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 2016. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
To receive the latest hospital and health system business and legal news and analysis from Becker's Hospital Review, sign-up for the free Becker's Hospital Review E-weekly by clicking here.
- The shift from grouper to APC reimbursement: Advice for ASCs and HOPDs
- International Association of HealthCare Professionals adds Dr. Robert Reveille: 3 things to know
- Diagnostic colonoscopy cost in Australia, South Africa, US & more: 7 notes
- Propofol as effective as traditional anesthesia in GI/endoscopy procedures: 4 key insights
- Bothwell Regional Health Center adds Dr. Jared Engles: 3 things to know