The intention to disclose medical errors among health professionals in Kazakhstan
Alchimbayeva M. Glushkova N. Mammadov V. Aliyeva S. Dyussupova A. Dyussupov A. Tsigengagel O.
2024Taylor and Francis Ltd.
International Journal of Healthcare Management
2024#17Issue 2409 - 415 pp.
Introduction: Disclosure of near-miss medical error (ME) and how to disclose ME to patients remain controversial. Furthermore, available guidelines on the disclosure of ME have primarily emerged in developing countries; however, their suitability for Central Asian states is unknown. The objective of this study was to determine the proportion of healthcare professionals (HCPs) intending to disclose MEs and their perceptions pertaining to MEs. Methods: We conducted a cross-sectional survey in Kazakhstan using a structured questionnaire to collect data from 109 HCPs about the causes of disclosure MEs and the consequences in their practice. Results: The majority of participants believed that they would be sued if they disclosed errors and near misses. There was a positive relationship between the threat of censure (p = 0.03) and the threat of dismissal (p = 0.01) in HCPs. There was also a significant difference between the distributions of liable for malpractice after disclosing an error to a patient or family member and experience of reporting a ME to administration. Conclusions: In this study, most HCPs reported MEs to a hospital administration, although about half perceived that disclosing MEs to a patient is ethically unnecessary. Poor disclosure could be due to the fear of litigation and dismissal.
Disclosure , healthcare providers , malpractice , medical errors , negligence
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Department of Medical Law and Ethics, Astana Medical University, Astana, Kazakhstan
Department of Epidemiology, Biostatistics & Evidence Based Medicine, Al-Farabi Kazakh National University, Kazakhstan Medical University “Kazakhstan School of Public Health, Almaty, Kazakhstan
Department of Forensic Medicine, Azerbaijan Medical University, Baku, Azerbaijan
Department of Clinical Disciplines, Kazakhstan Medical University “Kazakhstan School of Public Health”, Almaty, Kazakhstan
Department of General Medicine, Semey Medical University, Semey, Kazakhstan
Department of Emergency Medicine, Semey Medical University, Semey, Kazakhstan
Department of Public Health, Semey Medical University, Semey, Kazakhstan
Department of Development of Scientific Research Activity, Kh.Dosmukhamedov Atyrau University, Atyrau, Kazakhstan
Department of Medical Law and Ethics
Department of Epidemiology
Department of Forensic Medicine
Department of Clinical Disciplines
Department of General Medicine
Department of Emergency Medicine
Department of Public Health
Department of Development of Scientific Research Activity
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