Evaluating non-disclosure of errors and healthcare organization: a case of bioethics consultation.
Med Health Care Philos
; 18(4): 607-12, 2015 Nov.
Article
em En
| MEDLINE
| ID: mdl-26276448
ABSTRACT
Sometimes medical errors should not be disclosed. We report a case of semen samples exchange, during a homologous artificial insemination procedure, where a bioethics consultation was required. The bioethics consultation addressed ethical and legal elements in play, supporting non-disclosure to some of the subjects involved. Through a proper methodology, gathering factual and juridical elements, a consultant can show when a moral dilemma between values and rights-privacy versus fatherhood, in our case-is unsubstantial, in a given context, because of the groundlessness of the value or the right itself. However, being the error elicited by organizational factors, a broader ethical pronouncement was needed. Under such circumstances, ethical evaluation should engage in a sort of 'ethical-based root-cause analysis', linking ethical principles to quality aims and showing the opportunity to integrate ethical methodology in healthcare management. From this perspective, errors may become an incentive to promote high-quality organizations, attending to the central value of person even through the organizational process.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Encaminhamento e Consulta
/
Erros Médicos
/
Revelação
/
Eticistas
/
Atenção à Saúde
/
Ética Institucional
Limite:
Humans
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article