Mixed-realism simulation of adverse event disclosure: An educational methodology and assessment instrument

Simulation in Healthcare

Volumn 8, Issue 2, 2013, Pages 84-90

  Matos, Francisco M ^a,d,e   Raemer, Daniel B ^a,b,c  

^a Center for Medical Simulation   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

^d CENTRO HOSPITALAR E UNIVERSITÁRIO DE COIMBRA   (Portugal)

^e UNIVERSITY OF BEIRA INTERIOR   (Portugal)

Author keywords

Adverse events; Disclosure; Patient simulation

Indexed keywords

ANESTHESIOLOGY; ARTICLE; AUDIOVISUAL EQUIPMENT; CLINICAL COMPETENCE; COMPUTER SIMULATION; EDUCATION; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL EDUCATION; MEDICAL ERROR; METHODOLOGY; OPERATING ROOM; POSTOPERATIVE CARE; PROCEDURES;

ANESTHESIOLOGY; CLINICAL COMPETENCE; COMMUNICATION; COMPUTER SIMULATION; DISCLOSURE; EDUCATIONAL MEASUREMENT; HUMANS; INTERNSHIP AND RESIDENCY; MANIKINS; MEDICAL ERRORS; OPERATING ROOMS; POSTOPERATIVE CARE;

EID: 84876491360     PISSN: 15592332     EISSN: 1559713X     Source Type: Journal    
DOI: 10.1097/SIH.0b013e31827cbb27     Document Type: Article

References (31)

1. Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res 2009;467: 376-382.
2. Coffey M, Thomson K, Tallett S, Matlow A. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. Acad Med 2010;85: 1619-1625.
3. Gallagher TH, Waterman AD, Ebers AG, Fraser VJ, Levinson W. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA 2003;289: 1001-1007.
4. Hospital Accreditation Standards. Oakbrook Terrace, Ill, Joint Commission Resources, 2007.
5. Code of Medical Ethics, Annotated Current Opinions. Chicago, IL: American Medical Association Council on Ethical and Judicial Affairs; 2004.
6. Full Disclosure Working Group. When Things Go Wrong: A Consensus Statement of the Harvard Hospitals. Boston, MA: Mass Massachusetts Coalition for the Prevention of Medical Errors; 2006, http://www. macoalition.org/ publications.shtml.
7. CommunicatingWith Your Patient About Harm: Disclosure of Adverse Events Ottawa, Ontario, Canada, Canadian Medical Protective Association, 2008. Available at: http://www.cmpa-acpm.ca/cmpapd04/docs/resource-files/ml-guides/ disclosure/introduction/index-e.html. Accessed December 20, 2012.
8. Safe Practices for Better Healthcare: 2006 Update. Washington, DC: National Quality Forum; 2006.
9. Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med 2004;164: 1690-1697.
10. Gallagher TH, Studdert D, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med 2007;356: 2713-2719.
11. Levinson W, Gallagher TH. Disclosing medical errors to patients: a status report in 2007. CMAJ 2007;177: 265-267.
12. Levinson W. Disclosing medical errors: we're halfway there. Arch Pediatr Adolesc Med 2008;162: 991-992.
13. Kaldjian LC, Jones EW, Rosenthal GE, Tripp-Reimer T, Hillis SL. An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. J Gen Intern Med 2006;21: 942-948.
14. Hingorani M, Wong T, Vafidis G. Patients' and doctors' attitudes to amount of information given after unintended injury during treatment: cross sectional, questionnaire survey. BMJ 1999;318: 640-641.
15. Jeffe DB, Dunagan WC, Garbutt J, et al. Using focus groups to understand physicians' and nurses' perspectives on error reporting in hospitals. Jt Comm J Qual Saf 2004;30: 471-479.
16. Wu AW, Cavanaugh TA, McPhee SJ, Lo B, Micco GP. To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. J Gen Intern Med 1997;12: 770-775.
17. White AA, Gallagher TH, Krauss MJ, et al. The attitudes and experiences of trainees regarding disclosing medical errors to patients. Acad Med 2008;83: 250-256.
18. Stroud L, McIlroy J, Levinson W. Skills of internal medicine residents in disclosing medical errors: a study using standardized patients. Acad Med 2009;84: 1803-1808.
19. 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.
20. Rosenbaum ME, Ferguson KJ, Lobas JG. Teaching medical students and residents skills for delivering bad news: a review of strategies. Acad Med 2004;79: 107-117.
21. Siminoff LA, Rogers HL, Waller AC, et al. The advantages and challenges of unannounced standardized patient methodology to assess healthcare communication. Patient Educ Couns 2011;82: 318-324.
22. Gaba DM, Howard SK, Fish K, Smith B, Sowb Y. Simulation-based training in anesthesia crisis resource management (ACRM): a decade of experience. Simul Gaming 2001;32: 175-193.
23. Kübler-Ross E. On Death and Dying. New York, NY: MacMillan; 1969.
24. Cohen JA. A coefficient of agreement for nominal scales. Educ Psychol Meas 1960: 37-46.
25. Landis J, Koch G. The measurement of observer agreement for categorical data. Biometrics 1977;33: 159-174.
26. Cohen J. Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull 1968;70: 213-220.
27. Gallagher T, Denham C, Leape L, Amori G, Levinson W. Disclosing unanticipated outcomes to patients: the art and practice. J Patient Safety 2007;3: 158-165.
28. McCord RS, Floyd MR, Lang F, Young VK. Responding effectively to patient anger directed at the physician. Fam Med 2002;34: 331-336.
29. Butcher L. Lawyers say 'sorry' may sink you in court. Physician Exec 2006;32: 20-24.
30. Kaldjian LC, Jones EW, Rosenthal GE. Facilitating and impeding factors for physicians' error disclosure: a structured literature review. Jt Comm J Qual Patient Saf 2006;32: 188-198.
31. Dieckmann P, Gaba D, Rall M. Deepening the theoretical foundations of patient simulation as social practice. Simul Healthc 2007;2: 183-193.