지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives: We performed a systematic review to assess and aggregate the available evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents (DPSI).
Methods: We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this systematic review and searched PubMed, Scopus, and the Cochrane Library for English articles published between 1990 and 2014. Two authors independently conducted the title screening and abstract review. Ninety-nine articles were selected for full-text reviews. One author extracted the data and another verified them.
Results: There was considerable variation in the reported frequency of DPSI among medical professionals. The main expected effects of DPSI were decreased intention of the general public to file medical lawsuits and punish medical professionals, increased credibility of medical professionals, increased intention of patients to revisit and recommend physicians or hospitals, higher ratings of quality of care, and alleviation of feelings of guilt among medical professionals. The obstacles to DPSI were fear of medical lawsuits and punishment, fear of a damaged professional reputation among colleagues and patients, diminished patient trust, the complexity of the situation, and the absence of a patient safety culture. However, the factors facilitating DPSI included the creation of a safe environment for reporting patient safety incidents, as well as guidelines and education for DPSI.
Conclusions: The reported frequency of the experience of the general public with DPSI was somewhat lower than the reported frequency of DPSI among medical professionals. Although we identified various expected effects of DPSI, more empirical evidence from real cases is required.
목차
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참고문헌 (27)
참고문헌 신청
Accreditation Canada / / Required organizational practices, handbook 2016
American Medical Association / 2011 / The code says the AMA code of medical ethics’ opinions on patient safety / AMA J Ethics 13 (9) : 626 ~ 628
Belela AS / 2010 / Disclosure of medication error in a pediatric intensive care unit / Rev Bras Ter Intensiva 22 (3) : 257 ~ 263
Chan DK / 2005 / How surgeons disclose medical errors to patients: a study using standardized patients / Surgery 138 (5) : 851 ~ 858
Disclosure Working Group / / Canadian disclosure guidelines: being open and honest with patients and families
American Medical Association / 2011 / The code says the AMA code of medical ethics’ opinions on patient safety / AMA J Ethics 13 (9) : 626 ~ 628
Belela AS / 2010 / Disclosure of medication error in a pediatric intensive care unit / Rev Bras Ter Intensiva 22 (3) : 257 ~ 263
Chan DK / 2005 / How surgeons disclose medical errors to patients: a study using standardized patients / Surgery 138 (5) : 851 ~ 858
Disclosure Working Group / / Canadian disclosure guidelines: being open and honest with patients and families
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