의료오류(Medical Error) 공개에 대한 의학전문대학원생과 인턴의 인식 및 태도 비교
Comparing Attitudes toward Disclosing Medical Errors between Medical Students and Interns
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Purpose:The purpose of this study was to compare attitudes toward disclosing medical errors between medical students and interns. Methods:The questionnaires were administrated to 164 medical students and interns. The questionnaires consist of 3 major concepts: knowledge, attitudes toward disclosure of medical error, barriers to the disclosure of medical error. Results:Interns (56.1%) took medical errors less seriously than medical students (74.8%). Medical students (75.6%) believed that patients would want to be informed of any kind of medical errors while Interns (46.3%) thought so. Medical students (83.1%) considered that serious medical errors should be disclosed to patients. On the contrary, only 46.3% of interns believed so. Medical students (16.3%) and interns (19.5%) believed disclosing medical error would increase patients trust in doctors. Both medical students and interns pointed out worries about malpractice suits as the biggest barrier to disclosing medical error. Conclusion:The attitudes toward disclosing medical error between medical students and interns were significantly different in many aspects. Interns show more negative attitudes about disclosing medical errors than medical students. And they also take medical errors less seriously than medical students. In particular, the attitudes of the subjects in this study were greatly different from the results of a previous patients' attitudes study. These perspectives differences could work against achieving patient-centered care which is the upmost priority in the current trends in health care. The efforts to bridge these perspective gaps between patients and doctors should start from medical school by teaching medical students the importance of the disclosing medical errors.
Abstract
Purpose:The purpose of this study was to compare attitudes toward disclosing medical errors between medical students and interns. Methods:The questionnaires were administrated to 164 medical students and interns. The questionnaires consist of 3 major concepts: knowledge, attitudes toward disclosure of medical error, barriers to the disclosure of medical error. Results:Interns (56.1%) took medical errors less seriously than medical students (74.8%). Medical students (75.6%) believed that patients would want to be informed of any kind of medical errors while Interns (46.3%) thought so. Medical students (83.1%) considered that serious medical errors should be disclosed to patients. On the contrary, only 46.3% of interns believed so. Medical students (16.3%) and interns (19.5%) believed disclosing medical error would increase patients trust in doctors. Both medical students and interns pointed out worries about malpractice suits as the biggest barrier to disclosing medical error. Conclusion:The attitudes toward disclosing medical error between medical students and interns were significantly different in many aspects. Interns show more negative attitudes about disclosing medical errors than medical students. And they also take medical errors less seriously than medical students. In particular, the attitudes of the subjects in this study were greatly different from the results of a previous patients' attitudes study. These perspectives differences could work against achieving patient-centered care which is the upmost priority in the current trends in health care. The efforts to bridge these perspective gaps between patients and doctors should start from medical school by teaching medical students the importance of the disclosing medical errors.
참고문헌 (20)
- Kohn LT, "To err is human: building a safer health system" (2000), National Academy Press
- Levinson W, "Disclosing medical errors to patients: a challenge for health care professionals and institutions", Patient Educ Couns, 76, pp.296~299 (2009)
- Joint Commission on Accreditation of Healthcare Organizations, "Hospital acreditation standards, 2007: accreditation policies, standards, elements of performance, scoring" (2007), Joint Commission Resources
- American Medical Association Council on Ethical and Judicial Affairs, "Code of medical ethics: current opinions with annotations. 2004-2005 ed" (2004), AMA Press
- Aron DC, "Educating physicians prepared to improve care and safety is no accident: it requires a systematic approach", Qual Saf Health Care, 11, pp.168~173 (2002)
- Blendon RJ, "Views of practicing physicians and the public on medical errors", N Engl J Med, 347, pp.1933~1940 (2002)
- Leape LL, "Five years after to err is human: what have we learned?", JAMA, 293, pp.2384~2390 (2005)
- Kaldjian LC, "Disclosing medical errors to patients: attitudes and practices of physicians and trainees", J Gen Intern Med, 22, pp.988~996 (2007)
- Gallagher TH, "Patients' and physicians' attitudes regarding the disclosure of medical errors", JAMA, 289, pp.1001~1007 (2003)
- White AA, "The attitudes and experiences of trainees regarding disclosing medical errors to patients", Acad Med, 83, pp.250~256 (2008)
- Fischer MA, "Learning from mistakes. Factors that influence how students and residents learn from medical errors", J Gen Intern Med, 21, pp.419~423 (2006)
- Kachalia A, "Liability claims and costs before and after implementation of a medical error disclosure program", Ann Intern Med, 153, pp.213~221 (2010)
- 이재호, "환자안전과 의료표준", 대한의사협회지, 54(5), pp.444~446 (2011), 대한의사협회
- 강민아, "환자안전 문화와 의료과오 보고에 대한 의사의 인식과 태도", 보건행정학회지, 15(4), pp.110~135 (2005), 한국보건행정학회
- 안경애, "의료과오 감소를 위한 환자의 자기보호행동 및 의사결정 참여", 보건행정학회지, 16(3), pp.70~85 (2006), 한국보건행정학회
- 김정은, "환자안전과 관련된 병원문화와 의료과오 보고에 대한 간호사의 인식조사", 임상간호연구, 13(3), pp.169~179 (2007), 병원간호사회
- 김은경, "환자안전 문화에 대한 의료 종사자의 인식과 경험", 간호행정학회지, 13(3), pp.321~334 (2007), 간호행정학회
- 이수현, "의료오류 공개에 대한 대학생들의 태도 조사", 한국의료윤리학회지, 14(3), pp.320~334 (2011), 한국의료윤리학회
- Freund PE, "Health, illness, and the social body: a critical sociology. 4th ed" (2002), Prentice Hall
- Garbutt J, "Reporting and disclosing medical errors: pediatricians' attitudes and behaviors", Arch Pediatr Adolesc Med, 161, pp.179~185 (2007)