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Disclosing Medical Errors to Patients

2010; Association of American Medical Colleges; Linguagem: Inglês

10.15766/mep_2374-8265.1692

2374-8265

Win May, Bradford J. Wood,

Medical Malpractice and Liability Issues

OPEN ACCESSApril 2, 2010Disclosing Medical Errors to Patients Win May, MD, PhD, Beverly Wood, MD, PhD Win May, MD, PhD Keck School of Medicine of the University of Southern California Google Scholar More articles by this author , Beverly Wood, MD, PhD Keck School of Medicine of the University of Southern California Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.1692 SectionsAboutAbstract ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstractThis is a standardized patient case that has been used to assess the communication skills of radiology residents when disclosing a medical error to a patient. In the case, a 50-year-old woman brings her young adult son for a CT scan. All goes well until shortly after the power injection of contrast media followed by saline. The son becomes apneic, hypotensive, and unresponsive, requiring resuscitation, for which the learner has called a code. The son is on his way to the intensive care unit after resuscitation and stabilization. The learner is unsure of the cause of the collapse, as the young man was in good health, an athlete, with no history to suggest a possible problem. The learner then meets with the patient's mother before she goes to the intensive care unit. The case content can be modified for use in other specialties, although the checklist for the standardized patient and the self-evaluation checklist for the resident can be used without modification by all residencies. The steps to be taken in disclosing an error to patients should be explicitly taught to residents by their respective programs. The standardized patient case materials have been extremely useful. The case was implemented in 2007 and used with two groups of radiology residents in two residency programs. Residents received it well and provided positive comments. Educational Objectives By the end of this standardized patient case, learners will be able to: Demonstrate good patient-family-physician interaction skills when discussing an untoward outcome of an injection of contrast and saline for a CT scan.Provide facts about the event to the patient's family during the clinical encounter.Address the family's concerns.Convey empathy and concern about the adverse event.Express sympathy or regret for the unanticipated outcome. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Mrs Richter.doc To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Cited ByKusnoor A, Gill A, Hatfield C, Ordonez N, Dello Stritto R, Landrum P, Teal C and Ismail N (2019) An Interprofessional Standardized Patient Case for Improving Collaboration, Shared Accountability, and Respect in Team-Based Family Discussions, MedEdPORTAL, 15, Online publication date: 1-Jan-2019. Copyright & Permissions© 2010 May and Wood. This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial license.KeywordsSympathyTruth DisclosureSelf-EvaluationInformed ConsentConfidentiality Disclosures None to report. Funding/Support None to report. Loading ...