Q&A

Disclosure of errors preferred by patients

Author and Disclosure Information

  • CLINICAL QUESTION: How do patients report they will respond when doctors disclose errors?
  • STUDY DESIGN: Cross-sectional
  • SETTING: Population-based
  • SYNOPSIS: This study used a self-administered questionnaire to gauge patients’ responses to several types of errors and their disclosure by physicians. The questionnaires were sent to a sample of 1500 patients of a New England–based health maintenance organization (the response rate was 66%, which is high for this type of study, but less than the 70% often cited as being satisfactory). Eight versions of the questionnaire were used, which varied by type of error, clinical outcome of the error, and level of physician disclosure.


 

BOTTOM LINE

Given a hypothetical situation in which harm occurred as the result of a medical error, patients overwhelmingly report that they would want to be told of the error. Full disclosure increases patient satisfaction, trust, and positive emotional responses.

Although this disclosure may make them feel better, it may not decrease their desire to sue. Most patients (83%) would want financial compensation for an injury that occurs because an error, and 13% expressed a desire for compensation even if harm didn’t occur. A questionnaire of this type does not evaluate the role of bedside manner during the process of disclosure. (LOE=2c)

Recommended Reading

Learning from images in clinical medicine
MDedge Family Medicine
The art of medicine after retirement
MDedge Family Medicine
The Problem with Ps
MDedge Family Medicine
Hospitalists: Scourge or salvation?
MDedge Family Medicine
FIRSTConsult: A useful point-of-care clinical reference
MDedge Family Medicine
UpToDate: A comprehensive clinical database
MDedge Family Medicine
Interpretation of confidence intervals
MDedge Family Medicine
Remembering the meanings of sensitivity, specificity, and predictive values
MDedge Family Medicine
Number needed to treat
MDedge Family Medicine
Negative antigen test misses
MDedge Family Medicine