Sage Journals: Discover world-class research

Abstract

In South Korea, disclosure of patients’ safety incidents is not common in health care settings. Thus, this study identified patients’ and families’ experiences regarding disclosure of patient safety incidents. Data were collected through in-depth individual interviews from May 25, 2020, to June 23, 2020, and analyzed using Colaizzi’s phenomenological method. The participants consisted of 15 patients and their families who had experienced patient safety incidents in hospitals. It is essential to form a base of mutual understanding to enable disclosure and promote follow-up management systems that can ethically and responsibly handle patient safety incidents. Concrete protocols and policies need to be developed to protect patients and their families from physical/psychological injury and the stress experienced due to patient safety incidents. The patients and their families desired changes to improve protocols for proper disclosure, help health care professionals adopt an ethical and mature attitude, and develop professional health care policies regarding patients’ safety incidents.

Keywords

safety incidents patient safety disclosure qualitative research qualitative South Korea

Get full access to this article

View all access options for this article.

References

Australian Commission on Safety and Quality in Healthcare. (2003). Open disclosure standard: A national standard for open communication in public and private hospitals, following an adverse event in healthcare.

Beauchamp

T. L.

Childress

J. F.

(2001). Principles of biomedical ethics (5th ed.). Oxford University Press.

Canadian Patient Safety Institute. (2011). Canadian disclosure guidelines. Being open with patients and families. https://www.patientsafetyinstitute.ca/en/toolsResources/disclosure/Documents/CPSI%20Canadian%20Disclosure%20Guidelines.pdf

Carmack

H. J.

(2014). A cycle of redemption in a medical error disclosure and apology program. Qualitative Health Research, 24(6), 860–869. https://doi.org/10.1177/1049732314536285

Choi

E. Y.

Pyo

Ock

Lee

(2019). Nurses’ perceptions regarding disclosure of patient safety incidents in Korea: A qualitative study. Asian Nursing Research, 13(3), 200–208. https://doi.org/10.1016/j.anr.2019.05.002

Colaizzi

P. F.

(1978). Psychological research as the phenomenologist views it. Oxford University Press.

Freeman

(2006). “Best practice” in focus group research: Making sense of different views. Journal of Advanced Nursing, 56(5), 491–497. https://doi.org/10.1111/j.1365-2648.2006.04043.x

Guba

E. G.

Lincoln

Y. S.

(1989). Fourth generation evaluation. SAGE.

Han

S. S.

Kim

Y. S.

Ahn

(2010). Validation of a Korean version of the Moral Sensitivity Questionnaire. Nursing Ethics, 17(1), 99–105. https://doi.org/10.1177/0969733009349993

10.

Hovey

R. B.

Dvorak

M. L.

Burton

Worsham

Padilla

Hatlie

M. J.

Morck

A. C.

(2011). Patient safety: A consumer’s perspective. Qualitative Health Research, 21(5), 662–672. https://doi.org/10.1177/1049732311399779

11.

Institute of Medicine. (2000). To err is human: Building a safer health system. National Academy Press.

12.

Jeong

Seo

Y. J.

Nam

E. W.

(2006). Factors affecting patient safety management activities at nursing divisions of two university hospitals. Korean Journal of Hospital Management, 11(1), 91–109.

13.

Joint Commission Resources Inc. (2010). Comprehensive accreditation manual for hospitals: The official handbook. Oakbrook Terrace.

14.

Jones

Scarduzio

Mathews

Holbrook

Welsh

Wilbur

. . . Ballard

J. A.

(2019). Individual and team-based medical error disclosure: Dialectical tensions among health care providers. Qualitative Health Research, 29(8), 1096–1108. https://doi.org/10.1177/1049732319837224

15.

Kim

K. K.

Song

M. S.

Rhee

K. S.

Hur

H. K.

(2006). Study on factors affecting nurses’ experience of non-reporting incidents. The Journal of Korean Nursing Administration Academic Society, 12(3), 454–463.

16.

Kim

Lee

(2020). Nurses’ experiences with disclosure of patient safety incidents: A qualitative study. Risk Management and Healthcare Policy, 13, 453–464. https://doi.org/10.2147/RMHP.S253399

17.

The Korea Institute of Public Administration. (2020). Korea Social Integration Survey. https://www.kipa.re.kr/synap/skin/doc.html?fn=FILE_0000000000069640&rs=/convert/result/201512/

18.

Kuzel

A. J.

Woolf

S. H.

Engel

J. D.

Gilchrist

V. J.

Frankel

R. M.

LaVeist

T. A.

Vincent

(2003). Making the case for a qualitative study of medical errors in primary care. Qualitative Health Research, 13(6), 743–780. https://doi.org/10.1177/1049732303013006002

19.

Lee

Kim

(2020). The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study. PLOS ONE, 15(1), Article e0227585. https://doi.org/10.1371/journal.pone.0227585

20.

Lee

S. I.

(2015). Approaches to improve patient safety in healthcare organizations. Journal of Korean Medical Association, 58(2), 90–92. https://doi.org/10.5124/jkma.2015.58.2.90

21.

Lutzen

Nordstrom

Evertzon

(1995). Moral sensitivity in nursing practice. Scandinavian Journal of Caring Sciences, 9(3), 131–138. https://doi.org/10.1111/j.1471-6712.1995.tb00403.x

22.

Noh

Y. N.

(2008). Analysis of perception patient safety culture among hospital workforce [Unpublished master’s thesis]. Yonsei University.

23.

Ock

Kim

H. J.

M. W.

Lee

(2016). Perceptions of the general public and physicians regarding open disclosure in Korea: A qualitative study. BMC Medical Ethics, 17(1), 1–13. https://doi.org/10.1186/s12910-016-0134-0

24.

Ock

Lee

S. I.

(2017). Disclosure of patient safety incidents: Implications from ethical and quality of care perspectives. Journal of Korean Medical Association, 60(5), 417–427. https://doi.org/10.5124/jkma.2017.60.5.417

25.

Pyo

Han

Y. J.

Ock

M. A.

(2018). Qualitative case study on the medical litigation experience of bereaved families due to medical accident. Korean Journal of Counseling, 19(5), 25–49.

26.

Pyo

Lee

Jang

S. G.

Choi

E. Y.

Ock

Lee

S. I.

(2019). Does the disclosure of patient safety incidents satisfy those who have been harmed? Korean Journal of Medicine Ethics, 22(4), 321–340.

27.

Pyo

Ock

Han

Y. J.

(2019). Medical litigation experience of the victim of medical accident: A qualitative case study. International Journal of Qualitative Studies on Health and Well-Being, 14(1), Article 1595958. https://doi.org/10.1080/17482631.2019.1595958

28.

Scott

S. D.

Hirschinger

L. E.

Cox

K. R.

McCoig

Brandt

Hall

L. W.

(2009). The natural history of recovery for the healthcare provider “second victim” after adverse patient events. BMJ Quality & Safety, 18(5), 325–330. https://doi.org/10.1136/qshc.2009.032870

29.

Seys

A. W.

Gerven

E. V.

Vleugels

Euwema

Panella

. . . Vanhaecht

(2013). Health care professionals as second victims after adverse events: A systematic review. Evaluation & The Health Professions, 36(2), 135–162. https://doi.org/10.1177/0163278712458918

30.

Waterman

A. D.

Garbutt

Hazel

(2007). The emotional impact of medical errors on practicing physicians in the United States and Canada. The Joint Commission Journal on Quality and Patient Safety, 33(8), 467–476. https://doi.org/10.1016/S1553-7250(07)33050-X

31.

A. W.

McCay

Levinson

Iedema

Wallace

Boyle

D. J.

. . . Gallagher

T. H.

(2017). Disclosing adverse events to patients: International norms and trends. Journal of Patient Safety, 13(1), 43–49. https://doi.org/10.1097/PTS.0000000000000107

32.

Yoon

N. Y.

Lee

J. E.

(2012). Influences of nurses’ safety culture and patient safety in general hospital. The Korean Association for Crisis and Emergency Management, 4(1), 60–80.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.35 MB

0.24 MB

Patients’ and Families’ Experiences Regarding Disclosure of Patient Safety Incidents

Abstract

Keywords

Get full access to this article

References

Supplementary Material