Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change.
Policy Polit Nurs Pract
; 6(2): 127-34, 2005 May.
Article
in En
| MEDLINE
| ID: mdl-16443966
The Institute of Medicine report, To Err Is Human: Building a Safer Health System, has spurred public concern over hospitals' ability to deliver safe care. The health care industry continues to struggle to address these concerns. These efforts have driven the growing expectation that health care practitioners or systems disclose unanticipated outcomes to patients and family members. Although the tort system has been cited as an impediment to medical error disclosure, some organizations and systems have successfully implemented policies calling for full disclosure of errors and unanticipated outcomes. However, most organizations have yet to develop policies concerning error disclosure. This article provides an overview of error disclosure and a model framework for an error disclosure policy. The ethical principle of respect for patient autonomy is emphasized as the driving force in developing an institutional disclosure policy and changing the organizational culture to one that supports development and implementation of such a policy.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Truth Disclosure
/
Organizational Culture
/
Medical Errors
/
Ethics, Institutional
/
Hospital Administration
Aspects:
Ethics
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Policy Polit Nurs Pract
Journal subject:
ENFERMAGEM
/
SAUDE PUBLICA
Year:
2005
Document type:
Article
Affiliation country:
United States
Country of publication:
United States