Thomas H. Gallagher

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CONTEXT Despite the best efforts of health care practitioners, medical errors are inevitable. Disclosure of errors to patients is desired by patients and recommended by ethicists and professional organizations, but little is known about how patients and physicians think medical errors should be discussed. OBJECTIVE To determine patients' and physicians'(More)
BACKGROUND Being involved in medical errors can compound the job-related stress many physicians experience. The impact of errors on physicians was examined. METHODS A survey completed by 3,171 of the 4,990 eligible physicians in internal medicine, pediatrics, family medicine, and surgery (64% response rate) examined how errors affected five work and life(More)
From the Department of Medicine and the Department of Medical History and Ethics, University of Washington, Seattle (T.H.G.); the Melbourne Law School and the School of Population Health, University of Melbourne, Melbourne, Australia (D.S.); and the University of Toronto, Toronto (W.L.). Address reprint requests to Dr. Gallagher at the Department of(More)
BACKGROUND To increase error reporting, a better understanding of physicians' and nurses' perspectives regarding medical error reporting in hospitals, barriers to reporting, and possible ways to increase reporting is necessary. METHODS Nine focus groups--four with 49 staff nurses, two with 10 nurse managers, and three with 30 physicians--from 20 academic(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 Guidelines on apology and disclosure after adverse events and errors have been in place for over 5 years. This study examines whether patients consider recommended responses to be appropriate and desirable, and whether clinicians' actions after adverse events are consistent with recommendations. METHODS Patients who believed that something had(More)
OBJECTIVES The disclosure of harmful errors to patients is recommended, but appears to be uncommon. Understanding how trainees disclose errors and how their practices evolve during training could help educators design programmes to address this gap. This study was conducted to determine how trainees would disclose medical errors. METHODS We surveyed 758(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 Calls are increasing for physicians to disclose harmful medical errors to patients, but little is known about how physicians perform this challenging task. For surgeons, communication about errors is particularly important since surgical errors can have devastating consequences. Our objective was to explore how surgeons disclose medical errors(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)