Patient Safety

Medical Errors Disclosure - Selected Bibliography

Selected Bibliography

  • AMA's Council on Ethical and Judicial Affairs, "E-8.12 Patient Information", Code of Medical Ethics: Current Ethical Opinions, Chicago: American Medical Association, June 1994, one page.

  • Baker, Susan Keane, "Chapter 15: Adverse Patient Outcomes", In Managing Patient Expectations, San Francisco: Jossey-Bass Publishers, 1998, p.213-222.

  • Barron, William M. and Kuczewski, Mark G., "Unanticipated Harm to Patients: Deciding When to Disclose Outcomes", Joint Commission Journal on Quality and Safety, 29 (10) October 2003, p.551-5.

  • Berlinger, Nancy, "Ethical Considerations in Policy Development", Patient Safety and Quality Healthcare, 1 (2) October-December 2004, p.22-4.

  • Berman, Steven, "Reporting Outcomes and Other Issues in Patient Safety: An Interview with Albert Wu", The Joint Commission Journal on Quality Improvement, 28 (4) April 2002, p.197-204.

  • Bonacum, Doug, et al., "Communicating About Episodes of Harm to Patients",  IN: Leonard, Michael, et al., Achieving Safe and Reliable Healthcare, Chicago: Health Administration Press, 2004, chapter six, p.93-112.

  • "Build the Public's Trust by Dealing Openly With Errors", AHA News, 35 (30) August 2, 1999, p.6.

  • Cain, Brad, "You Might Want to Sit Down", HealthLeaders, 6 (5) May 2003, p.22.

  • "A Call for Candor Without Fear", American Medical News, 46 (27) July 21, 2003, p.14. 

  • "Chapter Six: Ethical Considerations", In: What Every Hospital Should Know About Sentinel Events, Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations, 2000, p.89-106.

  • "Condolences Are Fine, But Be Careful What You Say", Healthcare Risk Management, 23 (6) June 2001, p.67-8.

  • Crane, Mark, "What To Say If You Made a Mistake", Medical Economics, 78 (16) August 20, 2001, p.26-8, 33-6.

  • Croteau, Richard J., "Editorial: All Outcomes Should Be Disclosed", Joint Commission Journal on Quality and Safety, 29 (10) October 2003, p.556-7.

  • Darr, Kurt, "Uncircling the Wagons: Informing Patients About Unanticipated Outcomes",  Hospital Topics, 79 (3) Summer 2001, p.33-5.

  • Disclosure of Unanticipated Events: The Next Step in Better Communication with Patients, Chicago: American Society for Healthcare Risk Management, May 2003, 14pp.

  • "Disclosure Requires Some Hard Choices", Healthcare Risk Management, 23 (12) December 2001, p.137-40.

  • Frenkel, Douglas N. and Liebman, Carol B., "Words That Heal", Annals of Internal Medicine, 140 (6) March 16, 2004, p.482-3.  (Editorial to article by Mazor, et al.)

  • Gallagher, Thomas H., et al., "Patients' and Physicians' Attitudes Regarding the Disclosure of Medical Errors", JAMA, 289 (8) February 26, 2003, p.1001-7.

  • Haddad, Amy, "'Fess Up' to Patients?", RN, 66 (9) September 2003, p.27-30. 

  • Hebert, Philip C., "Disclosure of Adverse Events and Errors in Healthcare: An Ethical Perspective", Drug Safety, 24 (15) 2001, p.1095-1104.

  • Hebert, Philip  C., et al., "Bioethics for Clinicians: 23. Disclosure of Medical Error", Canadian Medical Association Journal, 164 (4) February 20, 2001, p.509-13. 

  • Hobgood, Cherri, et al., "Medical Errors—What and When: What Do Patients Want to Know?", Academic Emergency Medicine, 9 (11) November 2002, p.1156-61.

  • Johnson, Connie and Horton, Sue, "Owning Up To Errors; Put an End to the Blame Game", Nursing 2001, 31 (6) June 2001, p.54-5.

  • Kachalia, Allen, et al., "Does Full Disclosure of Medical Errors Affect Malpractice Liability?  The Jury Is Still Out", Joint Commission Journal on Quality and Safety, 29 (10) October 2003, p.503-11.

  • Kraman, Steve S., et al., "Advocacy: The Lexington Veterans Affairs Medical Center", Joint Commission Journal on Quality Improvement, 28 (12) December 2002, p.646-50.

  • Kraman, Steve S. and Hamm, Ginny, "Risk Management: Extreme Honesty May Be the Best Policy", Annals of Internal Medicine, 131 (12) December 21, 1999, p.963-7.  (see also Wu, 1999)

  • Lamb, R, "Open Disclosure: The Only Approach to Medical Error", Quality and Safety in Health Care, 13 (1) February 2004, p.3-5.

  • Lamb, Rae M., et al.,     "Hospital Disclosure Practices: Results of a National Survey", Health Affairs, 22 (2) March/April 2003, p.73-83.

  • Liebman, Carol B. and Hyman, Chris Stern, "A Mediation Skills Model to Manage Disclosure of Errors and Adverse Events to Patients", Health Affairs, 23 (4) July/August 2004, p.22-32.

  • Lindblad, Brad, et al., "Mary Lanning Memorial Hospital: Communication Is Key", Joint Commission Journal on Quality and Safety, 30 (10) October 2004, p.551-8.

  • Mazor, Kathleen M., et al., "Health Plan Members' Views on Forgiving Medical Errors", American Journal of Managed Care, 11 (1) January 2005, p.49-52.

  • Mazor, Kathleen M., et al., "Communicating with Patients about Medical Errors", Archives of Internal Medicine, 164 (15) August 9-23, 2004, p.1690-7.

  • Mazor, Kathleen M., et al., "Health Plan Members' Views About Disclosure of Medical Errors", Annals of Internal Medicine, 140 (6) March 16, 2004, p.409-18.  (see also editorial by Frenkel and Liebman)

  • "Medical Mistakes: Tell Patients, Families Say Risk Managers in National Survey", QRC Advisor, 16 (11) September 2000, p.12.

  • Morath, Julie and Hart, Terry, "Partnering with Families: Disclosure and Trust", In:  Patient Safety Initiative 2000; Spotlight on Solutions; Compendium of Successful Practices, Volume One, Chicago: National Patient Safety Foundation, 2001, p.247-51.

  • Nowicki, Michael and Chaku, Maneesh, "Do Healthcare Managers Have an Ethical Duty to Admit Mistakes?", Healthcare Financial Management, 52 (10) October 1998, p.62-4.

  • O'Connell, Daniel and Reifsteck, Sandra W., "Disclosing Unexpected Outcomes and Medical Error", Journal of Medical Practice Management, 19 (6) May-June 2004, p.317-23.

  • O'Connell, Daniel, et al., "Disclosing Unanticipated Outcomes and Medical Errors", Journal of Clinical Outcomes Management, 10 (1) January 2003, p.25-9.

  • Ott, Mary, "Key Considerations on Drafting a Policy on Disclosure of Unanticipated Outcomes", Journal of Healthcare Risk Management, 21 (3) Fall 2001, p.27-34.  (Includes sample policy from Sisters of Mercy Health System, St. Louis, MO)

  • Perspective on Disclosure of Unanticipated Outcome Information.  Chicago: American Society for Healthcare Risk Management, April 2001, 20pp.

  • Popp, Pamela L., "How To—And Not To—Disclose Medical Errors to Patients", Managed Care, 11 (10) October 2002, p.52-3. 

  • Porto, Grena G., "The Risk Manager's Role in Disclosure of Medical Error: Seeing Ourselves as Others See Us", Journal of Healthcare Risk Management, 21 (3) Fall 2001, p.19-24.

  • Porto, Grena G., "Disclosure of Medical Error: Facts and Fallacies", Journal of Healthcare Risk Management, 21 (3) Fall 2001, p.67-76.

  • Robeznieks, Andis, "The Power of an Apology", American Medical News, 46 (28) July 28, 2003, p.9,10.

  • Rosner, Fred, et al., "Disclosure and Prevention of Medical Errors", Archives of Internal Medicine, 160 (14) July 24, 2000, p.2089-2092.

  • Schwappach, David L.B. and Koeck, Christian M., "What Makes an Error Unacceptable? A Factorial Survey on the Disclosure of Medical Errors", International Journal for Quality in Health Care, 16 (4) August 2004, p.317-24.

  • Smetzer, Judy, "Prescriptions for Safety", AHA News, 36 (11) March 20, 2000, p.7                                        

  • Talking to Patients About Health Care Injury: Statement of Principle.  Chicago, IL: National Patient Safety Foundation, November 14, 2000, one page 

  • "Telling the Truth: Why You Should Disclose Medical Errors to Your Patients", Briefings on Patient Safety, 3 (7) July 2002, p.7-9.

  • Volker, Deborah L. and Clark, Angela P., "Taking the High Road: What Should You Do When an Adverse Event Occurs?", Clinical Nurse Specialist, 18 (4) July-August 2004, p.180-2.

  • Walton, Merrilyn, Open Disclosure To Patients or Families After an Adverse Event; A Literature Review, Sydney, Australia: Australian Council for Safety and Quality in Health Care, Open Disclosure Project, November 2001, 55pp.  (See the Northern Sydney Health website.  accessed 4/02)

  • Wojcieszak, Doug, "One Med-Mal Resolution: Simply Saying 'Sorry' Works", Crain's Chicago Business, 27 (30) July 26, 2004, p.11.

  • Wu, Albert W., see also Berman, Steven

  • Wu, Albert W., "Handling Hospital Errors: Is Disclosure the Best Defense?", Annals of Internal Medicine, 131 (12) December 21, 1999, p.970-2.  (see also Kraman)

  • Wu, Albert W., et al., "To Tell the Truth; Ethical and Practical Issues in Disclosing Medical Mistakes to Patients", Journal of General Internal Medicine, 12 (12) December 1997, p.770-5.

  • Wusthoff, Courtney J., "MSJAMA:  Medical Mistakes and Disclosure: The Role of the Medical Student", JAMA, 286 (9) September 5, 2001, p.1080-1.

4/20/05