Straumanis John Paul
Division of Pediatric Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Pediatr Crit Care Med. 2007 Mar;8(2 Suppl):S38-43. doi: 10.1097/01.PCC.0000257736.34737.2D.
The climate within the United States is rapidly changing with respect to patient and family knowledge of medical error and their expectations of the events that should occur after an error.
This article examines the history and changing tide of medical error disclosure, reviews the limited but growing body of literature surrounding patient and physician attitudes toward disclosing and discussing medical error, makes suggestions on what and how to disclose to patients and families that an error has occurred, and finally, discusses the effect of error disclosure.
It seems that if disclosure of medical error is made with compassion, in a timely manner, and with good communication skills both during and after the disclosure process, patients and their families are at least no more likely to seek legal action and some lawsuits may actually be avoided.
在美国,患者及家属对医疗差错的认知以及他们对差错发生后应采取措施的期望正在迅速变化。
本文审视了医疗差错披露的历史与变化趋势,回顾了围绕患者和医生对披露及讨论医疗差错的态度的有限但不断增长的文献,就向患者和家属披露差错已发生的内容及方式提出建议,最后讨论差错披露的影响。
如果在披露医疗差错时充满同情、及时进行,且在披露过程中和之后都具备良好的沟通技巧,那么患者及其家属至少不太可能寻求法律行动,甚至有可能避免一些诉讼。