病人及大眾對於醫師主動揭露醫療錯誤之看法--對實證文獻之回顧_

:::

詳目顯示

第 1 筆 / 總合 1 筆

/1頁

來源文獻資料
摘要
外文摘要
引文資料

題名：	病人及大眾對於醫師主動揭露醫療錯誤之看法--對實證文獻之回顧
書刊名：	臺灣公共衛生雜誌
作者：	邱淑媞
作者(外文)：	Chiou, Shu-Ti
出版日期：	2007
卷期：	26:5
頁次：	頁339-352
主題關鍵詞：	主動揭露；醫療錯誤；病人安全；Disclosure；Medical errors；Patient safety
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(6) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:6 共同引用:0 點閱:43

主動揭露是處理醫療錯誤的重要環節，許多先進國家皆明訂醫師有主動揭露醫療錯誤之倫理義務，美國更列入醫院評鑑基準中。國內近年亦開始關注此一議題，但醫界仍存有相當疑慮。為瞭解病人、家屬或社會對醫師主動揭露醫療錯誤之看法以及釐清主動揭露與醫療訴訟或糾紛之間可能的關係，供醫界與醫療管理決策者參考，本研究檢索2006年7月前國內外內容涉及病人、家屬或民眾對醫療錯誤主動揭露之看法或反應之中、英文實證研究文獻，計找出以假設性狀況進行之調查或質性研究14篇，醫療訴訟或糾紛案件分析7篇，及以介入性案例報告2篇，納入回顧。研究發現，病人及大眾普遍期望一旦有醫療錯誤發生，醫師能在最短時間內主動揭露並提供詳盡訊息；以各種假設性狀況進行調查，在大多數情況下，有主動揭露時病人想要訴諸法律的比率顯著較未主動揭露者低，而錯誤的嚴重度、類型以及其他相關處置亦會影響病人的反應。訴訟案件分析發現最常見的訴求是希望類似事件不要再發生以及想獲得更多訊息釐清真相。美國Lexington榮民醫學中心與密西根大學醫療體系的經驗則顯示在推動主動揭露政策後醫療訴訟支出大幅降低。因此，主動揭露不僅是醫師倫理義務的一環，並可能有助於降低訴訟成本。建議國內應加速展開相關研究，並在醫院導入主動揭露系統過程進行更嚴謹的評估，建立適用於我國之模式。

以文找文

Disclosure is an important issue in handling medical errors. It is proclaimed as ethical obligation of physicians in many developed countries and is included in the accreditation standards by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) in the U.S. Experts in Taiwan noticed this issue in recent years, but tremendous doubt of its necessity and effect still exists in medical society. Understanding the views of patients and the public regarding physician disclosure of medical errors and clarifying their potential impact on malpractice liability and the patient-physician relationship will provide needed information to assist with decision making in medical society and healthcare management. Data was gathered by comprehensively searching for empirical studies involving the views or response of patients, families, or the public towards disclosure of medical errors published in the English or Chinese language before 2006 July. We found and reviewed 14 surveys or qualitative studies using hypothetical scenarios, 7 studies which analyzed the causes of lawsuits or complaints, and 2 interventional case reports. It was found that patients and the public universally wanted the physicians to tell them the truth of everything as soon as possible once a medical error occurred. Under most hypothetical scenarios, patients had significantly lower intention to take legal action if the error was disclosed versus nondisclosure of the error. The severity and type of errors as well as other aspects of management after the events also affected patient response. Analysis of lawsuits and claims found that the most common reasons for action were to prevent similar events in the future or to get more information and explanation about the truth. Experiences from Lexington Veterans Affairs Medical Center and the University of Michigan Health System in the U.S. showed that implementing hospital-wide disclosure policy led to a significant reduction in their liability costs. We concluded that disclosing medical errors is not only an ethical obligation but also a way to reduce liability costs. To develop an appropriate model in Taiwan, we suggest that Taiwan should launch more investigations in this field and perform conscientious evaluations while introducing the disclosure system into hospitals.

以文找文

期刊論文
1.	Gallagher, T. H.、Levinson, W.(2005)。Disclosing harmful medical errors to patients:a time for professional action。Arch Intern Med，165，1819-1824。
2.	Lamb, R.(2004)。Open disclosure:the only approach to medical error。Qual Saf Health Care，13，3-5。
3.	Liang, B. A.(2002)。A system of medical error disclosure。Qual Saf Health Care，11，64-68。
4.	Kalra, J.、Massey, K. L.、Mulla, A.(2005)。Disclosure of medical error: policies and practice。J R Soc Med，98，307-309。
5.	Wojcieszak, D.、Banja, J.、Houk, C.(2006)。The Sorry Works! Coalition: making the case for full disclosure。Jt Comxn J Qual Patient Saf，32，344-50。
6.	Berlinger, N.、Wu, A. W.(2005)。Subtracting insult from injury: addressing cultural expectations in the disclosure of medical error。J Med Ethics，31(106)，8。
7.	Leape, L.(2005)。Understanding the power of apology:how saying “I'm sorry” helps heal patients and caregivers。Focus on Patient Saf，8，1-3。
8.	Clinton, Hillary Rodham、Obama, Barack(2006)。Making patient safety the centerpiece of medical liability reform。The New England Journal of Medicine，354(21)，2205-2208。
9.	Liebman, Carol B.、Hyman, Chris Stern(2004)。A mediation skills model to manage disclosure of errors and adverse events to patients。Health Aff (Millwood)，23(4)，22-32。
10.	Lamb, R. M.、Studdert, D. M.、Bohmer, R. M. J.、Berwick, D. M.、Brennan, T. A.(2003)。Hospital disclosure practices: results of a national survey。Health Aff，22(2)，73-83。
11.	Weissman, J. S.、Annas, C. L.、Epstein, A. M.(2005)。Error reporting and disclosure systems: views from hospital leaders。JAMA，293，1359-1366。
12.	Gallagher, T. H.、Garbutt, J. M.、Waterman, A. D.(2006)。Choosing your words carefully: how physicians would disclose harmful medical errors to patients。Arch Intern Med，166，1585-1593。
13.	Itoh, K.、Andersen, H. B.、Madsen, M. D.、Ostergaard, D.、Ikeno, M.(2006)。Patient views of adverse events: comparisons of self-reported healthcare staff attitudes with disclosure of accident information。Appl Ergon，37，513-523。
14.	Espin, S.、Levinson, W.、Regehr, G.、Baker, G. R.、Lingard, L.(2006)。Error or “act of God”? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure。Surgery，139，6-14。
15.	Friele, R. D.、Sluijs, E. M.(2006)。Patient expectations of fair complaint handling in hospitalsrempirical data。BMC Health Serv Res，6，106。
16.	Bismark, Marie、Dauer, Edward、Paterson, Ron、Studdert, David(2006)。Accountability sought by patients following adverse events from medical care: the New Zealand experience。CMAJ，175，889-894。
17.	Cleopas, A.、Villaveces, A.、Charvet, A.、Bovier, P. A.、Kolly, V.、Perneger, T. V.(2006)。Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness。Qual Saf Health Care，15，136-141。
18.	Mazor, K. M.、Reed, G. W.、Yood, R. A.、Fischer, M. A.、Baril, J.、Gurwitz, J. H.(2006)。Disclosure of medical errors:what factors influence how patients respond。J Gen Intern Med，21，704-710。
19.	Clinton, H. R.、Obama, B.(2006)。Making patient safety the centerpiece of medical liability reform。N Engl J Med，354，2205-2208。
20.	Hobgood, C.、Tamayo-Sarver, J. H.、Elms, A.、Weiner, B.(2005)。Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children。Pediatrics，116，1276-1286。
21.	Duclos, Christine W.、Eichler, Mary、Taylor, Leslie(2005)。Patient perspectives of patient-provider communication after adverse events。International Journal for Quality in Health Care，17(6)，479-486。
22.	Mazor, K. M.、Simon, S. R.、Yood, R. A.(2004)。Health plan members' views about disclosure of medical errors。Ann Intern Med，140，409-418。
23.	Schwappach, D. L. B.、Koeck, C. M.(2004)。What makes an error unacceptable? A factorial survey on the disclosure of medical errors。Int J Qual Health Care，16，317-326。
24.	Gallagher, T. H.、Waterman, A. D.、Ebers, A. G.、Fraser, V. J.、Levinson, W.(2003)。Patients' and physicians' attitides regarding the disclosure of medical errors。JAMA，289，1001-1007。
25.	Hobgood, C.、Peck, C. R.、Gilbert, B. T.、Chappell, K.(2002)。Medical errors--what and when what do patients want to know。Acad Emerg Med，9，1156-1161。
26.	Blendon, R. J.、DesRoches, C. M.、Brodie, M.(2002)。Views of practicing physicians and the public on medical errors。N Engl J Med，347，1933-1940。
27.	Hingorani, M.、Wong, T.、Vafidis, G.(1999)。Patients' and doctors' attitudes to amount of information given after unintended injury during treatment cross sectional, questionnaire survey。BMJ，318，640-641。
28.	Witman, A. B.、Park, D. M.、Hardin, S. B.(1996)。How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting。Arch Intern Med，156，2565-2569。
29.	Vincent, C.、Young, M.、Phillips, A.(1994)。Why do patients sue doctors? A study of patients and relatives taking legal action。Lancet，343，1609-1613。
30.	Beckman, Howard B.、Markakis, Kathryn M.、Suchman, Anthony L.、Frankel, Richard M.(1994)。The doctor-patient relationship and malpractice; lessons from plaintiff depositions。Archives of Internal Medicine，154(12)，1365-1370。
31.	Vincent, C. A.、Pincus, T.、Scurr, J. H.(1993)。Patients' experience of surgical accidents。Qual Health Care，2，77-82。
32.	Kraman, S. S.、Cranfill, L.、Hamm, G.、Woodard, T.、John, M.(2002)。Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center。Jt Comm J Qual Improv，28，646-650。
33.	American Medical Association, Council on Ethical and Judicial Affairs(1997)。Code of Medical Ethics: Current Opinions with Annotations。Chicago, Ill: American Medical Association，8(12)，125。
34.	Hebert, P. C.、Levin, A. V.、Robertson, G.(2001)。Bioethics for clinicians: 23. Disclosure of medical error。CMAJ，164，509-513。
35.	Gallagher, T. H.、Waterman, A. D.、Garbutt, J. M.(2006)。US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients。Arch Intern Med，166，1605-1611。
36.	侯勝茂、陳欣欣(20040700)。提昇病人安全的新作為。臺灣醫學，8(4)，504-509。延伸查詢
37.	Hickson, Gerald B.、Clayton, Ellen Wright、Githens, Penny B.、Sloan, Frank A.(1992)。Factors that prompted families to file medical malpractice claims following perinatal injuries。JAMA，267(10)，1359-1363。
38.	Kraman, Steve S.、Hamm, Ginny(1999)。Risk Management: Extreme Honesty May be the Best Policy。Annals of Internal Medicine，131(12)，963-967。

圖書
1.	行政院衛生署(2006)。95年度新制醫院評鑑基準。台北：行政院衛生署。延伸查詢
2.	National Patient Safety Agency(2005)。Being Open:Communicating Patient Safety Incidents with Patients and Their Carers。London：National Patient Safety Agency。
3.	The Full Disclosure Working Groups of Harvard Hospitals(2006)。When Things Go Wrong: Responding to Adverse Events. A Consensus Statement of the Harvard Hospitals。Burlington, MA：Massachusetts Coalition for the Prevention of Medical Errors。

其他
1.	Joint Commission on Accreditation of Healthcare Organizations(2005)。Health care at the crossroads:strategies for improving the medical liability system and preventing patient injury，http://wwwjointcomrnission.org/NR/rdonlyres/167DD821-A395-48FD-87F9-6AB12BCACB0F/0/Medical_Liability.pdf， 2006/10/09。
2.	General Medical Council(1998)。Good Medical Practice，GMC。
3.	Australian Council for Safety and Quality in Health Care(2003)。Open disclosure standards national standard for open communication in public and private hospitals, following an adverse event in health care，http;//www.safetyandquality,org/i nter net/safety/publi shin g.nsf/Con tent/3D5F114646CEF93DCA2571D5000BFEB7/$File/OpenDisclosure_web.pdf， 2006/10/09。
4.	中華民國醫師公會全國聯合會(2006)。醫師倫理規範，http: //www.tma.tw/ethical/index.asp， 2006/10/12。延伸查詢
5.	The Kaiser Family Foundation，Agency for Healthcare Research and Quality(2006)。Summary and Chartpack: 2006 Update on Consumers’ Views of Patient Safety and Quality Information，http://www.kff.org/kaiserpolls/upload/7560.pdf， 2006/10/13。
6.	The Kaiser Family Foundation，Agency for Healthcare Research and Quality，Harvard School of Public Health(2004)。National survey on consumers' experiences with patient safety and quality information，http://www.kff.org/kaiserpolls/upload/National-Survey-on-Consumers-Experiences-With-Patient-Safety-and-Quality-Information-Survey-Summary-and-Chartpack.pdf， 2006/10/13。

推文
推薦
引用網址
引用嵌入語法
轉寄

top

:::

相關期刊
相關論文
相關專書
相關著作
熱門點閱

1.	醫療訴訟之實證研究--民事案件之上訴率及其維持率
2.	臺灣病人安全通報系統十週年的成效：全國性實證研究
3.	醫療糾紛鑑定意見對法官心證之影響
4.	醫療糾紛鑑定的維持率：二十年全國性的實證研究結果
5.	刑事手段對醫療賠償訴訟之影響：以實證取向觀察與分析
6.	醫療糾紛民事訴訟的損害賠償--法界學說、實務見解及實證研究
7.	臺灣地區住院醫療疏失案件流行病學分析：以2007年為例
8.	急診處置流程--從醫療觀點建制急診病人安全網

無相關博士論文

無相關書籍

無相關著作

1.	醫療旅遊對醫療體系的潛在衝擊
2.	加護病房裡生命末期的醫療決策：以簽署不施行心肺復甦術意願(同意)書的決策分析為例
3.	論病人之拒絕維生醫療權：法律理論與臨床實踐
4.	「妨害醫療罪」乃為公眾而增訂[法學講座]
5.	臺灣地區老人照護、醫療保健與健康促進之立法政策研究
6.	「因果關係」應作為最優先判斷--以醫療案件為例兼評臺灣嘉義地方法院九十一年度訴字第一八三號等相關刑事判決
7.	中國大陸《侵權責任法》中醫療損害責任之司法適用
8.	醫師及醫療機構就債務不履行責任之法律關係--兼評最高法院99年度臺上字第1055號民事判決、臺灣高等法院99年度醫上更(一)字第3號民事判決
9.	澳門發展商務休閒醫療旅遊之可行性研究--訪澳旅客對澳門醫療旅遊發展環境的感知與評估
10.	醫療社會工作於腫瘤治療病患的處遇與發展
11.	高危險妊娠因素與出生體重對新生兒住院醫療費用的影響
12.	臺灣慢性病人醫療利用之探討--以慢性腎臟病、糖尿病及高血壓為例
13.	臺灣推展醫療觀光政策之研究
14.	醫療契約在夫妻家務代理權的適用--德國及我國親屬法的比較
15.	探討某醫療機構之門診民眾對B型肝炎的認知及其篩檢行為的影響因素

QR Code

臺灣人文及社會科學引文索引資料庫系統

詳目顯示

臺灣人文及社會科學引文索引資料庫