Volume 35, Issue 1 (1-2021)                   Med J Islam Repub Iran 2021 | Back to browse issues page


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Mashayekhi J, Forouzandeh M, Saeedi Tehrani S. Error Disclosure Algorithms: How to Disclose Colleague’s Medical Error at Individual and Organizational Levels. Med J Islam Repub Iran 2021; 35 (1) :1194-1120
URL: http://mjiri.iums.ac.ir/article-1-7507-en.html
Medical Ethics Department, Iran University of Medical Science, Tehran, Iran , saeeditehrani.s@iums.ac.ir
Abstract:   (1080 Views)
Background: Medical error is one of the most important causes of mortality and morbidity in the health care system. Considering the significance of medical error management in the healthcare system, error disclosure is an imperative moral responsibility of medical and healthcare professionals from medical ethics experts’ perspective. In literature, no or inadequate protocols were suggested for disclosing colleague’s medical error; and hence, this study was conducted to provide two algorithms for colleague’s medical error disclosure at individual and organizational levels.
   Methods: This study conducted a narrative review on several valid Internet databases, including PubMed, Science Direct, and Scopus. First, the literature on the colleague’s error was reviewed using articles of the last 20 years focusing on medical errors and error disclosure keywords. Next, two algorithms were developed for the colleague’s error disclosure for individuals and with the assistance of organizations, respectively.
   Results: If we personally notice a colleague's error at an individual level, we should plan for a conversation to encourage the colleague to inform the patient or the related organization about the error. If we notice a medical error from a colleague relating to an organization, we should decide based on circumstances considering the organization’s responsible parties for handling error disclosure.
   Conclusion: This  study  proposes a simple protocol for detecting peer error at the individual level and at the organizational level, using the existing literature. However, the improvement of these types of methods requires analysis of the specific conditions of each health system.
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Type of Study: Review Article | Subject: Medical Ethics

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