On Patient Safety: Do You Say “I'm Sorry” to Patients?

Lee, Michael J.

doi:10.1007/s11999-016-5025-7

Cited by 10 publications

(2 citation statements)

References 7 publications

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“…Under these laws, a physician’s apology to a patient or family cannot be used against that physician in future litigation 61. Promoting and protecting open communication was the main goal while enacting these laws 62. Even though it is no guarantee,50,63,64 the studies showed that full disclosure to patients is associated with greater trust, higher satisfaction, more positive emotional response, less support for sanctions against the physician, and less probability of changing physicians 65.…”

Section: Apology and Error Disclosure: Ethical Obligation And Learninmentioning

confidence: 99%

<p>Second victims in health care: current perspectives</p>

Özeke¹,

Özeke

Çoşkun

et al. 2019

AMEP

104

109

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Medical errors are a serious public health problem and the third-leading cause of death after heart disease and cancer. Every day, the health care professionals (HCPs) practice their skill and knowledge within excessively complex situations and meet unexpected patient outcomes. These unexpected complications and unintentional errors will always be a part of the medical system due to the universal nature of human fallibility and technology. While not all errors are life-threatening, they can significantly compromise a patient’s quality of life. However, the victims of medical error reach far beyond the patient. The second victim (SV), which defined for the first time by Albert Wu in his description of the impact of errors on HCPs by both personally and professionally, is a medical emergency equivalent to post-traumatic stress disorder. When the errors occur, it causes a domino effect including the four groups: the patient and family (first victim), the HCP [SV], the hospital reputation (third victim), and patients who are harmed subsequently (fourth victims). The rights of our patients to safe, reliable, and patient-centered care are critical and most important as a primary and utmost aim of medicine. However, we also have to take care of our own (SVs), especially when we have good people who mean to do well and then ﬁnd themselves in an emotionally complex situation. There is a need to articulate to the public, politicians, and media how system failure leads to medical error even in hand of well-educated and competent HCPs are given an increasing clinical workload. Furthermore, despite several leading institutions in western countries have developed formal support programs that allow HCPs to cope with their emotional distress by obtaining timely support in an emphatic, confidential, non-judgmental environment, we need to raise awareness of this phenomenon and appropriate institutional responses both to harmed patients and their families and HCPs.

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Section: Apology and Error Disclosure: Ethical Obligation And Learninmentioning

confidence: 99%

<p>Second victims in health care: current perspectives</p>

Özeke¹,

Özeke

Çoşkun

et al. 2019

AMEP

104

109

View full text Add to dashboard Cite

show abstract

“…(3) Consider explicit or implicit practical compensation for patients. It has been my experience that despite increasingly litigious trends in the West, where physicians are hesitant to apologize for an adverse event for fear of being sued [8], most patients and family members in the Asia-Pacific region are inclined to accept what the physician explains or offers, particularly when delivered in a warm and compassionate way. (4) Learn from the experience.…”

Section: Unexpected Adverse Events During Surgery-guiding Principlesmentioning

confidence: 99%