Exploring pediatric disclosure of medical errors: Saying sorry when ‘bad stuff happens'

Last modified by Doug Maynard on 2018/12/10 16:27

The disclosure of medical errors in pediatrics is a complex enterprise with limited practice guidelines. We present key findings from three studies within a program of research on pediatric disclosure of medical errors. First, we share themes from a systematic review of the literature where no research was found on how children perceive medical errors and disclosure processes. 

Following the review, we conducted a series of focus groups with key stakeholders that included health care providers (CAPHC members), parents and children. This study informed the third phase where we individually interviewed twenty hospitalized children and adolescents to further examine their perspectives on medical errors and preferences for disclosure. Given the prevalence of adverse events in pediatric hospitals, we invite attendees to consider the nuances and challenges associated with disclosure in pediatrics and how these insights can inform future practice.

Koller_Donna01.jpgDr. Donna Koller, PhD

As Professor within the School of Early Childhood Studies at Ryerson University, Dr. Koller promotes children’s participation in pediatric research. Her expertise lies in identifying key aspects of psychosocial care where children’s perspectives on health care practices are explored. Her previous clinical experiences working as a child life specialist have informed her play-based research methods with children. Currently, she is engaged in a program of research on patient safety within pediatrics, as well as social inclusion for children with chronic medical conditions and disabilities.She is also an adjunct scientist at The Hospital for Sick Children within the Research Institute.

Nursing11646 Sherry Espin.jpgDr. Sherry Espin , PhD

Sherry is an Associate Professor in the Daphne Cockwell School of Nursing and teaches in the masters and post diploma programmes at Ryerson University.  Her research is positioned within two broad and overlapping domains: patient safety and interprofessional education and collaboration.In patient safety, specifically she has sought to theorize how healthcare professionals and patients interact with one another in the context of perceived errors of care, reporting of errors and disclosure of errors in settings such as rehabilitation and chronic care, the operating room and intensive care unit. This work has led to further study exploring the use of simulation to promote team-based disclosure of errors. Sherry has also worked on a research program examining interprofessional communication on healthcare teams in settings such as the operating room and intensive care unit. This research has informed the development of patient safety initiatives like the surgical safety checklist. She continues to employ observational methods to explore the current relationship between the surgical safety checklist and surgical safety culture. Further she has explored processes and outcomes related to interprofessional education and collaboration within the context of maternity care, diabetes management, stroke care and interprofessional student placements.

Created by Doug Maynard on 2018/11/07 17:50