Implementation status of error disclosure standards reported by Swiss hospitals

McLennan, Stuart; Engel, Sabrina; Ruhe, Katharina; Leu, Agnes; Schwappach, David; Elger, Bernice (2013). Implementation status of error disclosure standards reported by Swiss hospitals. Swiss medical weekly, 143, w13820. EMH Schweizerischer Ärzteverlag 10.4414/smw.2013.13820

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QUESTION UNDER STUDY

To establish at what stage Swiss hospitals are in implementing an internal standard concerning communication with patients and families after an error that resulted in harm.

METHODS

Hospitals were identified via the Swiss Hospital Association's website. An anonymous questionnaire was sent during September and October 2011 to 379 hospitals in German, French or Italian. Hospitals were asked to specify their hospital type and the implementation status of an internal hospital standard that decrees that patients or their relatives are to be promptly informed about medical errors that result in harm.

RESULTS

Responses from a total of 205 hospitals were received, a response rate of 54%. Most responding hospitals (62%) had an error disclosure standard or planned to implement one within 12 months. The majority of responding university and acute care (75%) hospitals had introduced a disclosure standard or were planning to do so. In contrast, the majority of responding psychiatric, rehabilitation and specialty (53%) clinics had not introduced a standard.

CONCLUSION

It appears that Swiss hospitals are in a promising state in providing institutional support for practitioners disclosing medical errors to patients. This has been shown internationally to be one important factor in encouraging the disclosure of medical errors. However, many hospitals, in particular psychiatric, rehabilitation and specialty clinics, have not implemented an error disclosure policy. Further research is needed to explore the underlying reasons.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Schwappach, David

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1424-7860

Publisher:

EMH Schweizerischer Ärzteverlag

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

05 Mar 2014 15:53

Last Modified:

18 Mar 2021 19:22

Publisher DOI:

10.4414/smw.2013.13820

PubMed ID:

23832277

BORIS DOI:

10.7892/boris.41074

URI:

https://boris.unibe.ch/id/eprint/41074

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