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Honestly, do we need a policy on truth?

¹University of Pittsburgh.

Kennedy Institute of Ethics Journal

|November 16, 2001

Summary

Physicians struggle with disclosing medical errors due to lack of clear guidance on truth-telling. Establishing criteria for what, when, and how to communicate adverse events is essential for fostering trust.

Area of Science:

Medical Ethics
Physician-Patient Communication
Healthcare Quality Improvement

Background:

Physician-patient relationship relies on trust, underpinned by truthfulness.
Current ethics codes offer limited guidance on the practical aspects of disclosing truth, especially concerning medical errors.

Purpose of the Study:

To explore the challenges physicians face in disclosing adverse events.
To highlight the need for clear guidelines on truth-telling in clinical practice.

Main Methods:

Analysis of ethical principles and clinical practice barriers related to disclosure.
Review of existing literature on physician honesty and error reporting.

Main Results:

Lack of specific guidance on "what" constitutes the truth, and "when" and "how" to disclose it hinders open communication.

Keywords:

Professional Patient Relationship

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Institutional and personal barriers complicate consistent truthfulness after errors.

Adverse events may remain undisclosed due to these complexities.

Conclusions:

Clear articulation of criteria for determining what information to disclose, by whom, and when is crucial.
Developing a practical policy to guide physicians in these situations is essential for improving transparency and trust.