کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4139046 1272192 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure
ترجمه فارسی عنوان
آیا خطاهای پزشکی باید به کودکان بیمار اطلاع داده شود؟ نگرش متخصصان اطفال به افشای خطا
کلمات کلیدی
زیست شناسی بالینی؛ افشای خطا؛ ایمنی بیمار؛ اطفال
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectiveLimited data exist on medical error disclosure in pediatrics. We sought to assess physicians' attitudes toward error disclosure to parents and pediatric patients.MethodsAn anonymous survey was distributed to 1200 members of the American Academy of Pediatrics. Surveys included 1 of 4 possible cases that only varied by patient age (16 or 9 years old) and by whether the medical error resulted in reversible or irreversible harm. Statistical analyses included chi-square, Bonferroni-adjusted P values, Fisher's exact test, Wilcoxon signed rank test, and logistic regressions including key demographic factors, patient age, and error reversibility.ResultsThe response rate was 40% (474 of 1186). Overall, 98% of respondents believed it was very important to disclose medical errors to parents versus 57% to pediatric patients (P < .0001). Respondents believed that medical errors could be disclosed to developmentally appropriate pediatric patients at a mean age of 12.15 years old (SD 3.33), but not below a mean age of 10.25 years old (SD 3.55). Most respondents (72%) believed that physicians and parents should jointly decide whether to disclose to pediatric patients. When disclosing to pediatric patients, 88% of respondents believed that physicians should disclose with the parents present. Logistic regressions found only patient age (odds ratio 18.65, 95% confidence interval 9.20–37.8) and error reversibility (odds ratio 2.90, 95% confidence interval 1.73–4.86) to affect attitudes toward disclosure to pediatric patients. Respondent sex, year of medical school graduation, and area of practice had no effect on disclosure attitudes.ConclusionsMost respondents endorse disclosing medical errors to parents and older pediatric patients, particularly when irreversible harm occurs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Academic Pediatrics - Volume 16, Issue 5, July 2016, Pages 482–488
نویسندگان
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