Disclosure of patient safety incidents from the Patients’ Rights perspective
DOI:
https://doi.org/10.17566/ciads.v11i3.925Keywords:
Patient, Patient Safety, Patients’ Rights, Adverse EventAbstract
Objective: to show the influence of patients' principles and rights on the process of disclosure, which is commonly associated not with these rights but with professional and institutional obligations. Methods: this is a theoretical research that aims to contribute to the field of patients' rights and to participate in its consolidation and practical impact. The theoretical framework was divided into two axes: i) disclosure and disclosure culture; ii) patients' rights. Results: the positive aspects of disclosure when integrated into patients’ rights are: i) disclosure is an important aspect that affects patient engagement and participation; ii) it increases patient/family trust in the health care institution; iii) it contributes to improving the quality of health care; iv) it relieves the health care professionals involved in the adverse event of their guilt; v) patients are financially compensated more quickly and appropriately. Conclusion: disclosure is the appropriate, transparent, and compassionate response to an incident that causes harm to the patient and a tool to enforce the patients' rights.
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References
World Health Association. Patient Safety. [Internet]. [citado em 5 abr. 2022]. Disponível em: https://www.who.int/news-room/fact-sheets/detail/patient-safety#:~:text=The%20harm%20can%20be%20caused,2.6%20million%20deaths%20(4)
Moffat-Bruce SD, Ferdinand FD, Fann JI. Patient Safety: Disclosure of Medical Errors and Risk Mitigation. Ann Thorac Surg. 2016; 102:358-362.
Yau CWH, Leigh B, Liberati E, Punch D, Dixon-Woods M. Clinical negligence costs: taking action to safeguard NHS sustainability. BMJ. 2020 [citado em 5 abr. 2022]; 368:1-4. doi: https://doi.org/10.1136/bmj.m552
Busch IM, Saxena A, Wu AW. Putting the Patient in Patient Safety Investigations: Barriers and Strategies for Involvement. J Patient Safety. 2021 [citado em 5 abr. 2022]; 17(5):358-362. doi: 10.1097/PTS.0000000000000699
Clinical Excellence Commission. Open Disclosure Handbook. Sydney: Clinical Excellence Commission; 2014.
The Canadian Medical Protective Association. "Patient safety incident" terminology. [Internet]. [citado em 5 abr. 2022]. Disponível em: https://www.cmpa-acpm.ca/serve/docs/ela/goodpracticesguide/pages/patient_safety/Understanding_harm/patient_safety_incident_terminology-e.html
Disclosure Working Group. Canadian Disclosure Guidelines: being open with patients and families. Edmonton: Canadian Patient Safety Institute; 2011.
Leape LL. Making healthcare safe: the story of the Patient Safety Movement. Boston: Springer; 2021.
Adom D, Hussein Ek, Agyem JA. Theoretical and Conceptual Framework: Mandatory Ingredients of a Quality Research [Internet]. [citado em 5 abr. 2022]. Disponível em: https://www.worldwidejournals.com/international-journal-of-scientific-research-(IJSR)/article/theoretical-and-conceptual-framework-mandatory-ingredients-of-a-quality-research/MTM5NDE=/?is=1
Organizing Academic Research Papers: Theoretical Framework. [Internet]. [citado em 5 abr. 2022]. Disponível em: https://library.sacredheart.edu/c.php?g=29803&p=185919
Independent Patient Safety Council. Recommendations on a National Policy Framework for Open Disclosure in Healthcare in Ireland [Internet]. [citado em 5 abr. 2022]. Disponível em: https://assets.gov.ie/127396/af15e335-2c88-40a9-9571-371a978409ca.pdf
Pillinger J. Evaluation of the National Open Disclosure Pilot [Internet]. [citado em 5 abr. 2022]. Disponível em: https://www.lenus.ie/bitstream/handle/10147/617915/OpenDisclosure16.pdf?sequence=1&isAllowed=y
Albuquerque A. Manual de Direito do Paciente. Belo Horizonte: CEI; 2020.
Dekker S. Just Culture. Boca Raton: CRC; 2017.
European Commission. Patients’ Rights in the European Union Mapping eXercise. Luxembourg: Publications Office of the European Union; 2016.
Health Service Executive (HSE).The State Claims Agency (SCA). Evaluation of the National Open Disclosure Pilot [Internet]. [citado em 10 abr. 2022]. Disponível em: https://www.lenus.ie/bitstream/handle/10147/617915/OpenDisclosure16.pdf?sequence=1&isAllowed=y
Busetti F et al. Policies and practice in the disclosure of medical error: Insights from leading countries to address the issue in Italy. Med Sci Law. 2021 [citado em 5 abr. 2022]; 61(1_suppl):88-91. doi: 10.1177/0025802420979441
Gallagher TH et al. Talking with patients about other clinicians’ errors. The New England Journal of Medicine. 2013 [citado em 5 abr. 2022]; 369(18):1752-1757. doi: 10.1056/NEJMsb1303119
Ock M, Lim SY, Jo MW, Lee S. Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. Journal of Preventive Medicine and Public Health. 2017 [citado em 5 abr. 2022]; 50(68):68-82. doi: 10.3961/jpmph.16.105
Clarkson MD, H Haskell H, Hemmelgarn C, Skolnik PJ. Abandon the term “second victim”. The BMJ, 2019 [citado em 5 abr. 2022]; 364. doi: 10.1136/bmj.l1233
Andorno R. Dignity in Psychotherapy. In: The Oxford Handbook of Psychotherapy Ethics. Trachsel M et al (eds.). Oxford: Oxford University Press; 2019.
Carel H, Kidd IJ. Epistemic injustice in healthcare: a philosophical analysis. Med Health Care and Philos. 2014 [citado em 5 abr. 2022]; 17: 529–540. doi: 10.1007/s11019-014-9560-2.
Kiani MA et al. Evaluating the Awareness of Patients’ Rights Based on the Charter of Patients’ Rights in Medical Staff of Mashhad University of Medical Sciences in Mashhad, Iran. Med Edu Bull. 2021 [citado em 5 abr. 2022]; 2(1): 19-31.doi: 10.22034/MEB.2021.293831.1010
Ebrahimi S, Tabei SZ, Kalantari F, Ebrahimi A. Medical interns’ perceptions about disclosing medical errors. Education Research International, 2021 [citado em 5 abr. 2022]; 1102135. doi: doi.org/10.1155/2021/1102135
Zaleta AK, Carpenter BD, Patient-centered communication during the disclosure of a dementia diagnosis. Am J Alzheimers Dis Other Dementia. 2010 [citado em 5 abr. 2022]; 25(6):513-20. doi: 10.1177/1533317510372924
Guillod O. Medical error and patient safety: legal aspects. Journal of Public Health Research. 2013 [citado em 5 abr. 2022]; 2(e21):182-185. doi:10.4081/jphr.2013.e31
Secretary of State for Health. The Report of the Public Inquiry into children’s heart surgery at the Bristol Royal Infirmary 1984-1995 [Internet]. [citado em 10 abr. 2022]. Disponível em: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/273320/5363.pdf
Zehr H. Trocando as lentes. São Paulo: Palas Athena; 2020.
O’Connor E, Coates HM, Yardley IE, Wur AW. Disclosure of patient safety incidents: a comprehensive review. International Journal for Quality in Health Care. 2010 [citado em 5 abr. 2022]; 22(5):371–379. doi: 10.1093/intqhc/mzq042
Shapiro J, Robins L, Galowitz PBA, Gallagher TH, Bell S. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. Journal of Patient Safety [Internet]. 2021 [citado em 5 abr. 2022]; 17(8):e1364-e1370. doi: 10.1097/PTS.0000000000000491
British Medical Association. Access to health records: Updated to reflect the General Data Protection Regulation and Data Protection Act 2018 [Internet]. [citado em 10 abr. 2022]. Disponível em: https://www.bma.org.uk/media/2821/bma-access-to-health-records-june-20.pdf
Monasterio JR. Reparación Integral dese los estándares del Sistema Interamericano de Derechos Humanos [Internet]. [citado em 10 abr. 2022]. Disponível em: https://esdeguelibros.edu.co/index.php/editorial/catalog/download/8/5/252?inline=1#:~:text=El%20derecho%20a%20la%20reparaci%C3%B3n,en%20adelante%2C%20CIDH)%20y%20la
Albuquerque A. Saúde digital e LGPD sob o enfoque do direito do paciente e da sua vulnerabilidade acrescida. In: Aith F, Dallari AD. Saúde Digital e LGPD. São Paulo: Revista dos Tribunais; 2022. p. 245-263.
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