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Activity 10: Evaluation of Biomedical Literature

General Instruction: read the article Patients and Physicians

Attitudes Reardin the !isclosure of "edical Errors# published in

Journal of the American Medical Association in 2003. Provide substantial

COMMEN! on di"erent sections of the article. # COP$ PA!%N& '(OM )EA(%C*E %! P(O)%+%E, # -NOE control/' is a simple tool to identif cop

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%. itle and Abstract

Patients and Phsicians Attitude (e1ardin1 the ,isclosure of Medical

Errors. his article dra4s upon the patients attitude as 4ell as the

phsicians attitude re1ardin1 disclosure of the medical errors. he 1oal of

this article is to let the people comprehend about 4hats reall about

Attitude 4hen it comes to medical errors to4ards the phsician. here area lot of factors that a phsician can ma5e a hu1e mista5e and has to

apolo1i6e to his or her patient but the 7uestion is8 %s it reall o5a to

apolo1i6e to our patient after ma5in1 a mista5e9 :e all 5no4 that

medical errors are not ;ust a simple error. :ould the patient understand it

easil9 )o4 4ould the patient react to this 5ind of instances9

%%. %ntroduction

Medical Errors are ver important to understand. :h9 +ecause not all

phsicians are perfect the can also ma5e mista5es let us consider that

thin1. he Attitude of the patient to4ards the Phsician ma a"ect the

phsicians performance to4ards hiseld of medicine8 diseases8 and etc. he hospital should

be a safe place and a phsician should be the one to help ou to recover

from a certain disease. +ut in realit8 thats not ;ust the case. Phsician

made errors and patients see5 apolo1i6e to phsician 4henever the

made an error. :e should not inculcate in our mind that ;ust because the

are the phsician doesnt mean the do not ma5e mista5es. he Medical

errors are preventable adverse e"ect or care of the phsician.

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%%%. Methods

-Not less than ?0 sentences

%@. (esults

Patients 4ere a4are of the topic of errors in medicine. Patients conceived

of medical errors broadl despite bein1 presented a standard de>nition of

medical errors8 man patients includin1 the poor service 7ualit8 not

preventable adverse events8 and de>cient interpersonal8 perfect patientsunderstood that medical errors 4ere inevitable. Most phsicians concurred

that the 4orr a lot about medical errors. %n addition to fearin1 that an

error mi1ht harm patients. Phsician said their 4orst fears about errors

includin1 la4suits8 loss of patient trust8 loss of collea1ues respect8 the

patients informin1 friends about their bad e=perience and diminished self#

con>dence. Phsicians a1reed the principle that patients should be told

about an error that caused harm8 and man said that such disclosure

4as imperative. !ome phsicians said that there 4as no need to disclose

an error if the harm 4as trivial or if the patient 4as una4are that the errorhad ta5en place. Patients had mi=ed opinions about 4hether the should

be told about near misses because some patients thou1ht that hearin1

about near misses 4ould alert them to 4hat errors the should 4atch for

and 4ould reassure them that the sstems to prevent errors from

reachin1 patients 4ere 4or5in1. +oth the patients and phsicians had

unmet needs follo4in1 errors. Phsicians a1reed that harmful errors

should be disclosed.

@. ,iscussion

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@%. Conclusion

Phsicians ma not provide the information and the emotional support

that the patients see5 follo4in1 harmful medical errors. Phsicians must

4or5 hard to meet patients desires for an apolo1 and for the

information8 cause and prevention of errors. %nsi1hts into the patients or

phsicians attitude to4ard error disclosure could improve the 4a

institutions and practitioners handle these tpes of events. An important

element of the response to medical errors is the interaction bet4een the

patient 4ho e=perienced the error and that phsician. !trate1ies for

respondin1 to medical errors should simultaneousl consider the attitudes

of phsicians and patients about errors and their disclosure. %nstitutionshould address the emotional needs of practitioners 4ho are involved in

medical errors.

,iscussion and Conclusion

%ve learned that attitude is ver important to4ards our patient. As a futurepharmacist8 % must consider a lot of thin1s from m patient if % made a medical error.