Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure

Cherri Hobgood, J. H. Tamayo-Sarver, B. Weiner

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: The purpose of this study was to (a) characterise patients' preferences for disclosure of medical errors and reporting, (b) assess patients' responses to disclosure of error and (c) determine how these preferences differ by patient race/ethnicity, gender, age and level of education. Methods: A survey was conducted of consecutive patients presenting at any hour to a tertiary care academic emergency department. Inclusion criteria were: >21 years, competent to conduct the interview (ie, conscious, not demented, delirious, intoxicated or undergoing a psychiatric evaluation), initial Glasgow Coma Scale >12, and patient not transferred from another institution and not in state custody. A four-scenario survey was used to assess patients' preferences for: disclosure, reporting and responses to disclosure. The responses to the scenarios were analysed using Somers D. Independent effects of study variables were assessed with a generalised estimating equation. Results: Of 512 eligible patients, 394 (77% response rate) participated, and 238/394 (61%) met the criteria for analysis. Overall, in 902 (98%) responses to the scenarios, participants wanted disclosure, in 404 (45%), they wanted the error reported and in 311 (35%) they were less likely to seek legal action if informed of the error. In all three categories there was no relation with race/ ethnicity, gender, age and education, with the exception of an increased desire for reporting in younger patients and those with less education. Conclusions: Interventions that aim to assist doctors with disclosure of medical error must emphasise the uniformity of patient preferences for disclosure and the diminished likelihood of legal action following disclosure.

Original languageEnglish (US)
Pages (from-to)65-70
Number of pages6
JournalQuality and Safety in Health Care
Volume17
Issue number1
DOIs
StatePublished - Feb 2008
Externally publishedYes

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Disclosure
Patient Preference
Education
Medical Errors
Truth Disclosure
Race Relations
Glasgow Coma Scale
Tertiary Healthcare
Psychiatry
Hospital Emergency Service
Interviews

ASJC Scopus subject areas

  • Leadership and Management
  • Public Health, Environmental and Occupational Health
  • Nursing(all)

Cite this

Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure. / Hobgood, Cherri; Tamayo-Sarver, J. H.; Weiner, B.

In: Quality and Safety in Health Care, Vol. 17, No. 1, 02.2008, p. 65-70.

Research output: Contribution to journalArticle

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