Medical error: Overcoming barriers to truthful disclosure

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Medical error: Overcoming barriers to truthful disclosure

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dc.contributor.advisor William J. Winslade, en_US
dc.creator Evelyn Mae Howard McKinney en_US
dc.date.accessioned 2011-12-20T16:04:31Z
dc.date.available 2009-06-09 en_US
dc.date.available 2011-12-20T16:04:31Z
dc.date.created 2007-03-30 en_US
dc.date.issued 2007-03-09 en_US
dc.identifier.other etd-03302007-182541 en_US
dc.identifier.uri http://hdl.handle.net/2152.3/77
dc.description.abstract The Institute of Medicine’s report on medical errors revealed a degree of fallibility in health care that was previously unrecognized. One explanation for the\r\ngeneral ignorance about the threats to patient safety and actual harms to patients is that\r\nmany health-care providers are reluctant to disclose errors to patients or their family\r\nmembers, despite widespread agreement that telling the patient or the patient’s surrogate\r\nthe truth about a medical error is the physician’s professional and ethical duty.\r\nThere are a number of reasons for health-care providers’ decisions to conceal the\r\ntruth or misrepresent what happened when medical error occurs. They range in character\r\nfrom the philosophical to the bureaucratic. Discussions about resolving the problems\r\nsurrounding medical error tend to focus on the systemic nature of many medical errors,\r\nways to improve patient safety, doing away with blame and punishment for erring health\r\nprofessionals, and reforming malpractice legislation. Although each of these explanations\r\nand solutions has its merits, all fail to adequately address the role of the culture of\r\nmedicine in perpetuating the reluctance to truthfully disclose medical errors and the need\r\nfor culture change in health care. There is more to culture change than tinkering with\r\nautomation, organizational policies, and caps on malpractice damages.\r\nA humanistic inquiry, this dissertation reviews and critiques explanations of what\r\nhappens to the erring health professional when faced with owning up to his or her\r\nmistake, reviews and critiques the solutions to the problems surrounding medical error\r\nand deception, and offers alternative ways of understanding and addressing the policies\r\nand ethics of medical error disclosure. en_US
dc.format.medium electronic en_US
dc.language.iso eng en_US
dc.rights Copyright © is held by the author. Presentation of this material on the TDL web site by The University of Texas Medical Branch at Galveston was made possible under a limited license grant from the author who has retained all copyrights in the works. en_US
dc.subject tort reform en_US
dc.subject patient safety en_US
dc.subject medical malpractice en_US
dc.subject deception en_US
dc.subject culture of medicine en_US
dc.title Medical error: Overcoming barriers to truthful disclosure en_US
dc.type.material text en_US
dc.type.genre dissertation en_US
thesis.degree.name PhD en_US
thesis.degree.level Doctoral en_US
thesis.degree.grantor The University of Texas Medical Branch en_US
thesis.degree.department Medical Humanities en_US
dc.contributor.committeeMember Ronald A. Carson en_US
dc.contributor.committeeMember Kenneth A. De Ville en_US
dc.contributor.committeeMember Harold Y. Vanderpool, en_US
dc.contributor.committeeMember Donald S. Prough en_US
dc.contributor.committeeMember Cary W. Cooper en_US

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