Supporting health care workers after medical error: Considerations for health care leaders

Journal of Clinical Outcomes Management

Volumn 15, Issue 5, 2008, Pages 240-247

  White, Andrew A ^a   Waterman, Amy D ^b   McCotter, Patricia ^c   Boyle, Dennis J ^d   Gallagher, Thomas H ^a,e  

^a UNIVERSITY OF WASHINGTON   (United States)

^b WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c Risk Management   (United States)

^d UNIVERSITY OF COLORADO   (United States)

^e UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COPING BEHAVIOR; COUNSELING; EMOTIONAL STRESS; HEALTH CARE PERSONNEL; HUMAN; JOB PERFORMANCE; JOB SATISFACTION; LAW SUIT; MALPRACTICE; MEDICAL ERROR; REVIEW; STRESS MANAGEMENT; SUPPORT GROUP;

EID: 44349106449     PISSN: 10796533     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (45)

1. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington (DC): National Academy Press; 2000.
2. Goldberg RM, Kuhn G, Andrew LB, Thomas HA Jr. Coping with medical mistakes and errors in judgment. Ann Emerg Med 2002;39:287-92.
3. Hewett D. Supporting staff involved in serious incidents and during litigation. In: Vincent C, editor. Clinical risk management: enhancing patient safety. 2nd ed. London: BMJ Books; 2001:481-95.
4. Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada. Jt Comm J Qual Patient Saf 2007;33:467-76.
5. Denham C. TRUST: the 5 rights of the second victim. J Patient Saf 2007;3:107-19.
6. Hilfiker D. Facing our mistakes. N Engl J Med 1984;310:118-22.
7. Rowe M. Doctors' responses to medical errors. Crit Rev Oncol Hematol 2004;52:147-63.
8. Hippocrates. Aphorisms. Whitefish (MT): Kessinger Publishing; 2004.
9. Wu AW. Medical error: the second victim. West J Med 2000;172:358-9.
10. Christensen JF, Levinson W, Dunn PM. The heart of darkness: the impact of perceived mistakes on physicians. J Gen Intern Med 1992;7:424-31.
11. Newman MC. The emotional impact of mistakes on family physicians. Arch Fam Med 1996;5:71-5.
12. Bosk CL. Forgive and remember: managing medical failure. Chicago: University of Chicago Press; 1979.
13. Mizrahi T. Managing medical mistakes: ideology, insularity and accountability among internists-in-training. Soc Sci Med 1984;19:135-46.
14. Garbutt J, Waterman AD, Kapp JM, et al. Lost opportunities: how physicians communicate about medical errors. Health Aff (Millwood) 2008;27:246-55.
15. Stanton J, Caan W. How many doctors are sick? BMJ 2003;326597.
16. Schernhammer ES, Colditz GA. Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psychiatry 2004;161:2295-302.
17. Schernhammer E. Taking their own lives - the high rate of physician suicide. N Engl J Med 2005;352:2473-6.
18. West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA 2006;296:1071-8.
19. Relieving physician's stress aids retention, improves care. Exec Solut Healthc Manag 1998;1:11-3.
20. Rassin M, Kanti T, Silner D. Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. Issues Ment Health Nurs 2005;26:873-86.
21. Wolf ZR, Serembus JF, Smetzer J, et al. Responses and concerns of healthcare providers to medication errors. Clin Nurse Spec 2000;14:278-90.
22. Arndt M. Nurses' medication errors. J Adv Nurs 1994;19:519-26.
23. Crigger NJ, Meek VL. Toward a theory of self-reconciliation following mistakes in nursing practice. J Nurs Scholarsh 2007;39:177-83.
24. Crigger N. Two models of mistake-making in professional practice: moving out of the closet. Nurs Philos 2005;6:11-8.
25. Mayo AM, Duncan D. Nurse perceptions of medication errors: what we need to know for patient safety. J Nurs Care Qual 2004;19:209-17.
26. Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA 2003;289:1001-7.
27. Leape LL. Error in medicine. JAMA 1994;272:1851-7.
28. Wu AW, Folkman S, McPhee SJ, Lo B. How house officers cope with their mistakes. West J Med 1993;159:565-9.
29. Engel KG, Rosenthal M, Sutcliffe KM. Residents' responses to medical error: coping, learning, and change. Acad Med 2006;81:86-93.
30. Wu AW, Folkman S, McPhee SJ, Lo B. Do house officers learn from their mistakes? JAMA 1991;265:2089-94.
31. Williams ES, Konrad TR, Scheckler WE, et al. Understanding physicians' intentions to withdraw from practice: the role of job satisfaction, job stress, mental and physical health. Health Care Manage Rev 2001;26:7-19.
32. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002;136:358-67.
33. Charles SC, Warnecke RB, Wilbert JR, et al. Sued and non-sued physicians. Satisfaction, dissatisfactions, and sources of stress. Psychosomatics 1987;28:462-8.
34. Pollack C, Bayley C, Mendiola M, McPhee S. Helping clinicians find resolution after a medical error. Camb Q Healthc Ethics 2003;12:203-7.
35. Orlander JD, Barber TW, Fincke BG. The morbidity and mortality conference: the delicate nature of learning from error. Acad Med 2002;77:1001-6.
36. The Schwartz Center Rounds. Available at www.theschwartzcenter.org/ programs/rounds.html. Accessed 17 Apr 2008.
37. White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol 2005,105(5 Pt 1):1031-8.
38. Adverse health events and incident reporting systems. RCW 70.56.020 (WA 2006). Available at http://apps.leg.wa.gov/RCW/default.aspx?cite=70.56. Accessed 18 Apr 2008.
39. Firth-Cozens J. Organisational trust: the keystone to patient safety. Qual Saf Health Care 2004;13:56-61.
40. Reese JT, Horn JM, Dunning C, editors. Critical incidents in policing. Washington (DC): US Dept. of Justice, Federal Bureau of Investigation; 1991.
41. Kenardy JA. Debriefing post disaster: follow-up after a major earthquake. In: Raphael B, Wilson JP, editors. Psychological debriefing: theory, practice, and evidence. New York: Cambridge University Press; 2000.
42. Rosenthal MM. The incompetent doctor: behind closed doors. Buckingham: Open University Press; 1995.
43. West CP. How do providers recover from errors? AHRQ WebM&M. Available at www.webmm.ahrq.gov//case.aspx?caseID=167. Accessed 17 Apr 2008.
44. Epstein RM. Mindful practice. JAMA 1999;282:833-9.
45. O'Reilly KB. New culture for coping: turning to peer support after medical errors. American Medical News 2006 Sept 11. Available at www.ama-assn.org/amednews/2006/09/11/prl20911.htm. Accessed 17 Apr 2008.