Perceived causes of family physicians' errors.

摘要: Background Competent physicians occasionally make critical errors in patient care that can lead to long-lasting remorse and guilt. The perceived causes of self-admitted physician have not been previously explored. Methods Fifty-three family were interviewed depth asked describe their most memorable the causes. authors analyzed transcripts audiotaped interviews determine frequencies different Errors classified according four general categories. Results Family collectively reported a mean 8 for each case which an error was made (range, 1 16). In 47% cases, died following error, whereas 26% there no adverse outcome. Only 4 53 led malpractice suits, none addressed by peer review organizations. Seven (10%) 70 who invited participate could recall having any errors. attributed 34 causes, fit into categories: stressors (eg, bing hurried or distracted), process-of-care factors premature closure diagnostic process), patient-related misleading normal findings), characteristics lack knowledge). Conclusions attribute wide variety but commonly hurry, distraction, knowledge, process, inadequately aggressive management. Physicians understand common may be better prepared prevent them.