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Related Experiment Videos

Disclosing errors and adverse events in the intensive care unit.

Dennis Boyle1, Daniel O'Connell, Frederic W Platt

  • 1Department of Medicine, Denver Health Medical Center and University of Colorado Health Sciences Center, Denver, CO, USA.

Critical Care Medicine
|March 17, 2006
PubMed
Summary

Disclosing medical errors and adverse events in critical care is crucial but often overlooked. Implementing a standard disclosure framework can improve patient communication and trust.

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Area of Science:

  • Medical Ethics
  • Patient Safety
  • Critical Care Medicine

Background:

  • Disclosure of errors and adverse events in critical care is a significant challenge.
  • Despite mandates, physicians often fail to disclose harm caused by medical errors.

Purpose of the Study:

  • To review the issue of disclosing errors in care and adverse events in critical care.
  • To provide an approach for discussing errors and adverse events with patients and families.

Main Methods:

  • Systematic review of the problem scope, definitions, and benefits/challenges of disclosure.
  • Application of a standardized framework for disclosure discussions.

Main Results:

  • Most intensivists believe errors should be disclosed, yet routine disclosure is uncommon.

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  • Disclosure offers ethical, financial, legal, and personal benefits.
  • Critical care settings have a higher likelihood of adverse events.

    • Conclusions:

    • Failure to disclose errors and adverse events in critical care is a prevalent issue.
    • Numerous benefits support the disclosure of errors and adverse events.
    • A standard disclosure framework can facilitate these difficult conversations.