Disclosure of Adverse Events and Errors in Surgical Care: Challenges and Strategies for Improvement

摘要: The disclosure of adverse events to patients, including those caused by medical errors, is a critical part patient-centered healthcare and fundamental component patient safety quality improvement. Disclosure benefits providers, institutions. However, the act can be difficult for physicians. Surgeons struggle with in unique ways compared other specialties, surgical setting has specific challenges. frequency along dysfunctional tort system, team structure staff, obstacles created inadvertently existing initiatives may contribute an environment not conducive disclosure. Fortunately, there are multiple strategies address these barriers. Participation communication resolution programs, integration Just Culture principles, planning, refinement informed consent morbidity mortality processes, surgery-specific professional standards, understanding complexities disclosing clinicians’ errors all have potential help surgeons provide patients complete, satisfactory disclosures. Improvement regularity disclosures after will key as field continues advance.