Document Detail

Transformative possibilities of communication in medical error cases in Japan.
MedLine Citation:
PMID:  21118830     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: /st> This study examines perceptions of persons who experienced a medical error and elements that may serve to open communication with those who experienced a medical error in Japan.
DESIGN: /st> Survey of individuals who reported a previous medical error in their care and those who did not.
SETTING: /st> Tokyo, Osaka and Nagoya metropolitan areas, and in Fukuoka, Shimane and Miyagi rural townships in Japan.
PARTICIPANTS: /st> Questionnaires were distributed to 80 people who had experienced a medical error and 300 people who had not.
MAIN OUTCOME MEASURES: /st> Prevalence of views, expectations and psychological needs regarding medical error.
RESULTS: /st> Forty (50%) questionnaires from those who experienced the errors and 201 (67%) from those who did not experience a medical error were completed. Among those who experienced error, 95% (38/40) preferred to be informed of a medical error immediately by senior personnel (57.7%: 23/40). Those who had not experienced error preferred to be informed by a directly responsible provider (87.6%: 176/201). The perception differences regarding who should break bad news showed statistical significance (P<0.001). Respondents reports that 'communication', 'apology' and 'corrective actions' can contribute to promoting resolution.
CONCLUSIONS: /st> This study showed that after the immediate disclosure of a medical error by senior medical personnel and medical providers should create an environment to continue 'communication' in order to accommodate shifting perspectives of those who experienced the error.
Sawako Okamoto; Kazuo Kawahara; Margaret Algren
Publication Detail:
Type:  Journal Article     Date:  2010-11-29
Journal Detail:
Title:  International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua     Volume:  23     ISSN:  1464-3677     ISO Abbreviation:  Int J Qual Health Care     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9434628     Medline TA:  Int J Qual Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  26-35     Citation Subset:  IM    
Department of Health Policy Science, Division of Health Care Management and Planning, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8519, Japan. or
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