Learn More
S tudies from more than six countries 1-7 report a high prevalence of harmful medical errors. Most providers and patients realize that health care services are potentially hazardous and that errors sometimes occur de­ spite the best efforts of people and institutions. 8 Patients expect to be informed promptly when they are injured by care, especially care(More)
Although physicians have been described as "reluctant partners" in reporting medical errors, this survey of 1,082 U.S. physicians found that most were willing to share their knowledge about harmful errors and near misses with their institutions and wanted to hear about innovations to prevent common errors. However, physicians found current systems to report(More)
BACKGROUND A gap exists between patients' desire to be told about medical errors and present practice. Little is known about how physicians approach disclosure. The objective of the present study was to describe how physicians disclose errors to patients. METHODS Mailed survey of 2637 medical and surgical physicians in the United States (Missouri and(More)
BACKGROUND Patients are often not told about harmful medical errors. The malpractice environment is considered a major determinant of physicians' willingness to disclose errors to patients. Yet, little is known about the malpractice environment's actual effect on physicians' error disclosure attitudes and experiences. METHODS Mailed survey of 2637(More)
OBJECTIVE Despite large numbers of emergency encounters, little is known about how emergency department (ED) patients conceptualize their risk of medical errors. This study examines how safe ED patients feel from medical errors, which errors are of greatest concern, how concerns differ by patient and hospital characteristics, and the relationship between(More)
OBJECTIVES To explore patients' and family members' views on communication during cancer care and to identify those aspects of clinician-patient communication which were most important to patients and family members. METHODS We conducted a secondary data analysis of qualitative data from 137 patients with cancer and family members of patients with cancer.(More)
OBJECTIVES To investigate patients' and family members' perceptions and experiences of disclosure of healthcare incidents and to derive principles of effective disclosure. DESIGN Retrospective qualitative study based on 100 semi-structured, in depth interviews with patients and family members. SETTING Nationwide multisite survey across Australia. (More)
Physicians are urged to communicate more openly following medical errors, but little is known about pathologists' attitudes about reporting errors to their institution and disclosing them to patients. We undertook a survey to characterize pathologists' and laboratory medical directors' attitudes and experience regarding the communication of errors with(More)
Imagine this scenario: You receive multiple stomach biopsy fragments showing diffuse surface ulceration, marked inflammation, and reactive atypia. In a small focus of 1 gastric mucosal fragment, there is a subtle, signet-ring adenocarci-noma. You notice on review of the patient's history that she has had multiple previous stomach biopsies for dyspepsia and(More)
Rates of healthcare-associated infections (HAI) are being reported on an increasing number of public information websites in response to legislative mandates driven by consumer advocacy. This represents a new strategy to advance patient safety and quality of care by informing a broad audience about the relative performance of individual healthcare(More)