Al-Nomay Nora S, Ashi Abdulghani, Al-Hargan Aljohara, Alshalhoub Abdulaziz, Masuadi Emad
Department of Preventive Dental Science, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences/King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Riyadh Colleges of Dentistry and Pharmacy, Riyadh, Saudi Arabia.
Saudi Dent J. 2017 Apr;29(2):59-65. doi: 10.1016/j.sdentj.2017.01.003. Epub 2017 Mar 15.
To collect empirical data on the attitudes of dental professionals and dental auxiliaries in Riyadh, Saudi Arabia, regarding the disclosure of medical errors.
A cross-sectional study was conducted, involving the administration of a questionnaire to a sample of 586 participants recruited from over 10 government and private dental institutions in Riyadh between August 2015 and January 2016. The questionnaire collected information regarding participant opinions on (a) personal beliefs, norms, and practices regarding medical errors, (b) the nature of errors that should be disclosed, and (c) who should disclose errors.
Most (94.4%) participants preferred that medical errors should be disclosed. However, personal preferences, perceptions of the norm and current practices with respect to which type (seriousness) of error should be disclosed were inconsistent. Only 17.9% of participants perceived that it was the current practice to disclose errors resulting in "Major harm". Over 68% of respondents reported a personal belief, a perception of the norm and a perception of current practice that errors should be disclosed by the erring dentist. Participants at government institutions were more likely to disclose errors than those at private institutions. There were also significant differences in the responses with respect to gender, age, and nationality. The implications for the development of guidelines to help Saudi dentists adopt ethical courses of action for the disclosure of errors are considered.
(1) The majority of participants personally believed that errors should be disclosed, (2) there was little agreement between participant personal beliefs and perceptions of the norm and practice with respect to which type of errors should be disclosed, (3) there was strong agreement that the erring dentist is responsible for reporting errors, and (4) the attitudes of the participants varied with respect to type of institution, age, gender, and nationality.
收集沙特阿拉伯利雅得市牙科专业人员和牙科辅助人员对医疗差错披露态度的实证数据。
开展一项横断面研究，于2015年8月至2016年1月期间，向从利雅得市10多家政府和私立牙科机构招募的586名参与者发放问卷。该问卷收集了有关参与者对以下方面的意见：(a) 关于医疗差错的个人信念、规范和做法；(b) 应披露的差错性质；(c) 谁应披露差错。
大多数（94.4%）参与者倾向于披露医疗差错。然而，在应披露哪种类型（严重程度）差错的个人偏好、规范认知和当前做法方面存在不一致。只有17.9%的参与者认为披露导致“重大伤害”的差错是当前的做法。超过68%的受访者表示个人认为、认为规范以及认为当前做法是应由犯错的牙医披露差错。政府机构的参与者比私立机构的参与者更有可能披露差错。在性别、年龄和国籍方面的回答也存在显著差异。考虑了对制定指导方针的影响，以帮助沙特牙医采取符合道德的行动来披露差错。
(1) 大多数参与者个人认为应披露差错；(2) 在应披露哪种类型差错的个人信念与规范和做法认知之间几乎没有一致性；(3) 强烈一致认为犯错的牙医有责任报告差错；(4) 参与者的态度因机构类型、年龄、性别和国籍而异。
