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Related Experiment Videos

Otolaryngologists' responses to errors and adverse events.

Lina I Lander1, Jean Anne Connor, Rahul K Shah

  • 1Department of Otolaryngology and Communication Disorders, Children's Hospital Boston, and Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts 02111, USA.

The Laryngoscope
|July 11, 2006
PubMed
Summary

Otolaryngologists report emotional reactions to medical errors and take corrective actions to improve patient care. Addressing these emotions is crucial in medical training and practice.

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Area of Science:

  • Medical error analysis
  • Patient safety research
  • Otolaryngology practice

Background:

  • Medical errors and adverse events are significant concerns in healthcare.
  • Understanding physician responses to errors is vital for improving patient safety.
  • Otolaryngologists' experiences with errors and their emotional impact require investigation.

Purpose of the Study:

  • To describe otolaryngologists' emotional reactions to errors.
  • To document efforts by otolaryngologists to take responsibility for errors.
  • To identify improvements implemented by otolaryngologists following adverse events.

Main Methods:

  • Anonymous survey of 2,500 U.S. otolaryngologists.
  • Retrospective analysis of self-reported errors in the past six months.

Related Experiment Videos

  • Inquiry into error descriptions, consequences, emotional responses, and corrective actions.
  • Main Results:

    • 18.6% response rate; 45% reported errors (212 reports).
    • Corrective actions included patient disclosure (9%), mitigating consequences (50%), practice changes (7%), departmental improvements (28%), and hospitalwide actions (9%).
    • 10% reported emotional reactions (regret, embarrassment, guilt, anxiety); 2% mentioned legal action.

    Conclusions:

    • Otolaryngologists implement multifaceted actions to enhance patient care post-error.
    • Emotional responses to adverse events are common among otolaryngologists.
    • Medical training and practice should incorporate strategies for managing physicians' emotional reactions to errors.