Disclosure of Adverse Events and Medical Errors: A Framework for Anesthesiologists.

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Bibliographic Details
Title: Disclosure of Adverse Events and Medical Errors: A Framework for Anesthesiologists.
Authors: Heller KO; Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USA. Electronic address: oldenk@uw.edu., Souter KJ; Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USA.
Source: Anesthesiology clinics [Anesthesiol Clin] 2024 Sep; Vol. 42 (3), pp. 529-538. Date of Electronic Publication: 2024 Jan 06.
Publication Type: Journal Article; Review
Language: English
Journal Info: Publisher: Saunders Country of Publication: United States NLM ID: 101273663 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1932-2275 (Print) Linking ISSN: 19322275 NLM ISO Abbreviation: Anesthesiol Clin Subsets: MEDLINE
Imprint Name(s): Original Publication: Philadelphia : Saunders, c2006-
MeSH Terms: Medical Errors* , Anesthesiologists* , Physician-Patient Relations* , Disclosure*, Humans ; Anesthesiology/ethics ; Truth Disclosure/ethics
Abstract: Competing Interests: Disclosure K.O. Heller and K.J. Souter have no relevant commercial or financial conflicts of interest and no funding sources to disclose.
Ethical disclosure of adverse events (AE) presents opportunities and challenges for physicians and has unique ramifications for anesthesiologists. AE disclosure is supported by patients, regulatory organizations, and physicians. Disclosure is part of a physician's ethical duty toward patients, supports fully informed patient decision making, and is a critical component of root cause analysis. Barriers to AE disclosure include disruption of the doctor-patient relationship, fear of litigation, and inadequate training. Apology laws intended to support disclosure and mitigate concern for adverse legal consequences have not fulfilled that initial promise. Training and institutional communication programs support physicians in providing competent, ethical AE disclosure.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: Adverse events; Apology; Disclosure; Malpractice; Medical error; Medical ethics; Training
Entry Date(s): Date Created: 20240725 Date Completed: 20240725 Latest Revision: 20240725
Update Code: 20250114
DOI: 10.1016/j.anclin.2023.12.003
PMID: 39054025
Database: MEDLINE
Description
Abstract:Competing Interests: Disclosure K.O. Heller and K.J. Souter have no relevant commercial or financial conflicts of interest and no funding sources to disclose.<br />Ethical disclosure of adverse events (AE) presents opportunities and challenges for physicians and has unique ramifications for anesthesiologists. AE disclosure is supported by patients, regulatory organizations, and physicians. Disclosure is part of a physician's ethical duty toward patients, supports fully informed patient decision making, and is a critical component of root cause analysis. Barriers to AE disclosure include disruption of the doctor-patient relationship, fear of litigation, and inadequate training. Apology laws intended to support disclosure and mitigate concern for adverse legal consequences have not fulfilled that initial promise. Training and institutional communication programs support physicians in providing competent, ethical AE disclosure.<br /> (Copyright © 2024 Elsevier Inc. All rights reserved.)
ISSN:1932-2275
DOI:10.1016/j.anclin.2023.12.003