Should We Tell Parents When We've Made an Error?

被引:11
|
作者
Bell, Sigall K. [1 ,2 ,4 ]
Mann, Keith J. [6 ,7 ]
Truog, Robert [3 ,5 ]
Lantos, John D. [6 ,7 ]
机构
[1] Beth Israel Deaconess Med Ctr, Dept Med, Boston, MA 02215 USA
[2] Boston Childrens Hosp, Patient Safety & Qual Initiat, Inst Professionalism & Eth Practice, Boston, MA USA
[3] Boston Childrens Hosp, Div Crit Care Med, Boston, MA USA
[4] Harvard Univ, Sch Med, Dept Internal Med, Boston, MA USA
[5] Harvard Univ, Sch Med, Div Med Eth, Boston, MA USA
[6] Univ Missouri, Kansas City, MO 64110 USA
[7] Childrens Mercy Hosp & Clin, Dept Pediat, Kansas City, MO USA
关键词
MEDICAL ERRORS; THERAPEUTIC PRIVILEGE; 2ND VICTIM; DISCLOSURE; PHYSICIANS; CLINICIAN; ATTITUDES; TRUTH;
D O I
10.1542/peds.2014-0293
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
One of the most difficult experiences for any doctor or nurse is when they realize that they have made a mistake that has harmed a patient. In the past, mistakes were seldom disclosed to patients. The prevailing ethos was one of professional silence, secrecy, and shame. That has begun to change. Many professional organizations in both medicine and health law recommend full disclosure of mistakes and apologies for the harm that is caused. An atmosphere of openness and honesty leads to a culture of quality and safety. In this Ethics Rounds, we analyze the complex emotional and ethical issues that arise when doctors recognize that an error has occurred.
引用
收藏
页码:159 / 163
页数:5
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