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Pediatricians Would Admit Error Only Half the Time


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Fears of malpractice suits, along with basic human emotions, such as shame and embarrassment, not to mention the fact that errors could have long-term repercussions when they occur in children, likely contribute to the general reluctance, the researchers said.

"Barriers that physicians cite to diminishing their enthusiasm for disclosure includes fear of litigation ... and also includes fear of professional censure of some kind, and also just loss of credibility among your peers and those around you," Loren said.

The findings arise during a time when there's been a real shift toward acknowledging and correcting medical mistakes, Levinson said.

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"Many institutions are investing a lot of energy building infrastructures to support disclosure. You're not going to disclose if you're out there on your own," she pointed out.

"One way to change behavior in a profession is to provide better educational programs at local levels," Loren added. "We need to do this, and the easier it becomes the stigma [of disclosure] diminishes by the very nature of all of us agreeing it needs to happen."

The regulatory landscape is also changing.

"There are many things lining up here," Levinson said. "First, it's the right thing to do and institutions themselves are building structures to support this, and we have some regulatory and even financial incentives for doing these things."

More informations

There's more on preventing medical errors at the Agency for Healthcare Research & Quality.

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 10/6/2008

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SOURCES: Wendy Levinson, M.D., professor and chair, medicine, University of Toronto; David Loren, M.D., assistant professor, pediatrics, University of Washington School of Medicine, Seattle; October 2008 Archives of Pediatrics & Adolescent Medicine


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