incident. All interviews were recorded and transcribed, and the data analysis was conducted in accordance with Strauss and Corbin’s grounded theory. Both open coding and axial coding were performed. Consolidated criteria for reporting qualitative research (COREQ) were applied in this study.ResultsThe results of the open coding demonstrated that the experiences of second victims can be categorized into “the reactions of the first victim and surrounding people after the incident,” “Influence of factors aside from the incident,” “the initial complex responses of the participants to the incident,” “open discussion of the incident,” “the culture in medical institutions regarding early-stage incident response,” “the coping responses of the participants after incidents,” and “living with the incident.” Then, the seven categories in the open coding stage were rearranged according to the paradigm model, and the reaction process of the second victims was analyzed through process analysis, being divided into the “entanglement stage,” “agitating stage,” “struggling stage,” “managing stage,” and “indurating stage.”ConclusionsThis research is significant because it provides a comprehensive understanding of second victims’ experiences in the eastern region of Korea, by obtaining data using a qualitative research method. The findings of the study also highlight the five stages of the second victim response process, and can be used to design a specialized second victim support program in Korea.Electronic supplementary materialThe online version of this article (10.1186/s12913-019-3936-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study

Lee

Pyo

Jang

et al. 2019

BMC Health Serv Res

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“…According to Iezzoni et al, approximately 80% of physicians surveyed completely agreed with the item about being reluctant to disclose all mistakes to patients due to fear of lawsuits [ 9 ]. It is believed that a similar sentiment motivates the 67.0% of the participants in the present study who agreed with the item “DPSI will increase the incidence of medical lawsuits.” However, according a previous study in Korea that investigated the effects of DPSI among the general public using hypothetical cases, DPSI lowered the intention to file medical lawsuits and lowered criminal prosecution [ 12 ]. It is necessary to promote more awareness of these effects, perhaps by establishing a system for medical professionals who have experienced success with DPSI to share their experiences.…”

Section: Discussionmentioning

confidence: 99%

Section: Questionnaire Development and Contentmentioning

confidence: 99%

“…The questionnaire items were developed by reviewing previous studies related to DPSI [2,4,12,13]. In particular, the questionnaire was developed to be consistent with the questionnaire items used to survey perception regarding DPSI among the general public [12,13]. The members of the research team possessed experience conducting several studies in the field of patient safety, and questionnaire items that could comprehensively survey perceptions of DPSI were developed from the perspective of medical professionals-two physicians and three nurses.…”

Section: Questionnaire Development and Contentmentioning

confidence: 99%

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Korean physicians’ perceptions regarding disclosure of patient safety incidents: A cross-sectional study

et al. 2020

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The present study investigated physicians' perceptions regarding the need for, effects of, and barriers to disclosure of patient safety incidents (DPSI). An anonymous online questionnaire survey was conducted to investigate physicians' perception regarding DPSI, in particular of when DPSI was needed in various situations and of methods for facilitating DPSI. Physicians' perceptions were then compared to the general public's perceptions regarding DPSI identified in a previous study. A total of 910 physicians participated. Most participants (94.9%) agreed that any serious medical error should be disclosed to patients and their caregivers, whereas only 39.8% agreed that even near-miss errors, which did not cause harm to patients, should be disclosed. Among the six known effects of DPSI presented, participating physicians showed the highest level of agreement (89.6%) that "DPSI will lead physicians to pay more attention to patient safety in the future." Among six barriers to DPSI, participants showed the most agreement (75.9%) that "It is unreasonable to demand DPSI in only the medical field, and disclosure is not actively conducted in other fields." With respect to methods for facilitating DPSI, participants agreed that "A guideline for DPSI is needed" (91.2%) and "Manpower to support DPSI in hospitals is required" (89.1%). Meanwhile, 79.3% agreed that "If an apology law is enacted, physicians will perform more DPSI" and 72.4% that "I support the introduction of an apology law." Korean physicians generally have a positive perception of DPSI, but less than the general public.

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“…In particular, the questionnaire was developed to be consistent with the questionnaire items used to survey perception regarding DPSI among the general public [12,13]. The members of the research team possessed experience conducting several studies in the field of patient safety, and questionnaire items that could comprehensively survey perceptions of DPSI were developed from the perspective of medical professionals-two physicians and three nurses.…”

Section: Questionnaire Development and Contentmentioning

confidence: 99%

Korean physicians’ perceptions regarding disclosure of patient safety incidents: A cross-sectional study

Pyo

Choi

Lee

et al. 2019

Preprint

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Background: Physicians are in the most critical position vis-à-vis disclosure of patient safety incidents (DPSI), and improper perceptions of DPSI among them could be a major barrier to proper execution of DPSI in clinical practice. The present study investigated physicians’ perceptions regarding the need for, effects of, and barriers to DPSI. Methods: An anonymous online questionnaire survey was conducted to investigate physicians’ perception regarding DPSI, in particular of when DPSI was needed in various situations and of methods for facilitating DPSI. Physicians’ perceptions were then compared to the general public’s perceptions regarding DPSI identified in a previous study, and a chi-squared test was performed to check for statistically significant differences. Results: A total of 910 physicians participated. Most participants (94.9%) agreed that any serious medical error should be disclosed to patients and their caregivers, whereas only 39.8% agreed that even near-miss errors, which did not cause harm to patients, should be disclosed. Among the six known effects of DPSI presented, participating physicians showed the highest level of agreement (89.6%) that “DPSI will lead physicians to pay more attention to patient safety in the future.” Among six barriers to DPSI, participants showed the most agreement (75.9%) that “It is unreasonable to demand DPSI in only the medical field, and disclosure is not actively conducted in other fields.” With respect to methods for facilitating DPSI, participants agreed that “A guideline for DPSI is needed” (91.2%) and “Manpower to support DPSI in hospitals is required” (89.1%). Meanwhile, 79.3% agreed that “If an apology law is enacted, physicians will perform more DPSI” and 72.4% that “I support the introduction of an apology law.” Conclusions: Korean physicians generally have a positive perception of DPSI, but less than the general public. The items used here allow comprehensive examination of physicians’ perceptions regarding DPSI across countries.

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Evaluating the expected effects of disclosure of patient safety incidents using hypothetical cases in Korea

Cited by 18 publications

References 17 publications

Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study

Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study

Korean physicians’ perceptions regarding disclosure of patient safety incidents: A cross-sectional study

Korean physicians’ perceptions regarding disclosure of patient safety incidents: A cross-sectional study

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