Implementation status of error disclosure standards reported by Swiss hospitals

Swiss Medical Weekly

Volumn 143, Issue , 2013, Pages

  McLennan, Stuart ^a   Engel, Sabrina ^a   Ruhe, Katharina ^a   Leu, Agnes ^a   Schwappach, David ^b,c   Elger, Bernice ^a  

^a UNIVERSITY OF BASEL   (Switzerland)

^b UNIVERSITY OF BERN   (Switzerland)

^c Swiss Patient Safety Foundation   (Switzerland)

Author keywords

Medical errors; Switzerland; Truth disclosure

Indexed keywords

ARTICLE; CONTROLLED STUDY; HEALTH CARE PLANNING; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL ERROR; QUESTIONNAIRE; STANDARD; SWITZERLAND; HOSPITAL; MENTAL HOSPITAL; REHABILITATION CENTER; UNIVERSITY HOSPITAL; STANDARDS;

DISCLOSURE; HOSPITALS; HOSPITALS, PSYCHIATRIC; HOSPITALS, UNIVERSITY; HUMANS; MEDICAL ERRORS; QUESTIONNAIRES; REHABILITATION CENTERS; SWITZERLAND; TRUTH DISCLOSURE;

EID: 84879891251     PISSN: 14247860     EISSN: 14243997     Source Type: Journal    
DOI: 10.4414/smw.2013.13820     Document Type: Article

References (39)

1. National Patient Safety Agency. Being Open: Saying Sorry When Things Go Wrong. NHS: National Patient Safety Agency; 2009.
2. Canadian Patient Safety Institute. Canadian Disclosure Guidelines. Ottawa: Canadian Patient Safety Institute; 2008.
3. Australian Commission on Safety and Quality in Health Care. Open Disclosure Standard: A National Standard for Open Communication in Public and Private Hospitals, Following an Adverse Event in Health Care. Sydney: ACSQHC; 2008.
4. Massachusetts Coalition for the Prevention of Medical Errors. When Things go Wrong: Responding to Adverse Events. A Consensus Statement of the Harvard Hospitals. Massachusetts Coalition for the Prevention of Medical Errors; 2006.
5. Aubert de la Ruee R. Medizinische Behandlungsfehler und Patientenrechte in Schweden. Schweizerische Ärztezeitung. 2007;88:46.
6. Gallagher TH, Waterman AD, Ebers AG, Fraser VJ, Levinson W. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289:1001-7. (Pubitemid 37432931)
7. Iedema R, Sorensen R, Manias E, Tuckett A, Piper D, Mallock N, Williams A, Jorm C. Patients' and family members' experience of open disclosure following adverse events. Int J Qual Health Care. 2008;20:421-32.
8. Cleopas A, Villaveces A, Charvet A, Bovier PA, Kolly V, Perneger TV. Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. Qual Saf Health Care. 2006;15:136-41.
9. Gallagher TH, Bell SK, Smith KM, Mello MM, McDonald TB. Disclosing Harmful Medical Errors to Patients: Tackling Three Tough Cases. Chest. 2009;136:897-903.
10. Gallagher TH, Lucus MH. Should we disclose harmful medical errors to patients? If so, how? J Clin Outcomes Manag. 2005; 12:253-9. (Pubitemid 40883142)
11. Schwappach DLB, Frank O, Hochreutener MA. 'New perspectives on well-known issues': Patients' experiences and perceptions of safety in Swiss hospitals. Z. Evid. Fortbild. Qual. Gesundh. wesen (ZEFQ) 2011;105:542-8.
12. Iedema R, Allen S, Sorensen R, Gallagher TH. What Prevents Incident Disclosure, and What Can Be Done to Promote It? Jt Comm J Qual Patient Saf. 2011;37:409-17.
13. Gallagher T, Waterman AD, Garbutt JM, Kapp JM, Chan DK, Dunagan WC, Fraser VJ, Levinson W. US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. Arch Intern Med. 2006;166:1605-11. (Pubitemid 44232368)
14. von Laue N, Schwappach DLB, Hochreutener MA. "Second victim" - error, crises and how to get out of it. Therapeutische Umschau. 2012;69:367-70.
15. McLennan S, Beitat K, Lauterberg J, Vollmann J. Regulating Open Disclosure: A German Perspective. Int J Qual Health Care. 2012;24:23-7.
16. Iedema R, Mallock N, Sorensen R, et al. Final Report: Evaluation of the National Open Disclosure Pilot Program. Sydney: Australian Commission on Safety and Quality in Health Care; 2008.
17. Institute of Medicine. To err is human: building a safer health system. Washington, D.C.: The National Academies Press, 2000.
18. Schweizerische Akademie der Medizinischen Wissenschaften. Ausund Weiterbildung in Patientensicherheit und Fehlerkultur. Projekt «Zukunft Medizin Schweiz» - Phase lll. Bern, 2007.
19. SAMW. Aktuell gültige Richtlinien. http://www.samw.ch/de/Ethik/ Richtlinien/Aktuell-gueltige-Richtlinien.html (last accessed 08.10.2012)
20. Bundesgesetz vom 18. März 1994 über die Krankenversicherung (KVG), SR 832.10.
21. Briner M, Kessler O, Pfeiffer Y, Wehner T, Manser T. Assessing hospitals' clinical risk management: Development of a monitoring instrument BMC Health Services Research 2010;10:337.
22. Lauterberg J, Blum K, Briner M, Lessing C. Abschlussbericht: Befragung zum Einführungsstand von klinischen Risiko-Management (kRM) in deutschen Krankenhäusern. Bonn: Institut für Patientensicherheit der Universität Bonn, 2012.
23. Rabia L, Rothhardt V. Aussergerichtliche FMH-Gutachterstelle- Jahresbericht 2011. Schweizerische Ärztezeitung. 2012;93:803-6.
24. Thomas EJ, Studdert DM, Runciman WB, et al. A comparison of iatrogenic injury studies in Australia and the USA. I: context, methods, casemix, population, patient and hospital characteristics, Int J Qual Health Care. 2000;12:371-8.
25. Runciman WB, Webb RK, Helps SC, et al. A comparison of iatrogenic injury studies in Australia and the USA. II: reviewer behaviour and quality of care, Int J Qual Health Care. 2000;12:379-88.
26. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ. 2001;322:517-9. (Pubitemid 32230913)
27. Davis P, Lay-Yee R, Briant R, et al. Adverse events in New Zealand public hospitals: principal findings from a national survey. Wellington, New Zealand: Ministry of Health, 2001.
28. Schioler T, Lipczak H, Pedersen BL, et al. Incidence of adverse events in hospitals. A retrospective study of medical records (in Danish). Ugeskr Laeger. 2001;163:5370-8.
29. Baker GR, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170:1678-86. (Pubitemid 38758745)
30. Nath SB, Marcus SC. Medical Errors in Psychiatry. Harv Rev Psychiatry. 2006;14:204-11. (Pubitemid 44260108)
31. Lamb RM, Studdert DM, Bohmer RMJ, Berwick DM, Brennan TA. Hospital Disclosure Practices: Results Of A National Survey. Health Affairs. 2003;22:73-83. (Pubitemid 41399274)
32. Weissman JS, Annas CL, Epstein AM, Schneider EC, Clarridge B, Kirle L, et al. Error Reporting and Disclosure Systems: Views From Hospital Leaders. JAMA. 2005;293:1359-66. (Pubitemid 40381488)
33. Gallagher TH, Brundage G, Bommarito KM, Summy EA, Ebers AG, Waterman AD, Fraser VJ, Dunagan C. National survey: Risk managers' attitudes and experiences regarding patient safety and error disclosure. ASHRM J. 2006;26:11-6.
34. Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-9.
35. Morris-Donovan B, Hopkins G, Watts I. Regaining trust after an adverse event: An education module on managing adverse events in general practice. The Royal Australian College of General Practitioners, 2008.
36. Hobgood C, Peck CR, Gilbert B, Chappell K, Zou B. Medical Errors - What and When: What Do Patients Want to Know? Acad Emerg Med. 2002;9:1156-61. (Pubitemid 35291544)
37. Lopez L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Disclosure of Hospital Adverse Events and Its Association With Patients' Ratings of the Quality of Care. Arch Intern Med. 2009;169:1888-94.
38. Helmreich RL, Merritt AC. Culture at Work in Aviation and Medicine. National, Organisational and Professional Influences. Aldershot: Ashgate Publishing Limited; 1998.
39. Baruch Y, Holtom BC. Survey response rate levels and trends in organizational research. Human Relations. 2008;6:1139-60.