People's Hospital of Aba Tibetan and Qiang Autonomous Prefecture, Maerkang, Sichuan, China.
The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
BMJ Open. 2024 Oct 11;14(10):e085795. doi: 10.1136/bmjopen-2024-085795.
Although the disclosure of medical errors is an integral component of medical ethics, it remains inconsistent in practice worldwide. Despite various explanations of why healthcare professionals reveal their mistakes to patients, comprehensive comparisons and evaluations of this topic remain lacking. The objective of this review is to evaluate the experience of medical error disclosure among medical professionals who have been involved in such errors.
This work will focus on studies involving medical professionals from various countries who work in hospital settings and have obtained an understanding of and firsthand experience with medical error disclosure. This review will include qualitative studies. Studies published in databases such as PubMed, Embase, EBSCO, OVID, Web of Science, ScienceDirect, China National Knowledge Infrastructure, Wanfang Data and Cochrane Library from 1 January 2000 to 30 April 2024 will be searched as part of this research. Additionally, OpenGrey will be searched manually to obtain supplementary information. The search will be conducted starting in May 2024 and will include both Chinese-language and English-language literature. The systematic review will follow the Joanna Briggs Institute's (JBI) methodology for systematic reviews of qualitative evidence and use the JBI System for the Unified Management, Assessment and Review of Information online program. Study authenticity will be investigated via the Qualitative Research Authenticity Evaluation Tool provided by the JBI Evidence-Based Health Care Centre, and data extraction will be performed via the Qualitative Assessment and Review Instrument data extraction tool. The results will be integrated via a pooled integration methodology and evaluated in terms of reliability via the ConQual qualitative systematic evaluation evidence grading tool.
Ethical approval is not required for the study because the review will be based on pre-existing data available in the literature. The results of this systematic review will be submitted to peer-reviewed journals and presented at relevant conferences.
CRD42024494360.
尽管披露医疗差错是医学伦理的一个组成部分，但在全球范围内，这一做法在实践中仍不一致。尽管有各种解释说明医疗保健专业人员为何向患者披露其错误，但仍缺乏对此主题的全面比较和评估。本综述的目的是评估曾犯过此类错误的医疗专业人员披露医疗差错的经验。
这项工作将侧重于来自不同国家、在医院工作的医疗专业人员的研究，这些人员对披露医疗差错有一定的了解并具有第一手经验。本综述将包括定性研究。从 2000 年 1 月 1 日至 2024 年 4 月 30 日，将在 PubMed、Embase、EBSCO、OVID、Web of Science、ScienceDirect、中国国家知识基础设施、万方数据和 Cochrane Library 等数据库中搜索研究，同时将手动搜索 OpenGrey 以获取补充信息。搜索将于 2024 年 5 月开始，包括中文和英文文献。系统综述将遵循 JBI 对定性证据系统评价的方法，并使用 JBI 在线统一管理、评估和审查信息系统进行评价。研究真实性将通过 JBI 循证卫生保健中心提供的定性研究真实性评估工具进行调查，数据提取将通过定性评估和审查仪器数据提取工具进行。结果将通过汇总整合方法进行整合，并通过 ConQual 定性系统评价证据分级工具评估可靠性。
由于本综述将基于文献中已有数据，因此不需要进行伦理审查。本系统综述的结果将提交给同行评议期刊，并在相关会议上展示。
PROSPERO 注册号：CRD42024494360。
