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Volumn 12, Issue 4, 2010, Pages 253-260

How to discuss errors and adverse events with cancer patients

Author keywords

Adverse event; Apology; Cancer; Communication; Disclosure; Iatrogenic disease; Medical errors; Neoplasms; Oncology; Palliative care; Patient safety

Indexed keywords

CANCER PATIENT; CANCER THERAPY; COMMUNICATION SKILL; DOCTOR PATIENT RELATION; GUILT; HEALTH CARE COST; HUMAN; IATROGENIC DISEASE; INTERPERSONAL COMMUNICATION; LAW SUIT; MEDICAL ERROR; MEDICAL ETHICS; PALLIATIVE THERAPY; PATIENT AUTONOMY; PATIENT EDUCATION; PATIENT RIGHT; PATIENT SAFETY; PRACTICE GUIDELINE; REVIEW; RISK ASSESSMENT; RISK REDUCTION; SHAME;

EID: 77956393936     PISSN: 15233790     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11912-010-0109-0     Document Type: Review
Times cited : (7)

References (50)
  • 2
    • 0025924692 scopus 로고
    • Incidence of adverse events and negligence in hospitalized patients. Results of the harvard medical practice study
    • Brennan TA, Leape LL, Laird NM, et al.: Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study. N Engl J Med 1991, 324:370-376.
    • (1991) N Engl J Med , vol.324 , pp. 370-376
    • Brennan, T.A.1    Leape, L.L.2    Laird, N.M.3
  • 3
    • 0035799063 scopus 로고    scopus 로고
    • Adverse events in British hospitals: Preliminary retrospective medical record review
    • Vincent C, Neale G, Woloshynowych M: Adverse events in British hospitals: Preliminary retrospective medical record review. BMJ 2001, 322:517-519.
    • (2001) BMJ , vol.322 , pp. 517-519
    • Vincent, C.1    Neale, G.2    Woloshynowych, M.3
  • 4
    • 2942571128 scopus 로고    scopus 로고
    • The canadian adverse events study: The incidence of adverse events among hospital patients in Canada
    • Ross Baker G, Norton PG, Flintoft V, et al.: The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada. CMAJ 2004, 170:1678-1686.
    • (2004) CMAJ , vol.170 , pp. 1678-1686
    • Ross Baker, G.1    Norton, P.G.2    Flintoft, V.3
  • 5
    • 66949129631 scopus 로고    scopus 로고
    • An international review of patient safety measures in radiotherapy practice
    • Shafiq J, Barton M, Noble D, et al.: An international review of patient safety measures in radiotherapy practice. Radiother Oncol 2009, 92:15-21.
    • (2009) Radiother Oncol , vol.92 , pp. 15-21
    • Shafiq, J.1    Barton, M.2    Noble, D.3
  • 6
    • 60849136629 scopus 로고    scopus 로고
    • Medication errors among adults and children with cancer in the outpatient setting
    • This study reported an error rate of up to 18% in cancer outpatient care. Poor communication was often a root cause of the errors
    • Walsh KE, Dodd KS, Seetharaman K, et al.: Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol 2009, 27:891-896. This study reported an error rate of up to 18% in cancer outpatient care. Poor communication was often a root cause of the errors.
    • (2009) J Clin Oncol , vol.27 , pp. 891-896
    • Walsh, K.E.1    Dodd, K.S.2    Seetharaman, K.3
  • 7
    • 14844290322 scopus 로고    scopus 로고
    • Quality assurance in radiotherapy: Evaluation of errors and incidents recorded over a 10 year period
    • Yeung TK, Borlotto K, Cosby S, et al.: Quality assurance in radiotherapy: Evaluation of errors and incidents recorded over a 10 year period. Radiother Oncol 2005, 74:283-291.
    • (2005) Radiother Oncol , vol.74 , pp. 283-291
    • Yeung, T.K.1    Borlotto, K.2    Cosby, S.3
  • 8
    • 77956394063 scopus 로고    scopus 로고
    • In Oxford Textbook of Palliative Medicine, edn 3. Edited by Doyle D, Hanks G, Cherny N, Calman K. Oxford University Press
    • Fallowfield L: Communication with the patient and family in palliative medicine. In Oxford Textbook of Palliative Medicine, edn 3. Edited by Doyle D, Hanks G, Cherny N, Calman K. Oxford University Press; 2004:101-107.
    • (2004) Communication with the Patient and Family in Palliative Medicine , pp. 101-107
    • Fallowfield, L.1
  • 9
    • 68949197263 scopus 로고    scopus 로고
    • Disclosing medical errors to patients: It's not what you say, it's what they hear
    • Patients respond positively to physicians who disclose an error in a way that they perceive as offering an apology and taking responsibility for the error
    • Wu AW, Huang IC, Stokes S, Pronovost PJ: Disclosing medical errors to patients: It's not what you say, it's what they hear. J Gen Intern Med 2009, 24:1012-1017. Patients respond positively to physicians who disclose an error in a way that they perceive as offering an apology and taking responsibility for the error.
    • (2009) J Gen Intern Med , vol.24 , pp. 1012-1017
    • Wu, A.W.1    Huang, I.C.2    Stokes, S.3    Pronovost, P.J.4
  • 10
    • 34248138403 scopus 로고    scopus 로고
    • Confronting medical errors in oncology and disclosing them to cancer patients
    • Surbone A, Rowe M, Gallagher TH: Confronting medical errors in oncology and disclosing them to cancer patients. J Clin Oncol 2007, 25:1463-1467.
    • (2007) J Clin Oncol , vol.25 , pp. 1463-1467
    • Surbone, A.1    Rowe, M.2    Gallagher, T.H.3
  • 11
    • 18044384993 scopus 로고    scopus 로고
    • Illness trajectories and palliative care
    • Murray SA, Kendall M, Boyd K, Sheikh A: Illness trajectories and palliative care. BMJ 2005, 330:1007-1011.
    • (2005) BMJ , vol.330 , pp. 1007-1011
    • Murray, S.A.1    Kendall, M.2    Boyd, K.3    Sheikh, A.4
  • 12
    • 13944255111 scopus 로고    scopus 로고
    • Subtracting insult from injury: Addressing cultural expectations in the disclosure of medical error
    • Berlinger N, Wu AW: Subtracting insult from injury: Addressing cultural expectations in the disclosure of medical error. J Med Ethics 2005, 31:106-108.
    • (2005) J Med Ethics , vol.31 , pp. 106-108
    • Berlinger, N.1    Wu, A.W.2
  • 13
    • 0035916318 scopus 로고    scopus 로고
    • Bioethics for clinicians: 23. Disclosure of medical error
    • Hebert PC, Levin AV, Robertson G: Bioethics for clinicians: 23. Disclosure of medical error. CMAJ 2001, 20:509-513.
    • (2001) CMAJ , vol.20 , pp. 509-513
    • Hebert, P.C.1    Levin, A.V.2    Robertson, G.3
  • 14
    • 77956393694 scopus 로고    scopus 로고
    • AMA Council on Ethical and Judicial Affairs: Code of Medical Ethics: Current opinions with annotations, 2008-9. Chicago
    • AMA Council on Ethical and Judicial Affairs: Code of Medical Ethics: Current opinions with annotations, 2008-9. Chicago: 2008.
    • (2008)
  • 15
    • 2642678470 scopus 로고    scopus 로고
    • American College of Physicians. Ethics Manual, Fourth Edition
    • American College of Physicians: Ethics Manual, Fourth Edition. Ann Intern Med 1998, 128:576-594.
    • (1998) Ann Intern Med , vol.128 , pp. 576-594
  • 16
    • 0031435205 scopus 로고    scopus 로고
    • To tell the truth: Ethical and practical issues in disclosing medical mistakes to patients
    • Wu AW, Cavanaugh TA, McPhee SJ, Lo B: To tell the truth: Ethical and practical issues in disclosing medical mistakes to patients. J Gen Intern Med 1997, 12:770-775.
    • (1997) J Gen Intern Med , vol.12 , pp. 770-775
    • Wu, A.W.1    Cavanaugh, T.A.2    McPhee, S.J.3    Lo, B.4
  • 17
    • 0037466946 scopus 로고    scopus 로고
    • Patient's and physician's attitudes regarding the disclosure of medical errors
    • Gallagher TH, Waterman AD, Ebers AG, et al.: Patient's and physician's attitudes regarding the disclosure of medical errors. JAMA 2003, 289:1001-1007.
    • (2003) JAMA , vol.289 , pp. 1001-1007
    • Gallagher, T.H.1    Waterman, A.D.2    Ebers, A.G.3
  • 18
    • 1542328163 scopus 로고    scopus 로고
    • Health plan members' views about disclosure of medical errors
    • Mazor KM, Simon SR, Yood RA, et al.: Health plan members' views about disclosure of medical errors. Ann Intern Med 2004, 140:409-418.
    • (2004) Ann Intern Med , vol.140 , pp. 409-418
    • Mazor, K.M.1    Simon, S.R.2    Yood, R.A.3
  • 19
    • 0035552633 scopus 로고    scopus 로고
    • Moral courage in medicine - Disclosing medical error
    • Banja J: Moral courage in medicine - disclosing medical error. Bioethics Forum 2001, 17:7-11.
    • (2001) Bioethics Forum , vol.17 , pp. 7-11
    • Banja, J.1
  • 20
    • 26444505029 scopus 로고    scopus 로고
    • Disclosure of diagnostic errors: The death knell of retrospective pathology reviews?
    • Colgan TJ: Disclosure of diagnostic errors: The death knell of retrospective pathology reviews? J Low Genit Tract Dis 2005, 9:216-218.
    • (2005) J Low Genit Tract Dis , vol.9 , pp. 216-218
    • Colgan, T.J.1
  • 21
    • 33747179818 scopus 로고    scopus 로고
    • US and Canadian physician's attitudes and experiences regarding disclosing errors to patients
    • Gallagher TH, Waterman AD, Garbutt JM, et al.: US and Canadian physician's attitudes and experiences regarding disclosing errors to patients. Arch Intern Med 2006, 16:1605-1611.
    • (2006) Arch Intern Med , vol.16 , pp. 1605-1611
    • Gallagher, T.H.1    Waterman, A.D.2    Garbutt, J.M.3
  • 22
    • 0033593073 scopus 로고    scopus 로고
    • Risk management: Extreme honesty may be the best policy
    • Kraman SS, Hamm G: Risk management: Extreme honesty may be the best policy. Ann Intern Med 1999, 131:963-967.
    • (1999) Ann Intern Med , vol.131 , pp. 963-967
    • Kraman, S.S.1    Hamm, G.2
  • 23
    • 0028097184 scopus 로고
    • Error in medicine
    • Leape LL: Error in medicine. JAMA 1994, 272:1851-1857.
    • (1994) JAMA , vol.272 , pp. 1851-1857
    • Leape, L.L.1
  • 24
    • 0036844329 scopus 로고    scopus 로고
    • Medical errors - What and When: What do patients want to know?
    • Hopgood C, Peck CR, Gilbert B, Chappell K: Medical errors - What and When: What do patients want to know? Acad Emer Med 2002, 9:1156-1161.
    • (2002) Acad Emer Med , vol.9 , pp. 1156-1161
    • Hopgood, C.1    Peck, C.R.2    Gilbert, B.3    Chappell, K.4
  • 25
    • 0033528454 scopus 로고    scopus 로고
    • Patients' and doctors attitudes to amount of information given after unintended injury during treatment: Cross-sectional questionnaire study
    • Hingorani M, Wong T, Vafidis G: Patients' and doctors attitudes to amount of information given after unintended injury during treatment: Cross-sectional questionnaire study. BMJ 1999, 318:640-641.
    • (1999) BMJ , vol.318 , pp. 640-641
    • Hingorani, M.1    Wong, T.2    Vafidis, G.3
  • 26
    • 28844489480 scopus 로고    scopus 로고
    • Patient perspectives of patient-provider communication after adverse events
    • Duclos CW, Eichler M, Taylor L, et al.: Patient perspectives of patient-provider communication after adverse events. Int J Qual Saf Health Care 2005, 17:479-486.
    • (2005) Int J Qual Saf Health Care , vol.17 , pp. 479-486
    • Duclos, C.W.1    Eichler, M.2    Taylor, L.3
  • 28
    • 48949104493 scopus 로고    scopus 로고
    • How patients perceive a doctor's caring attitude
    • Quirk M, Mazor K, Haley HL, et al.: How patients perceive a doctor's caring attitude. Patient Educ Couns 2008, 72:359-366.
    • (2008) Patient Educ Couns , vol.72 , pp. 359-366
    • Quirk, M.1    Mazor, K.2    Haley, H.L.3
  • 29
    • 0031180033 scopus 로고    scopus 로고
    • Malignant melanoma: A review of 75 malpractice cases
    • Jackson R: Malignant melanoma: A review of 75 malpractice cases. Int J Dermatol 1997, 36:497-498.
    • (1997) Int J Dermatol , vol.36 , pp. 497-498
    • Jackson, R.1
  • 30
    • 84870048416 scopus 로고    scopus 로고
    • Available at, Accessed March
    • Department of Health: End of Life Care Strategy. Available at http://www.endoflifecare.nhs.uk/eolc/files/DH-EoLC-Strategy-promoting-high- quality-Jul2008.pdf Accessed March 2010.
    • (2010) Department of Health: End of Life Care Strategy
  • 31
    • 33846916490 scopus 로고    scopus 로고
    • Reporting and disclosing medical error: Pediatricians' attitudes and behaviours
    • Garbutt J, Brownstein DR, Klein EJ, et al.: Reporting and disclosing medical error: Pediatricians' attitudes and behaviours. Arch Pediatr Adolesc Med 2007, 161:179-185.
    • (2007) Arch Pediatr Adolesc Med , vol.161 , pp. 179-185
    • Garbutt, J.1    Brownstein, D.R.2    Klein, E.J.3
  • 32
    • 34249941850 scopus 로고    scopus 로고
    • Disclosing medical errors to patients: Attitudes and practices of physicians and trainees
    • Kaldjian LC, Jones EW, Wu BJ, et al.: Disclosing medical errors to patients: Attitudes and practices of physicians and trainees. J Gen Intern Med 2007, 22:988-996.
    • (2007) J Gen Intern Med , vol.22 , pp. 988-996
    • Kaldjian, L.C.1    Jones, E.W.2    Wu, B.J.3
  • 33
    • 77956392156 scopus 로고    scopus 로고
    • Being Open. London: National Patient Safety Agency;. This is a national (UK) policy document setting out a best practice framework for organizations to implement to support good disclosure practice
    • Being Open. London: National Patient Safety Agency; 2009. This is a national (UK) policy document setting out a best practice framework for organizations to implement to support good disclosure practice.
    • (2009)
  • 34
    • 34347254123 scopus 로고    scopus 로고
    • National survey: Risk managers' attitudes and experiences regarding patient safety and error disclosure
    • Gallagher TH, Brundage G, Bommarito KM, et al.: National survey: Risk managers' attitudes and experiences regarding patient safety and error disclosure. J Healthc Risk Manag 2006, 26:11-16.
    • (2006) J Healthc Risk Manag , vol.26 , pp. 11-16
    • Gallagher, T.H.1    Brundage, G.2    Bommarito, K.M.3
  • 35
    • 28444482120 scopus 로고    scopus 로고
    • What can hospitalized patients tell us about adverse events? Learning from patient reported incidents
    • Weingart SN, Pagovich O, Sands DZ, et al.: What can hospitalized patients tell us about adverse events? Learning from patient reported incidents. J Gen Intern Med 2005, 20:830-836.
    • (2005) J Gen Intern Med , vol.20 , pp. 830-836
    • Weingart, S.N.1    Pagovich, O.2    Sands, D.Z.3
  • 36
    • 0037069783 scopus 로고    scopus 로고
    • Views of practicing physicians and the public on medical errors
    • Blendon RJ, DesRoches CM, Brodie M, et al.: Views of practicing physicians and the public on medical errors. N Engl J Med 2002, 347:1933-1940.
    • (2002) N Engl J Med , vol.347 , pp. 1933-1940
    • Blendon, R.J.1    DesRoches, C.M.2    Brodie, M.3
  • 37
    • 0025828974 scopus 로고
    • Do house officers learn from their mistakes?
    • Wu AW, Folkman S, McPhee SJ, Lo B: Do house officers learn from their mistakes? JAMA 1991, 265:2089-2094.
    • (1991) JAMA , vol.265 , pp. 2089-2094
    • Wu, A.W.1    Folkman, S.2    McPhee, S.J.3    Lo, B.4
  • 38
    • 39749126823 scopus 로고    scopus 로고
    • Transparency, apology and disclosure of adverse outcomes
    • Weiss PM, Miranda F: Transparency, apology and disclosure of adverse outcomes. Obstet Gynecol Clin N Am 2008, 35:53-62.
    • (2008) Obstet Gynecol Clin N Am , vol.35 , pp. 53-62
    • Weiss, P.M.1    Miranda, F.2
  • 39
    • 77956392280 scopus 로고    scopus 로고
    • Does medical error disclosure violate the medical malpractice cooperation clause?
    • Implementation Issues, Challenges, and Lessons Learned. Edited by Henriksen K, Battles JB, Marks ES, et al. Rockville, MD: AHRQ
    • Banja JD: Does medical error disclosure violate the medical malpractice cooperation clause? In Advances in Patient Safety: From Research to Implementation, vol 3, Implementation Issues, Challenges, and Lessons Learned. Edited by Henriksen K, Battles JB, Marks ES, et al. Rockville, MD: AHRQ; 2005:371-381.
    • (2005) Advances in Patient Safety: From Research to Implementation , vol.3 , pp. 371-381
    • Banja, J.D.1
  • 40
    • 0034681752 scopus 로고    scopus 로고
    • Medical error: The second victim
    • Wu AW:Medical error: The second victim. BMJ 2000, 320:726-727.
    • (2000) BMJ , vol.320 , pp. 726-727
    • Wu, A.W.1
  • 41
    • 35548994157 scopus 로고    scopus 로고
    • Guilty, afraid and alone - Struggling with medical error
    • Delbanco T, Bell SK: Guilty, afraid and alone - struggling with medical error. N Engl J Med 2007, 357:1682-1683.
    • (2007) N Engl J Med , vol.357 , pp. 1682-1683
    • Delbanco, T.1    Bell, S.K.2
  • 42
    • 34247195697 scopus 로고    scopus 로고
    • A medical error leads to tragedy: How do we inform the patient?
    • Baumrucker SJ: A medical error leads to tragedy: How do we inform the patient? Am J Hosp Palliat Care 2006, 23:417-421.
    • (2006) Am J Hosp Palliat Care , vol.23 , pp. 417-421
    • Baumrucker, S.J.1
  • 43
    • 77951240380 scopus 로고    scopus 로고
    • Risk managers, physicians and disclosure of harmful medical errors
    • This study compares physicians' and risk managers' attitudes and experiences regarding medical error. It concludes that greater collaboration between the two groups may improve disclosure practice
    • Loren DJ, Garbutt J, Danagan WC, et al.: Risk managers, physicians and disclosure of harmful medical errors. Jt Comm J Qual Saf 2010, 36:101-108. This study compares physicians' and risk managers' attitudes and experiences regarding medical error. It concludes that greater collaboration between the two groups may improve disclosure practice.
    • (2010) Jt Comm J Qual Saf , vol.36 , pp. 101-108
    • Loren, D.J.1    Garbutt, J.2    Danagan, W.C.3
  • 44
    • 59849127271 scopus 로고    scopus 로고
    • Disclosing errors to patients: Perspectives of registered nurses
    • This study examines the attitudes and experiences of nurses regarding error disclosure. It highlights the difficulties nurses face with the disclosure of medical error and recommends an approach to disclosure that involves the whole health care team
    • Shannon SE, Foglia MB, Hardy M, Gallagher TH: Disclosing errors to patients: Perspectives of registered nurses. J Comm J Qual Saf 2009, 35:5-12. This study examines the attitudes and experiences of nurses regarding error disclosure. It highlights the difficulties nurses face with the disclosure of medical error and recommends an approach to disclosure that involves the whole health care team.
    • (2009) J Comm J Qual Saf , vol.35 , pp. 5-12
    • Shannon, S.E.1    Foglia, M.B.2    Hardy, M.3    Gallagher, T.H.4
  • 45
    • 33747121671 scopus 로고    scopus 로고
    • Will saying "I'm sorry" prevent a malpractice lawsuit?
    • Berlin L: Will saying "I'm sorry" prevent a malpractice lawsuit? AJR Am J Roentgenol 2006, 187:10-15.
    • (2006) AJR Am J Roentgenol , vol.187 , pp. 10-15
    • Berlin, L.1
  • 46
    • 22244438564 scopus 로고    scopus 로고
    • Disclosure of medical error: Policies and practice
    • Kalra J, Massey KL, Mulla A: Disclosure of medical error: Policies and practice. J R Soc Med 2005, 98:307-309.
    • (2005) J R Soc Med , vol.98 , pp. 307-309
    • Kalra, J.1    Massey, K.L.2    Mulla, A.3
  • 48
    • 84927962197 scopus 로고    scopus 로고
    • Communication skills training for health care professionals working with cancer patients, their families and/or carers
    • Moore PM,Wilkinson SSM, RiveraMercado S: Communication skills training for health care professionals working with cancer patients, their families and/or carers. Cochrane Database Syst Rev 2004, 2:CD003751.
    • (2004) Cochrane Database Syst Rev , vol.2
    • Moore, P.M.1    Wilkinson, S.S.M.2    Rivera Mercado, S.3
  • 49
    • 0037190504 scopus 로고    scopus 로고
    • Key communication skills and how to acquire them
    • Maguire P, Pitceathly C: Key communication skills and how to acquire them. BMJ 2002, 325:697-700.
    • (2002) BMJ , vol.325 , pp. 697-700
    • Maguire, P.1    Pitceathly, C.2
  • 50
    • 68849091050 scopus 로고    scopus 로고
    • A 62-year-old woman with skin cancer who experienced wrong-site surgery: Review of medical error
    • This case-based discussion of medical error explores many of the relevant issues
    • Gallagher TH: A 62-year-old woman with skin cancer who experienced wrong-site surgery: Review of medical error. JAMA 2009, 302:669-677. This case-based discussion of medical error explores many of the relevant issues.
    • (2009) JAMA , vol.302 , pp. 669-677
    • Gallagher, T.H.1


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