Should We Tell Parents When We’ve Made an Error?

Author:

Bell Sigall K.123,Mann Keith J.45,Truog Robert67,Lantos John D.45

Affiliation:

1. Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts;

2. Patient Safety and Quality Initiatives, Institute for Professionalism and Ethical Practice, and

3. Department of Internal Medicine, and

4. University of Missouri at Kansas City, Kansas City, Missouri; and

5. Department of Pediatrics, Children’s Mercy Hospitals and Clinics, Kansas City, Missouri

6. Division of Medical Ethics, Harvard Medical School, Boston, Massachusetts;

7. Division of Critical Care Medicine, Boston Children’s Hospital, Boston, Massachusetts;

Abstract

One of the most difficult experiences for any doctor or nurse is when they realize that they have made a mistake that has harmed a patient. In the past, mistakes were seldom disclosed to patients. The prevailing ethos was one of professional silence, secrecy, and shame. That has begun to change. Many professional organizations in both medicine and health law recommend full disclosure of mistakes and apologies for the harm that is caused. An atmosphere of openness and honesty leads to a culture of quality and safety. In this Ethics Rounds, we analyze the complex emotional and ethical issues that arise when doctors recognize that an error has occurred.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference28 articles.

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3. Bioethics for clinicians: 23. Disclosure of medical error.;Hébert;CMAJ,2001

4. Informed consent, cancer, and truth in prognosis.;Annas;N Engl J Med,1994

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