Disclosure and Discussion of Adverse Events

The comments of the committee were prepared by the American Society of Medical Sciences and gynecologists' Patient Safety and Quality Improvement Committee in collaboration with Board member Edward P. Denious Doctors.

This document reflects a new concept of patient safety and may be subject to change. This information should not be construed as specifying exclusive treatment procedures or procedures to follow.

Summary: Regardless of whether it is preventable or not, adverse effects are the reality of health care. Most importantly, adverse events can affect the patient, but they can also affect health care workers. Disclosing information on adverse events is beneficial for patients and physicians, ideally to strengthen relationships between patients and doctors and promote trust. After the harmful result comes out, the patient expects to disclose the incident in a timely manner, recognize the responsibility, understand what is happening, express compassion, and discuss recurrence prevention measures I hope. In the survey, it became clear that the possibility of filing a lawsuit is low when the patient judges that the case was justified. There are many barriers to complete disclosure, including fear of retaliation for adverse event reporting, lack of training, cultural criticism and fear of litigation. In order to alleviate these concerns, medical institutions should establish a culture that is not liable and responsible by encouraging employees to report adverse events and attempted events (close-up calls) without fear of retaliation We recommend. Medical institutions need to formulate written policies to address adverse event management. A response process is needed to provide information and support to patients, relatives, practitioners. It is imperative that all health professionals and institutions commit to the development of the programs and tools needed to help patients, families, healthcare workers and staff deal with adversities.

Discussion: Health care providers should encourage parents or legal guardians to inform adverse events after vaccination. Health care providers must report all such clinically significant events, including those mandated by law, to the Vaccination Adverse Event Reporting System. The report and aid can be obtained by calling 1-800-822-7967. Health care providers should record harmful events in medical records as soon as possible around the event.

Summary: Regardless of whether it is preventable or not, adverse effects are the reality of health care. Most importantly, adverse events can affect the patient, but they can also affect health care workers. Disclosing information on adverse events is beneficial for patients and physicians, ideally to strengthen relationships between patients and doctors and promote trust. After the harmful result comes out, the patient expects to disclose the incident in a timely manner, recognize the responsibility, understand what is happening, express compassion, and discuss recurrence prevention measures I hope. In the survey, it became clear that the possibility of filing a lawsuit is low when the patient judges that the case was justified. There are many obstacles in the complete disclosure, such as fear of retaliation, lack of training, fault of culture, fear of retaliation of lawsuits.

According to the definition of the US Department of Homeland Security, privacy incidents are adverse events that occur due to violating DHS's privacy policy and procedures. The privacy incident must be "related to unauthorized use or disclosure" of regulated data such as personally identifiable information and protected health information. Security incidents are "upgraded" to privacy incidents if data related to security incidents is regulated. In other words, although most electronic privacy events are security incidents, it can be certainly said that not all security incidents are privacy incidents. Privacy issues may also arise from sources other than electronic, such as incorrectly handled documents or oral or visual disclosure of PII or PHI.