Case Study: Disclosure of Errors Should Include Conversations With Patient/Families
The case study, which was published in the Joint Commission Journal of Quality and Patient Safety, involved a man diagnosed with multiple myeloma in 2006. He was admitted to the hospital after an orthopedic surgery in January 2009 and died from a drug overdose in February 2009.
Disclosure and quality improvement efforts following the death revealed the event involved more than the adverse drug event.
"You've got a greater problem than a drug error…you've got a massive, big communication problem here," the patient's wife said to a hospital employee. Ongoing communications revealed communication failures and inappropriate behaviors by staff. The researchers concluded meaningful conversations with patients and families following an adverse event could reveal more information than clinicians could discover on their own.
More Articles on Patient Safety:
© Copyright ASC COMMUNICATIONS 2015. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
New From Becker's Infection Control & Clinical Quality
UI Health Care to invest $100M for research funding: 5 key notesRead Now
- Immunotherapy may extend pancreatic cancer patient survival: 6 key notes
- WAMC Gastrointestinal Endoscopy unit receives recognition for excellence: 5 key notes
- Woman wins $1.5M in verdict after Bloomsburg University Nurse Anesthesia Program dismissal
- 4 things to know about rising rates of chlorine-resistant parasite
- Drew Memorial Hospital discuss plans for new surgery center project: 5 key notes