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[Disclosing medical errors: the current situation].

Johan Legemaate1, Arno J Akkermans, Roland D Friele

  • 1Academisch Medisch Centrum, afd. Sociale Geneeskunde, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|September 17, 2015
PubMed
Summary

Physicians must openly disclose medical errors, as mandated by new guidelines and upcoming Dutch law. Implementing an open disclosure policy can help overcome practical barriers to honest communication.

Area of Science:

  • Medical Ethics
  • Healthcare Policy
  • Patient Safety

Background:

  • Broadly supported guidelines now mandate open and honest communication regarding medical errors by healthcare providers.
  • Reinforcement from the medical disciplinary board and impending Dutch legislation underscore the importance of this standard.
  • Current daily practice faces significant personal and institutional barriers to effective communication about medical errors.

Purpose of the Study:

  • To address the challenges in communicating medical errors within the Dutch healthcare system.
  • To explore the potential of implementing an established open disclosure policy in the Netherlands.
  • To overcome existing barriers hindering honest communication about medical errors.

Main Methods:

  • Review of existing broadly-supported guidelines on medical error disclosure.

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  • Analysis of statements from the medical disciplinary board regarding transparency.
  • Examination of personal and institutional barriers to communication in daily practice.
  • Evaluation of the applicability of an "open disclosure policy" developed in other contexts.

    • Main Results:

    • Guidelines and legal expectations increasingly require physicians to be open about medical errors.
    • Significant personal and institutional barriers impede the open disclosure of medical errors in practice.
    • An "open disclosure policy" offers a potential framework to mitigate these communication barriers.

    Conclusions:

    • The Netherlands is moving towards a legal and ethical framework mandating the disclosure of medical errors.
    • Overcoming practical barriers to open disclosure requires strategic implementation of policies.
    • An "open disclosure policy" may provide a viable solution for enhancing communication about medical errors in the Netherlands.