Professional liability insurance and medical error disclosure
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 3401789
Author(s) McLennan, Stuart; Shaw, David; Leu, Agnes; Elger, Bernice
Author(s) at UniBasel Elger, Bernice Simone
Mc Lennan, Stuart Roger
Leu, Agnes
Shaw, David
Year 2015
Title Professional liability insurance and medical error disclosure
Journal Swiss Medical Weekly
Volume 145
Pages / Article-Number w14164
Keywords liability, ethics, medical error
Abstract To examine medicolegal stakeholders' views about the impact of professional liability insurance in Switzerland on medical error disclosure.; Purposive sample of 23 key medicolegal stakeholders in Switzerland from a range of fields between October 2012 and February 2013. Data were collected via individual, face-to-face interviews using a researcher-developed semi-structured interview guide. Interviews were transcribed and analysed using conventional content analysis.; Participants, particularly those with a legal or quality background, reported that concerns relating to professional liability insurance often inhibited communication with patients after a medical error. Healthcare providers were reported to be particularly concerned about losing their liability insurance cover for apologising to harmed patients. It was reported that the attempt to limit the exchange of information and communication could lead to a conflict with patient rights law. Participants reported that hospitals could, and in some case are, moving towards self-insurance approaches, which could increase flexibility regarding error communication; The reported current practice of at least some liability insurance companies in Switzerland of inhibiting communication with harmed patients after an error is concerning and requires further investigation. With a new ethic of transparency regarding medical errors now prevailing internationally, this approach is increasingly being perceived to be misguided. A move away from hospitals relying solely on liability insurance may allow greater transparency after errors. Legalisation preventing the loss of liability insurance coverage for apologising to harmed patients should also be considered.
Publisher EMH Schweizerischer Arzteverlag
ISSN/ISBN 1424-7860 ; 1424-3997
edoc-URL http://edoc.unibas.ch/41719/
Full Text on edoc No
Digital Object Identifier DOI 10.4414/smw.2015.14164
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/26151131
ISI-Number WOS:000368538400003
Document type (ISI) Journal Article
 
   

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