ABSTRACT
Objetivo: Identificar las oportunidades y las barreras legales-éticas sobre la comunicación y disculpa del error médico en España. Método: Estudio transversal a 46 expertos/as en derecho sanitario-bioética. Resultados: 39 (84,7%) respondieron que siempre deberían comunicarse los eventos y 38 (82,6%) se mostraron a favor de una disculpa. Treinta expertos/as (65,2%) declararon que si se realizaba una comunicación de errores, esta no devengaría responsabilidad profesional. Se identificó como oportunidad la mejora de la confianza médico/a-paciente, y como barrera principal, el miedo a las consecuencias de la comunicación. Discusión: existe un consenso sobre la falta de responsabilidad derivada de una comunicación-disculpa y la necesidad de iniciar un programa de comunicación a través del soporte a los/las médicos/as (AU)
Objective: To identify opportunities for disclosing information on medical errors in Spain and issuing an apology, as well as legal-ethical barriers. Method: A cross-sectional study was conducted through a questionnaire sent to health law and bioethics experts (n=46). Results: A total of 39 experts (84.7%) responded that health providers should always disclose adverse events and 38 experts (82.6%) were in favour of issuing an apology. Thirty experts (65.2%) reported that disclosure of errors would not lead to professional liability. The main opportunity for increasing disclosure was by enhancing trust in the physician-patient relationship and the main barrier was fear of the outcomes of disclosing medical errors. Conclusions: There is a broad agreement on the lack of liability following disclosure/apology on adverse events and the need to develop a strategy for disclosure among support for physicians (AU)
Subject(s)
Humans , Medical Errors/legislation & jurisprudence , Communication Barriers , Health Communication/ethics , Forgiveness/ethics , Cross-Sectional Studies , Truth Disclosure , Professional-Patient Relations , Access to InformationABSTRACT
A pilot study examined lay peoples willingness to forgive acts that were committed by actors of the armed conflicts in Colombia. The participants (100 persons living in Bogota) were shown vignettes describing cases in which a member of the guerilla or a member of the former paramilitary forces asks for forgiveness to a victims family, and were instructed to judge of the degree to which they would be willing to forgive if they were a family member. The concrete cases were constructed using a 3 x 3 x 3 orthogonal design: Degree of Responsibility x Severity of the Negative Acts Committed x Apologies. In half of the cases, the actor was a former member of the guerilla, whereas in the other half the actor was a former member of the paramilitary forces. The four factors had an impact on willingness to forgive, and several meaningful interactions were detected. Overall, a former member of the paramilitary forces has a reasonable chance of being forgiven (a) if he did not directly take part to offenses to people (e.g., killings) or offenses to property perpetrated by his companions, and (b) if he has sincerely begged for forgiveness and offered to partly compensate the harm done. A former member of the guerilla has few chance of being forgiven(AU)