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KMID : 1025620190220040321
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Korean Journal of Medical Ethics
2019 Volume.22 No. 4 p.321 ~ p.340
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Does the Disclosure of Patient Safety Incidents Satisfy Those Who Have Been Harmed?
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Pyo Jee-Hee
Lee Won
Jang Seung-Gyeong
Choi Eun-Young
Ock Min-Su
Lee Sang-Il
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Abstract
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This study examines people’s experiences with the disclosure of patient safety incidents (DPSI), which is known to be effective in decreasing medical disputes and improving the relationships between patients and medical professionals. Data on people’s experiences with, and the impacts of, patient safety incidents were collected by means of an online survey of 201 individuals. Only 30.3% (n=61) of participants had experienced full DPSI. The study found that those who experienced patient safety incidents with permanent disability or death were significantly less likely to report expressions of sympathy and regret from the relevant medical professionals than those who experienced patient safety incidents with a lower level of harm (p=0.003). The percentage of participants who reported sleep disorders was 35.3% for “no disclosure”, 28.1% for “partial disclosure”, and 31.3% for “full disclosure” (p=0.673). The results of the survey indicate that those who experience patient safety incidents do not in general receive proper responses from the relevant medical professionals. This in turn suggests that detailed guidelines and training programs for DPSI are required and that psychological and other forms of support should be provided to patients and caregivers who experience patient safety incidents.
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KEYWORD
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patient safety,, disclosure of patient safety incidents, medical dispute, patient experience
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