Responsibility and Reflection: Understanding our Responses to Perceived Errors. A Response to Woodward, Lemer and Wu  

Oleh:

Collins, Molly E. ; Block, Susan D. ; Arnold, Robert M. ; Christakis, Nicholas A.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 69 no. 9 (Nov. 2009), page 1294-1295.
Topik: Blame-free culture; Medical errors; USA; Physicians

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Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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A fourth-year medical student in the USA assumed responsibility for a patient with esophageal cancer as a member of a consultation team. In her initial examination, the student noted asymmetric, non-tender lower-extremity swelling. She documented the edema in her note but did additional with this information. Her team was focusing on pain, and she assumed that the primary team was handling day-to-day oncologic concerns. Five days later, with a change of members in the primary team a new intern noted the swelling, ordered an ultrasound, and a lower-extremity deep venous thrombosis was diagnosed. A familiar series of events unfolded: the stuent recognized her lapse as an error; she felt deeply ashamed and guilty; she worried that her error had led to a delay in diagnosis, and that this had caused prentable harm to the patient. She reported her error and sense of shame to her attending, and asserted the desire to disclose and apologize for the mistake to the patient. The attending physician agreed that while an error had been made, there were mitigating factors. The attending shared her own experience of committing a more devastating mistake as a young trainee. The student perceived these words as comforting and supportive, but the feelings of shame persisted even after she disclosed the error to the patient. Internally, she vowed never to ignore asymmetric edema.

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