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Ethics Forum: A Physician’s Medical Error & the Patient’s Right to Know

Sian Yik Lim, MD, & Marcy B. Bolster, MD  |  Issue: October 2017  |  October 17, 2017

In summary, despite the multiple challenges of disclosing another physician’s error, disclosure remains the right thing to do. Efforts should be made to ensure a meaningful disclosure process for the physician, patient and institution as we continue to reinforce a safe, patient-centered healthcare system built on honesty and trust among its participants.


Sian Yik Lim, MDSian Yik Lim, MD, is a rheumatologist at the Straub Bone & Joint Center, Straub Medical Center, Honolulu. He is a clinical densitometrist certified by the Inter­national Society for Clinical Densitometry. He is interested in quality improvement in healthcare and has been involved in efforts to improve the quality of osteoporosis care in Hawaii. Follow him on Twitter: @limsianyik.
 

Marcy B. Bolster, MDMarcy B. Bolster, MD, is an associate professor of medicine, Harvard Medical School, Boston. She is the director of the Rheumatology Fellowship Training Program at the Massachusetts General Hospital (MGH) and is the medical lead for the MGH Fracture Liaison Service. She is a clinical densitometrist certified by the International Society for Clinical Densitometry.

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Disclosures: Dr. Lim reports no potential conflicts of interest. Dr. Bolster has received a research grant from Eli Lilly and has stock investments in Johnson & Johnson.

References

  1. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err Is Human: Building a Safer Health System. Washington, D.C.: 2000.
  2. Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: A common set of elements and a definition. J Gen Intern Med. Jun 2007;22(6):755–761.
  3. Snyder L; American College of Physicians Ethics, Professionalism, and Human Rights Committee. American College of Physicians Ethics Manual: sixth edition. Ann Intern Med. 2012 Jan 3;156(1 Pt 2):73–104.
  4. Code of Medical Ethics of The American Medical Association: Current Opinions with Annotations 2012–2013. Chicago: American Medical Association, 2012.
  5. Moffatt-Bruce SD, Denlinger CE, Sade RM. Another surgeon’s error: Must you tell the patient? Ann Thorac Surg. 2014 Aug; 98(2):396–401.
  6. Rubin MA, Friedman DI. The ethics of disclosing another physician’s medical error. Continuum (Minneap Minn). 2015 Aug; 21(4 Headache):1146–1149.
  7. Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians’ errors. N Engl J Med. 2013 Oct 31; 369(18):1752–1757.
  8. Christensen JF, Levinson W, Dunn PM. The heart of darkness: The impact of perceived mistakes on physicians. J Gen Intern Med. 1992 Jul–Aug;7(4):424–431.
  9. Mastroianni AC, Mello MM, Sommer S, et al. The flaws in state ‘apology’ and ‘disclosure’ laws dilute their intended impact on malpractice suits. Health Aff (Millwood). 2010 Sep;29(9):1611–1619.
  10. Kachalia A, Kaufman SR, Boothman R, et al. Liability claims and costs before and after implementation of a medical error disclosure program. Ann Intern Med. 2010 Aug 17;153(4):213–221.
  11. Gallagher TH, Studdert D, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007 Jun 28;356(26):2713–2719.

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Filed under:EthicsProfessional Topics Tagged with:disclosureEthicsMedical decision makingmedical errorpatient carepatient satisfactionphysicianphysician-patient communicationrheumatologistrheumatology

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