Handling critical incidents as organizational-ethical challenges using the example of "medical errors"

被引:0
作者
Schmidt, Kurt W. [1 ]
机构
[1] Zentrum Eth Med, Wilhelm Epstein Str 4, D-60431 Frankfurt, Germany
关键词
Medical error; Organizational ethics; Human factor; Critical incident reporting system (CIRS); Critical incident stress management (CISM); Rapid response team (RRT); 2ND VICTIM; EMOTIONAL IMPACT; PHYSICIANS; DISCLOSURE;
D O I
10.1007/s00481-020-00596-w
中图分类号
R-052 [医学伦理学];
学科分类号
0101 ; 120402 ;
摘要
Definition of the problem Employees in the healthcare sector are expected to deal professionally with patients and their families at all times. Accompanying them through existential crises, disease, dying, and death is highly demanding. A situation which employees can experience as particularly stressful is when a decision needs to be made and they find themselves in a moral conflict or dilemma. Arguments Such situations range from extremely rare triage decisions to comparably "everyday" involvement in (alleged) medical error. Conclusion In some cases the outcome for patients and their families, who had placed their trust in the institution, can be tragic, and this already burdensome situation for employees is further exacerbated when there is no credible concept established within the organization for dealing with such events in a structured manner, and when colleagues and their superiors have little to no knowledge about helpful support options.
引用
收藏
页码:233 / 242
页数:10
相关论文
共 43 条
  • [1] [Anonymous], 2010, TAT ALS OPF
  • [2] [Anonymous], 2008, FEHLERN LERNEN
  • [3] [Anonymous], 2017, REDEN IST GOLD
  • [4] [Anonymous], 2009, GUID DISCL ADV EV
  • [5] Balhorn J, 2012, DIAL AKTUELL, V16, P346, DOI [10.1055/s-0032-1323636, DOI 10.1055/S-0032-1323636]
  • [6] Will saying "I'm sorry" prevent a malpractice lawsuit?
    Berlin, L
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2006, 187 (01) : 10 - 15
  • [7] Subtracting insult from injury: addressing cultural expectations in the disclosure of medical error
    Berlinger, N
    Wu, AW
    [J]. JOURNAL OF MEDICAL ETHICS, 2005, 31 (02) : 106 - 108
  • [8] Berlinger N, 2007, MED ERROR ETHICS FOR
  • [9] Bock RW, 2013, ANASTH INTENSIVMED, V54, P490
  • [10] Bundesamt fur Bevolkerungsschutz und Katastrophenhilfe (BBK), 2012, QUAL LEITL 1, VI