Evidence map›Paper›PMID 17473944›Full record

ArticleJournal of general internal medicine2007

Disclosing medical errors to patients: attitudes and practices of physicians and trainees.

Lauris C Kaldjian, Elizabeth W Jones, Barry J Wu, Valerie L Forman-Hoffman, Benjamin H Levi, Gary E Rosenthal

Abstract readMulticenter Study
In one paragraph

Article in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  5. When Things Go Wrong: A Guide to the Medical, Ethical, and Legal Dimensions of Surgical Complications.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lauris C KaldjianDivision of General Internal Medicine, Department of Internal Medicine, 1-106 MEB, University of Iowa Carver College of Medicine, 500 Newton Road, Iowa City, IA 52242, USA. lauris-kaldjian@uiowa.edu
Elizabeth W Jones
Barry J Wu
Valerie L Forman-Hoffman
Benjamin H Levi
Gary E Rosenthal

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisclosing errors to patients is an important part of patient care, but the prevalence of disclosure, and factors affecting it, are poorly understood.

objectiveTo survey physicians and trainees about their practices and attitudes regarding error disclosure to patients. DESIGN AND

participantsSurvey of faculty physicians, resident physicians, and medical students in Midwest, Mid-Atlantic, and Northeast regions of the United States. MEASUREMENTS: Actual error disclosure; hypothetical error disclosure; attitudes toward disclosure; demographic factors.

resultsResponses were received from 538 participants (response rate = 77%). Almost all faculty and residents responded that they would disclose a hypothetical error resulting in minor (97%) or major (93%) harm to a patient. However, only 41% of faculty and residents had disclosed an actual minor error (resulting in prolonged treatment or discomfort), and only 5% had disclosed an actual major error (resulting in disability or death). Moreover, 19% acknowledged not disclosing an actual minor error and 4% acknowledged not disclosing an actual major error. Experience with malpractice litigation was not associated with less actual or hypothetical error disclosure. Faculty were more likely than residents and students to disclose a hypothetical error and less concerned about possible negative consequences of disclosure. Several attitudes were associated with greater likelihood of hypothetical disclosure, including the belief that disclosure is right even if it comes at a significant personal cost.

conclusionsThere appears to be a gap between physicians' attitudes and practices regarding error disclosure. Willingness to disclose errors was associated with higher training level and a variety of patient-centered attitudes, and it was not lessened by previous exposure to malpractice litigation.

Indexed as

Faculty, MedicalInternship and ResidencyStudents, MedicalClinical CompetenceDisclosureFemaleHealth Care SurveysHumansMaleMalpracticeMedical ErrorsPhysician-Patient RelationsProfessional PracticeUnited States

Identifiers

PMID17473944
PMCPMC2219725

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.