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本文引用的文献

1
Disclosure of adverse events in the United States and Canada: an update, and a proposed framework for improvement.美国和加拿大不良事件的披露：最新情况及改进建议框架
J Public Health Res. 2013 Dec 1;2(3):e32. doi: 10.4081/jphr.2013.e32.
2
Medical error disclosure: from the therapeutic alliance to risk management: the vision of the new Italian code of medical ethics.医疗差错披露：从治疗联盟到风险管理——意大利新医学伦理准则的愿景
BMC Med Ethics. 2014 Jul 15;15:57. doi: 10.1186/1472-6939-15-57.
3
Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.披露和解决计划，如果包括慷慨的赔偿方案，可能会引发复杂的患者反应。
Health Aff (Millwood). 2012 Dec;31(12):2681-9. doi: 10.1377/hlthaff.2012.0185.
4
A fair dinkum duty of open disclosure following medical error.医疗差错后真诚的公开告知义务。
J Law Med. 2012 Sep;20(1):35-43.
5
Anatomy of an incident disclosure: the importance of dialogue.事件披露剖析：对话的重要性。
Jt Comm J Qual Patient Saf. 2012 Oct;38(10):435-42. doi: 10.1016/s1553-7250(12)38057-4.
6
The ethics of disclosure of patient safety incidents.患者安全事件的披露伦理
Healthc Manage Forum. 2012 Summer;25(2):120-5. doi: 10.1016/j.hcmf.2012.04.003.
7
What contributes to internists' willingness to disclose medical errors?是什么因素导致内科医生愿意披露医疗差错？
Neth J Med. 2012 Jun;70(5):242-8.
8
Changes in intern attitudes toward medical error and disclosure.实习生对医疗差错和披露态度的变化。
Med Educ. 2012 Jul;46(7):668-77. doi: 10.1111/j.1365-2923.2012.04269.x.
9
Medical error disclosure: the gap between attitude and practice.医疗差错披露：态度与实践之间的差距。
Postgrad Med J. 2012 Mar;88(1037):130-3. doi: 10.1136/postgradmedj-2011-130118. Epub 2012 Jan 25.
10
Disclosing medical errors: a practical guide and discussion of radiation oncology-specific controversies.披露医疗差错：实用指南及放射肿瘤学特定争议探讨
Int J Radiat Oncol Biol Phys. 2011 Aug 1;80(5):1285-8. doi: 10.1016/j.ijrobp.2011.04.015.

知情权与对披露的恐惧：意大利癌症中心/诊所全面错误披露政策的可持续性

The right to be informed and fear of disclosure: sustainability of a full error disclosure policy at an Italian cancer centre/clinic.

作者信息

D'Errico Stefano, Pennelli Sara, Colasurdo Antonio Prospero, Frati Paola, Sicuro Lorella, Fineschi Vittorio

机构信息

ASL2 Lucca, Ospedale 'Campo di Marte', edificio O, 55100, Lucca, Italy.

I.R.C.C.S. Centro di Riferimento Oncologico della Basilicata, via Padre Pio 1, 85028, Rionero in Vulture (PZ), Italy.

出版信息

BMC Health Serv Res. 2015 Apr 1;15:130. doi: 10.1186/s12913-015-0794-3.

DOI:10.1186/s12913-015-0794-3
PMID:25889588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4460857/
Abstract

BACKGROUND

The aim of this study was to investigate the behaviour of physicians in cases of medical error as well as the nature of the information that should be given to the patient and to ascertain whether it is possible to institute a full error disclosure policy. Data was collected through the completion of anonymous questionnaires by medical directors of the IRCCS CROB (the Oncology Centre of Basilicata, Italy).

METHODS

An anonymous questionnaire consisting of 15 questions was prepared and administered to all the physicians working at the IRCCS CROB - the Oncology Centre of Basilicata. The main aim of the research was to evaluate the feasibility of adopting a full disclosure policy and the extent to which such a policy could help reduce administration and legal costs.

RESULTS

The physicians interviewed unanimously recognize the importance of error disclosure, given that they themselves would want to be informed if they were the patients. However, 50% have never disclosed a medical error to their patients. Fear of losing the patient's trust (33%) and fear of lawsuits (31%) are the main obstacles to error disclosure.

CONCLUSIONS

The authors found that physicians were in favour of a full policy disclosure at the IRCCS CROB - the Oncology Centre of Basilicata. Many more studies need to be carried out in order to comprehend the economic impact of a full error disclosure policy.

摘要

背景

本研究旨在调查医生在医疗差错情况下的行为，以及应向患者提供的信息的性质，并确定是否有可能制定全面的差错披露政策。数据通过意大利巴斯利卡塔肿瘤中心IRCCS CROB的医疗主任填写匿名问卷收集。

方法

编制了一份由15个问题组成的匿名问卷，并分发给在IRCCS CROB（意大利巴斯利卡塔肿瘤中心）工作的所有医生。该研究的主要目的是评估采用全面披露政策的可行性，以及该政策在多大程度上有助于降低管理和法律成本。

结果

接受采访的医生一致认识到差错披露的重要性，因为如果他们自己是患者，他们希望得到相关信息。然而，50%的医生从未向患者披露过医疗差错。害怕失去患者信任（33%）和害怕诉讼（31%）是差错披露的主要障碍。

结论

作者发现，医生们支持在意大利巴斯利卡塔肿瘤中心IRCCS CROB实施全面的政策披露。为了理解全面差错披露政策的经济影响，还需要进行更多的研究。