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KMID : 1172020050060020011
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Journal of Korean Bioethics Association
2005 Volume.6 No. 2 p.11 ~ p.29
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Disclosure of Unanticipated Outcome Information as a Strategy of Patient Safety
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Um Young-Rhan
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Abstract
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The purpose of the study is to search the ground and the method of the disclosure of unanticipated outcome information as a strategy of patient safety. Health care error is increasing more and more. Patients/families tend to appeal their harm to the court increasingly. Patients need the information of diagnosis and treatment outcome. However, the accidents are usually managed only by punishing a individual professions in Korea. There is still no systematic approach to enhance patient safety in Korea. In some countries, the individual punishment was changed into systematic approach. The risk
management for preventing institutional financial loss is changed into the patient safety for preventing harm from healthcare service. It is essential to analyze the root cause of the adverse event in patients safety policy. The patient-centered safety approach needs patient’s participation. Clinical practitioners fear that the disclosure of unanticipated outcome might provoke a lawsuit. However, according to some report, the disclosure actually strengthen the care provider-patient relationship. The disclosure policy assure ethical healthcare serve without financial loss of the institute. Under the principle of autonomy, patients have a right to know their complete information of medical condition including unanticipated outcome which is essential in order to make reasonable decision about their health care. Under the principle of justice, patients have a right to receiving just compensation for any harms in terms of suffering, loss of function, lost income, and resulting costs of necessary care and rehabilitation. This study introduces practical guide whether, what, and how to disclose unanticipated outcome information to patients and families through literature review. Disclosure can change ’the culture of silence and blame’ into ’the culture of safety’.
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KEYWORD
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Patient safety, Disclosure, Adverse effect
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