Slouching toward disclosure

November 2007
CMAJ: Canadian Medical Association Journal;11/20/2007, Vol. 177 Issue 11, p1342
Academic Journal
The article reports on the gradual disappearance of the culture of non-disclosure about medical errors that has existed in Canada for years. According to Dr. Wendy Levinson of Sunnybrook Health Sciences Centre, the tendency to instantly bring up shame and blame where harm has occurred is slowly disappearing although not totally. She argued that at least part of the reason that a more open system has not evolved means that most health care providers have not been educated about how to disclose. She mentioned that at one meeting, only 2 of 200 health professionals received training in disclosing errors to patients. Terry Sullivan of Cancer Care Ontario shared that replacing handwritten prescriptions with a computerized order entry system had reduced errors. INSET: National guidelines in the offing.


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