Outing Medical Errors: Questions of Trust and Responsibility

Quick, Oliver

doi:10.1093/medlaw/fwi042

Cited by 42 publications

(15 citation statements)

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“…The role of trust within safety has previously been seen to be an outcome of a patient safety incident, with patients potentially losing trust in their clinicians as a result of a safety incident,51 although this has been contested 52. The role of trust within this study was twofold.…”

Section: Discussionmentioning

confidence: 95%

Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers?

2011

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BackgroundHealthcare is a series of complex, interwoven systems in which any discontinuities of care may affect the safety of patients, who have been reported to perceive safety differently to clinicians. This study aimed to explore patient perceptions of safety and identify how they can be used to construct additional barriers to reduce safety incidents within organisational care transfers, which are known to be high in risk.DesignAppreciative Inquiry (AI) methodology was used to develop semi-structured interviews, using the Discover and Dream processes of AI. Fourteen patients (four men, 10 women; average age 76.2 years) were purposively recruited from NHS community care teams, social care homes and private nursing homes based on their experience of going through organisational care transfers. Thematic analysis was used to highlight key themes, which participants verified.FindingsCommunication, responsiveness and avoidance of traditional safety risks were identified as being important for patients to feel safe. Communication and responsiveness were mapped onto the Swiss-Cheese model of safety, presenting two new barriers to safety incidents. Traditional risks and the role of trust are discussed in relation to patients feeling safe.ConclusionPerceptions of safety such as communication and responsiveness were similar to those found in previous studies. Mapping these perceptions onto the Swiss-Cheese model of safety identifies how further defences, barriers and safeguards can be constructed to make people feel safer by reinforcing communication and responsiveness. Traditional risks are widely published, but the identification by patients reinforces the role they can play in identifying and reporting these risks.

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Section: Discussionmentioning

confidence: 95%

Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers?

2011

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“…Moreover, it is based on an increasing mistrust and cynicism of expertise and the concomitant pursuit of alternative forms of knowledge (Boholm & Lö fstedt, 1999;Frewer, 1999). On the other hand, in her 2002 Reith lectures, Onora O'Neill remarks that discussions of declining trust in normative forms of expertise is somewhat of a cliché of our times (Quick, 2006). She notes that loss of trust has often been reported by those who continue to trust others, meaning that the emphasis on a change of mindset is also psychological on the part of those perceiving this loss of trust, rather than grounded in empirical reality.…”

Section: Risk Perception and Agenda-setting At The Legislative Stagementioning

confidence: 99%

Risk Perceptions in UK Climate Change and Energy Policy Narratives

Shin

Choi

2014

Journal of Environmental Policy & Planning

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This paper analyses environmental narratives in the legislative stages presented in UK white papers, the Prime Minister's speeches, and the Queen's speeches, all of which were released between 1997 and 2011, during the regimes either of New Labour (1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010) or of the currently governing Coalition (2010-). This research acknowledges that the link between risk perception and environmental policy is strong because environmental policy narratives either reflect or influence risk perceptions, or both. The findings of this research demonstrate that the risk of climate change has emerged as a key agenda due to combined risk perceptions on economy and environment. Subsequently, that risk has developed a connection to the risk of energy scarcity and energy facilities. Nuclear power has posed a possible resolution to the energy risk, but at the same time, it has posed another kind of risk too. Under the Coalition government, the risk of natural diversity loss emerged while the risks of climate change and energy continued. The dynamics of the negotiation among different risk perceptions would depend on the power relations among the groups.

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“…20 There are obviously a number of factors that influence the level of reporting among medical staff. 19 Nursing staff have adopted a different attitude towards reporting error. The low figure of reporting of adverse events among medical staff is concerning in particular when the guidelines in relation dealing with error from the RCSI and the IMC are reviewed.…”

Section: Discussionmentioning

confidence: 99%

A review of adverse event reporting in Irish surgical specialties

Breathnach¹,

Cousins²,

Dunne³

et al. 2011

Clinical Risk

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Introduction Reporting of adverse events in medicine is an important concept. It is widely accepted that a key element of any healthcare service is the approach that is adopted towards reporting adverse events. Government legislation and the increased number of patient safety initiatives with widespread discussion within the medical literature marks adverse event reporting as an important topic for analysis. Methods The Clinical Indemnity Scheme (CIS) provides risk advisory services to state authorities in Ireland. This study will focus on 42,094 adverse events reported across all surgical specialties to the CIS via a confidential weblink (STARSWeb) since 2004. The most common features of each adverse event and closed medicolegal claims processed by the CIS were reviewed as part of this study. Results The majority of reported adverse events occur in orthopaedic and general surgery (73% of all cases). Slips/trips/falls are the most common adverse event reported. Doctors report only 4% of the total number of adverse events. The month of October records the highest number of adverse events with the highest frequency of adverse events taking place before 13:00 each day. The most common incident type which resulted in a claim being closed by the CIS was the perioperative/periprocedure incident (50% of all cases). Conclusions The CIS report a significant number of adverse events across a range of surgical specialties. A pattern of adverse events being reported during 'daylight' hours gives a clear indication that routine surgical operations and procedures carry with them a risk for injury to the patient. Particular months of the year and time of the day are more likely to be associated with reported adverse events. This pattern of events should be highlighted in an attempt to promote safer surgical practice within hospitals during particular times of the day, month or year.

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Outing Medical Errors: Questions of Trust and Responsibility

Cited by 42 publications

References 0 publications

Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers?

Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers?

Risk Perceptions in UK Climate Change and Energy Policy Narratives

A review of adverse event reporting in Irish surgical specialties

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