Most pediatricians support error disclosure, but only about half would support disclosing to kids, particularly ones <age 12.
Acad Pediatr. 2015 Aug 29; [Epub ahead of print].
Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure.
Kolaitis IN, Schinasi DA, Ross LF. Acad Pediatr. 2015 Aug 29; [Epub ahead of print].
The practice of disclosing errors to patients is considered the standard of care, but many physicians remainuncomfortable with error disclosure. This survey study sought to assess pediatricians' perceptions of error disclosure to patients and their parents. Nearly all respondents reported the importance of disclosure to parents, but only about half supported disclosure to children. Physicians believed that patients aged 12 years or older are developmentally appropriate for disclosure discussions. Respondents endorsed collaboration with parents in choosing to disclose errors to children and believed parents should be present during error disclosure. The broad general support for disclosure in this study suggests that prior work in this area is successfully changing physician culture. Corresponding studies of pediatric patients and parents are needed in order to establish guidelines for error disclosure practices in pediatrics.
Implementation of a "second victim" program in a pediatric hospital.
Krzan KD, Merandi J, Morvay S, Mirtallo J. Am J Health Syst Pharm. 2015;72:563-567.
Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care.
Dy SM. Am J Hosp Palliat Care. 2015 Apr 15; [Epub ahead of print].
Emotional harm from disrespect: the neglected preventable harm.
Sokol-Hessner L, Folcarelli PH, Sands KEF. BMJ Qual Saf. 2015;24:550-553.
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An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes?
Nazione S, Pace K. J Health Commun. 2015 Jul 2; [Epub ahead of print].