References
- Downie J, Lahey W, Ford D, Gibson E, Thomson M, Ward T, et al. Patient safety law: from silos to systems. Ottawa: Health Canada; 2006, p. 24-27.
- World Health Organization. Conceptual framework for the international classification for patient safety: final technical report; 2009 [cited 2016 Aug 10]. Available from: http://www.who.int/patientsafety/taxonomy/icps_full_report.pdf.
- Wolf ZR, Hughes RG. Error reporting and disclosure. In: Hughes RG, editor. Patient safety and quality: an evidence-based handbook for nurses. Rockville: Agency for Healthcare Research and Quality; 2008, p. 8.
- American Medical Association (AMA). The code says the AMA code of medical ethics' opinions on patient safety. AMA J Ethics 2011;13(9):626-628.
- McLennan S, Beitat K, Lauterberg J, Vollmann J. Regulating open disclosure: a German perspective. Int J Qual Health Care 2012;24(1):23-27. https://doi.org/10.1093/intqhc/mzr073
- Disclosure Working Group. Canadian disclosure guidelines: being open and honest with patients and families; 2011 [cited 2017 Feb 15]. Available from: http://www.patientsafetyinstitute.ca/en/toolsResources/disclosure/Documents/CPSI%20Canadian%20Disclosure%20Guidelines.pdf.
- Wachter RM. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood) 2010;29(1):165-173. https://doi.org/10.1377/hlthaff.2009.0785
- National Quality Forum. Safe practices for better healthcare- 2009 update: a consensus report; 2009 [cited 2017 Feb 15]. Available from: http://www.qualityforum.org/Publications/2009/03/Safe_Practices_for_Better_Healthcare%E2%80%932009_Update.aspx.
- Accreditation Canada. Required organizational practices, handbook 2016 [cited 2016 Oct 10]. Available from: https://accreditation.ca/sites/default/files/rop-handbook-2016-en.pdf.
- O'Connor E, Coates HM, Yardley IE, Wu AW. Disclosure of patient safety incidents: a comprehensive review. Int J Qual Health Care 2010;22(5):371-379. https://doi.org/10.1093/intqhc/mzq042
- Wu AW, Boyle DJ, Wallace G, Mazor KM. Disclosure of adverse events in the United States and Canada: an update, and a proposed framework for improvement. J Public Health Res 2013;2(3):e32. https://doi.org/10.4081/jphr.2013.e32
- Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097
- Medau I, Jox RJ, Reiter-Theil S. How psychotherapists handle treatment errors: an ethical analysis. BMC Med Ethics 2013;14:50. https://doi.org/10.1186/1472-6939-14-50
- Lander LI, Connor JA, Shah RK, Kentala E, Healy GB, Roberson DW. Otolaryngologists' responses to errors and adverse events. Laryngoscope 2006;116(7):1114-1120. https://doi.org/10.1097/01.mlg.0000224493.81115.57
- Belela AS, Peterlini MA, Pedreira Mda L. Disclosure of medication error in a pediatric intensive care unit. Rev Bras Ter Intensiva 2010;22(3):257-263. https://doi.org/10.1590/S0103-507X2010000300007
- Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions. Am J Med 2005;118(4):409-413. https://doi.org/10.1016/j.amjmed.2005.01.012
- Kaldjian LC, Jones EW, Wu BJ, Forman-Hoffman VL, Levi BH, Rosenthal GE. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. J Gen Intern Med 2007;22(7):988-996. https://doi.org/10.1007/s11606-007-0227-z
- White AA, Gallagher TH, Krauss MJ, Garbutt J, Waterman AD, Dunagan WC, et al. The attitudes and experiences of trainees regarding disclosing medical errors to patients. Acad Med 2008;83(3):250-256. https://doi.org/10.1097/ACM.0b013e3181636e96
- Hobgood C, Xie J, Weiner B, Hooker J. Error identification, disclosure, and reporting: practice patterns of three emergency medicine provider types. Acad Emerg Med 2004;11(2):196-199. https://doi.org/10.1197/j.aem.2003.08.020
- Wagner LM, Harkness K, Hebert PC, Gallagher TH. Nurses' disclosure of error scenarios in nursing homes. Nurs Outlook 2013;61(1):43-50. https://doi.org/10.1016/j.outlook.2012.05.008
- Loren DJ, Klein EJ, Garbutt J, Krauss MJ, Fraser V, Dunagan WC, et al. Medical error disclosure among pediatricians: choosing carefully what we might say to parents. Arch Pediatr Adolesc Med 2008;162(10):922-927. https://doi.org/10.1001/archpedi.162.10.922
- Loren DJ, Garbutt J, Dunagan WC, Bommarito KM, Ebers AG, Levinson W, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf 2010;36(3):101-108. https://doi.org/10.1016/S1553-7250(10)36018-1
- White AA, Bell SK, Krauss MJ, Garbutt J, Dunagan WC, Fraser VJ, et al. How trainees would disclose medical errors: educational implications for training programmes. Med Educ 2011;45(4):372-380. https://doi.org/10.1111/j.1365-2923.2010.03875.x
- Chan DK, Gallagher TH, Reznick R, Levinson W. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery 2005;138(5):851-858. https://doi.org/10.1016/j.surg.2005.04.015
- Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Error or “act of God”? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. Surgery 2006;139(1):6-14. https://doi.org/10.1016/j.surg.2005.07.023
- Gallagher TH, Garbutt JM, Waterman AD, Flum DR, Larson EB, Waterman BM, et al. Choosing your words carefully: how physicians would disclose harmful medical errors to patients. Arch Intern Med 2006;166(15):1585-1593. https://doi.org/10.1001/archinte.166.15.1585
- Sorokin R, Riggio JM, Moleski S, Sullivan J. Physicians-in-training attitudes on patient safety: 2003 to 2008. J Patient Saf 2011;7(3):133-138. https://doi.org/10.1097/PTS.0b013e31822a9c5e
- Dintzis SM, Stetsenko GY, Sitlani CM, Gronowski AM, Astion ML, Gallagher TH. Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences. Am J Clin Pathol 2011;135(5):760-765. https://doi.org/10.1309/AJCPJF1YUFG6GTFI
- Gallagher TH, Waterman AD, Garbutt JM, Kapp JM, Chan DK, Dunagan WC, et al. US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. Arch Intern Med 2006;166(15):1605-1611. https://doi.org/10.1001/archinte.166.15.1605
- Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Biol Phys 2012;84(2):e131-e137. https://doi.org/10.1016/j.ijrobp.2012.03.010
- Garbutt J, Brownstein DR, Klein EJ, Waterman A, Krauss MJ, Marcuse EK, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med 2007;161(2):179-185. https://doi.org/10.1001/archpedi.161.2.179
- McLennan SR, Diebold M, Rich LE, Elger BS. Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study. Int J Nurs Stud 2016;54:16-22. https://doi.org/10.1016/j.ijnurstu.2014.10.001
- Iedema R, Sorensen R, Manias E, Tuckett A, Piper D, Mallock N, et al. Patients' and family members' experiences of open disclosure following adverse events. Int J Qual Health Care 2008;20(6):421-432. https://doi.org/10.1093/intqhc/mzn043
- Lyu HG, Cooper MA, Mayer-Blackwell B, Jiam N, Hechenbleikner EM, Wick EC, et al. Medical harm: patient perceptions and follow-up actions. J Patient Saf 2014. doi: https://doi.org/10.1097/PTS.0000000000000136.
- Mazor KM, Greene SM, Roblin D, Lemay CA, Firneno CL, Calvi J, et al. More than words: patients' views on apology and disclosure when things go wrong in cancer care. Patient Educ Couns 2013;90(3):341-346. https://doi.org/10.1016/j.pec.2011.07.010
- Iedema R, Allen S, Britton K, Piper D, Baker A, Grbich C, et al. Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. BMJ 2011;343:d4423. https://doi.org/10.1136/bmj.d4423
- Matlow AG, Moody L, Laxer R, Stevens P, Goia C, Friedman JN. Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors. Arch Dis Child 2010;95(4):286-290.
- Mazor KM, Simon SR, Yood RA, Martinson BC, Gunter MJ, Reed GW, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med 2004;140(6):409-418. https://doi.org/10.7326/0003-4819-140-6-200403160-00006
- Moran GJ, Talan DA, Mower W, Newdow M, Ong S, Nakase JY, et al. Appropriateness of rabies postexposure prophylaxis treatment for animal exposures. Emergency ID Net Study Group. JAMA 2000;284(8):1001-1007. https://doi.org/10.1001/jama.284.8.1001
- Hammami MM, Attalah S, Al Qadire M. Which medical error to disclose to patients and by whom? Public preference and perceptions of norm and current practice. BMC Med Ethics 2010;11:17. https://doi.org/10.1186/1472-6939-11-17
- Hingorani M, Wong T, Vafidis G. Attitudes after unintended injury during treatment a survey of doctors and patients. West J Med 1999;171(2):81-82.
- Ushie BA, Salami KK, Jegede AS, Oyetunde M. Patients' knowledge and perceived reactions to medical errors in a tertiary health facility in Nigeria. Afr Health Sci 2013;13(3):820-828.
- Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Arch Intern Med 1996;156(22):2565-2569. https://doi.org/10.1001/archinte.1996.00440210083008
- Kachalia A, Kaufman SR, Boothman R, Anderson S, Welch K, Saint S, et al. Liability claims and costs before and after implementation of a medical error disclosure program. Ann Intern Med 2010;153(4):213-221. https://doi.org/10.7326/0003-4819-153-4-201008170-00002
- Adams MA, Elmunzer BJ, Scheiman JM. Effect of a health system's medical error disclosure program on gastroenterologyrelated claims rates and costs. Am J Gastroenterol 2014;109(4):460-464. https://doi.org/10.1038/ajg.2013.375
- Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality? Evidence from survey data. Med Care 2010;48(11):955-961. https://doi.org/10.1097/MLR.0b013e3181eaf84d
- Hobgood C, Tamayo-Sarver JH, Elms A, Weiner B. Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. Pediatrics 2005;116(6):1276-1286. https://doi.org/10.1542/peds.2005-0946
- Hobgood C, Tamayo-Sarver JH, Weiner B. Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure. Qual Saf Health Care 2008;17(1):65-70. https://doi.org/10.1136/qshc.2006.021758
- Lester GW, Smith SG. Listening and talking to patients. A remedy for malpractice suits? West J Med 1993;158(3):268-272.
- Schwappach DL, Koeck CM. What makes an error unacceptable? A factorial survey on the disclosure of medical errors. Int J Qual Health Care 2004;16(4):317-326. https://doi.org/10.1093/intqhc/mzh058
- Ogundiran TO, Adebamowo CA. Surgeon-patient information disclosure practices in southwestern Nigeria. Med Princ Pract 2012;21(3):238-243. https://doi.org/10.1159/000333817
- Ghalandarpoorattar SM, Kaviani A, Asghari F. Medical error disclosure: the gap between attitude and practice. Postgrad Med J 2012;88(1037):130-133. https://doi.org/10.1136/postgradmedj-2011-130118
- Wu AW, Huang IC, Stokes S, Pronovost PJ. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med 2009;24(9):1012-1017. https://doi.org/10.1007/s11606-009-1044-3
- Cleopas A, Villaveces A, Charvet A, Bovier PA, Kolly V, Perneger TV. Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. Qual Saf Health Care 2006;15(2):136-141. https://doi.org/10.1136/qshc.2005.015602
- Mazor KM, Reed GW, Yood RA, Fischer MA, Baril J, Gurwitz JH. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med 2006;21(7):704-710. https://doi.org/10.1111/j.1525-1497.2006.00465.x
- Lopez L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Med 2009;169(20):1888-1894. https://doi.org/10.1001/archinternmed.2009.387
- Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ 2008;42(7):733-741. https://doi.org/10.1111/j.1365-2923.2008.03109.x
- Wagner LM, Harkness K, Hebert PC, Gallagher TH. Nurses' perceptions of error reporting and disclosure in nursing homes. J Nurs Care Qual 2012;27(1):63-69. https://doi.org/10.1097/NCQ.0b013e318232c0bc
- Sorensen R, Iedema R, Piper D, Manias E, Williams A, Tuckett A. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect 2010;13(2):148-159. https://doi.org/10.1111/j.1369-7625.2009.00569.x
- Sorensen R, Iedema R, Piper D, Manias E, Williams A, Tuckett A. Health care professionals' views of implementing a policy of open disclosure of errors. J Health Serv Res Policy 2008;13(4):227-232. https://doi.org/10.1258/jhsrp.2008.008062
- Elwy AR, Bokhour BG, Maguire EM, Wagner TH, Asch SM, Gifford AL, et al. Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. J Gen Intern Med 2014;29 Suppl 4:895-903. https://doi.org/10.1007/s11606-014-3034-3
- Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. BMC Health Serv Res 2014;14:38. https://doi.org/10.1186/1472-6963-14-38
- Hobgood C, Weiner B, Tamayo-Sarver JH. Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ? Acad Emerg Med 2006;13(4):443-451. https://doi.org/10.1197/j.aem.2005.11.005
- Shannon SE, Foglia MB, Hardy M, Gallagher TH. Disclosing errors to patients: perspectives of registered nurses. Jt Comm J Qual Patient Saf 2009;35(1):5-12. https://doi.org/10.1016/S1553-7250(09)35002-3
- Barrios L, Tsuda S, Derevianko A, Barnett S, Moorman D, Cao CL, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc 2009;23(11):2535-2542. https://doi.org/10.1007/s00464-009-0450-2
- Bonnema RA, Gosman GG, Arnold RM. Teaching error disclosure to residents: a curricular innovation and pilot study. J Grad Med Educ 2009;1(1):114-118. https://doi.org/10.4300/01.01.0019
- Brown SD, Callahan MJ, Browning DM, Lebowitz RL, Bell SK, Jang J, et al. Radiology trainees' comfort with difficult conversations and attitudes about error disclosure: effect of a communication skills workshop. J Am Coll Radiol 2014;11(8):781-787. https://doi.org/10.1016/j.jacr.2014.01.018
- Etchegaray JM, Gallagher TH, Bell SK, Dunlap B, Thomas EJ. Error disclosure: a new domain for safety culture assessment. BMJ Qual Saf 2012;21(7):594-599. https://doi.org/10.1136/bmjqs-2011-000530
- Gunderson AJ, Smith KM, Mayer DB, McDonald T, Centomani N. Teaching medical students the art of medical error full disclosure: evaluation of a new curriculum. Teach Learn Med 2009;21(3):229-232. https://doi.org/10.1080/10401330903018526
- Martinez W, Hickson GB, Miller BM, Doukas DJ, Buckley JD, Song J, et al. Role-modeling and medical error disclosure: a national survey of trainees. Acad Med 2014;89(3):482-489. https://doi.org/10.1097/ACM.0000000000000156
- Posner G, Nakajima A. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. J Obstet Gynaecol Can 2011;33(3):262-268. https://doi.org/10.1016/S1701-2163(16)34828-9
- Raja S, Rajagopalan CF, Patel J, Van Kanegan K. Teaching dental students about patient communication following an adverse event: a pilot educational module. J Dent Educ 2014;78(5):757-762.
- Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med 2014;89(1):136-143. https://doi.org/10.1097/ACM.0000000000000046
- Wayman KI, Yaeger KA, Sharek PJ, Trotter S, Wise L, Flora JA, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. J Healthc Qual 2007;29(4):12-19. https://doi.org/10.1111/j.1945-1474.2007.tb00200.x
- Coffey M, Thomson K, Tallett S, Matlow A. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. Acad Med 2010;85(10):1619-1625. https://doi.org/10.1097/ACM.0b013e3181f046a6
- Westbrook JI, Li L, Lehnbom EC, Baysari MT, Braithwaite J, Burke R, et al. What are incident reports telling us? A comparative study at two Australian hospitals of medication errors identified at audit, detected by staff and reported to an incident system. Int J Qual Health Care 2015;27(1):1-9. https://doi.org/10.1093/intqhc/mzu098
- Hobgood C, Peck CR, Gilbert B, Chappell K, Zou B. Medical errors-what and when: what do patients want to know? Acad Emerg Med 2002;9(11):1156-1161. https://doi.org/10.1197/aemj.9.11.1156
- Saitta N, Hodge SD Jr. Efficacy of a physician's words of empathy: an overview of state apology laws. J Am Osteopath Assoc 2012;112(5):302-306. https://doi.org/10.7556/jaoa.2012.112.5.302
- Leotsakos A, Zheng H, Croteau R, Loeb JM, Sherman H, Hoffman C, et al. Standardization in patient safety: the WHO High 5s project. Int J Qual Health Care 2014;26(2):109-116. https://doi.org/10.1093/intqhc/mzu010
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