Heidari Akram, Razaghi Masoomeh, Asghari Fariba
Assistant Professor, Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran.
Researcher, Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran.
J Med Ethics Hist Med. 2018 Aug 4;11:8. eCollection 2018.
Awareness of the occurrence of medical errors is the right of patients and duty of the health service providers. This study was conducted to evaluate to what extent people want to know the occurrence of an error in their medical care, what they expect to be disclosed about medical error, and what are the influential factors in filing a lawsuit against physicians in disclosed medical errors from their point of view. In this cross-sectional survey, 1062 people residing in the city of Qom, Iran, were telephone interviewed using the random digit dialing method. The questionnaire used consisted of 4 demographic questions and 2 scenarios of major and minor medical error; the participants were asked if the physician should disclose the error in each scenario. The questionnaire also consisted of 16 questions about other issues related to error disclosure. Data were analyzed through descriptive and inferential statistics in SPSS software. About 99.1% of the study population believed that errors had to be disclosed to patients. They all wished to know that measures would be taken to prevent further errors. Moreover, 93.1% of the participants expected an explanation on the incident. As for the factors that decreased the likelihood of taking legal action against the physician from the viewpoint of the study population, treatment of the complications (96.1%) and honesty of the physician (95.8%) had the highest frequency. Based on the considerable preference of patients for error disclosure, it is recommended that physicians disclose all minor and major errors sympathetically and with transparency, honesty, and efforts to prevent future errors.
知晓医疗差错的发生情况是患者的权利，也是医疗服务提供者的职责。本研究旨在评估人们希望在多大程度上了解其医疗护理过程中差错的发生情况，他们期望在医疗差错方面得到哪些信息披露，以及从他们的角度来看，在已披露的医疗差错中对医生提起诉讼的影响因素有哪些。在这项横断面调查中，采用随机数字拨号法对居住在伊朗库姆市的1062人进行了电话访谈。所使用的问卷包括4个人口统计学问题和2个重大及轻微医疗差错情景；询问参与者在每个情景中医生是否应披露差错。问卷还包括16个关于差错披露其他相关问题的题目。通过SPSS软件中的描述性和推断性统计对数据进行分析。约99.1%的研究人群认为必须向患者披露差错。他们都希望知道将采取措施防止进一步的差错。此外，93.1%的参与者期望得到关于该事件的解释。至于从研究人群的角度来看降低对医生采取法律行动可能性的因素，并发症的治疗（96.1%）和医生的诚实度（95.8%）出现频率最高。基于患者对差错披露的强烈偏好，建议医生以同情的态度，透明、诚实地披露所有重大和轻微差错，并努力防止未来的差错。
