COMMUNICATIVE ASPECT OF DISCLOSURE OF MEDICAL ERRORS IN DENTAL PRACTICE
Abstract and keywords
Abstract (English):
The aim of the study is to analyze the communicative aspect in the experience of reporting about an error to patients in dental practice. Materials and methods. Method is a single semi-structured interview with 32 dentists; qualitative deductive content analysis of the content of recorded interviews for encoding and categorizing text units using the OpenCode 4.02 program. Results. It was found that 60% of respondents admitted that they made errors in their practice, out of which only 22% of doctors reported this to the patient based on their own ideas of how it should happen. The ratio of communicative action of doctors when they inform patients about an error to two-step plan of their disclosure showed that they do not meet the recommendations of the first phase which required to cope with the negative emotions and analyze the cause of the error, but actually completely relate to the second phase where you need to create a comfortable subject-spatial environment, an atmosphere of trust, to show empathy towards the patient and to apologize. Conclusion. Effective communication between the doctor and the patient in a situation of medical errors possible through targeted acquisition of future physicians and residents the basics of communication theory about managing privacy and methods of a two-step management plan to disclosure errors.

Keywords:
experience, medical error, dentist, patient, communication, communication skills
References

1. Akopov V.I. Medicinskoe pravo: uchebnik i praktikum dlya vuzov. M.: Izdatel'stvo Yurayt, 2017. 287 s.

2. Bagmet A.M. Bez oslozhneniy mediciny ne byvaet?!//Aktual'nye problemy mediciny i biologii. 2018. № 2. S. 6-10.

3. Vladychepkova N.D. Posledstviya vrachebnyh oshibok pri nenadlezhaschem okazanii stomatologicheskoy pomoschi // Medicinskoe pravo. 2008. № 3. S. 35-40.

4. Zverincev A.B. Kommunikacionnyy menedzhment. M.: Izd-vo. Dashkov i K, 2014. - 124 s.

5. Kozicina S.I. Professional'nye oshibki i otvetstvennost' medicinskogo personala na stomatologicheskom prieme // Klinicheskaya stomatologiya: oficial'naya i integrativnaya: ruk-vo dlya vrachey. SPb.: SpecLit, 2008. S. 25-38.

6. Konanyhina A. K., Komarov G.A., Kochubey A.V. Pravo na oshibku: vrachebnye oshibki glazami vrachey i pacientov // Klinicheskaya praktika. 2018 T.3, № 9. S. 70-73.

7. Mal'cev A.E. Rezul'taty sudebno-medicinskih ekspertiz stomatologicheskogo profilya. Organizaciya zdravoohraneniya // Stomatologiya. 2012. t.91 №2. S. 12-13.

8. Molotov-Luchanskiy V.B., Macievskaya L.L., Cayukova N.A. Kommunikativnye navyki: Uchebnoe posobie. Karaganda, 2012. 138 s.

9. Rozhdestvenskaya T.A., Lysenko O.V., Prusakova O.I. Problema vrachebnyh oshibok v medicinskoy deontologii // Zdorov'e - osnova chelovecheskogo potenciala: problemy i puti resheniya. 2016. T. 11. № 2. S. 490-491.

10. Federal'nyy zakon ot 21.11.2011 № 323-FZ (red. ot 27.12.2019) «Ob osnovah ohrany zdorov'ya grazhdan v Rossiyskoy Federacii» (s izm. i dop., vstup. v silu s 08.01.2020) [elektronnyy resurs] URL: http://www.consultant.ru/document/cons_doc_LAW_121895/d2872d82b3b26ca307971f590ce02dd37f71cafc/ (data obrascheniya 29 aprelya 2020).

11. Cimbalistov A.V. Stomatologicheskaya reabilitaciya: oshibki i oslozhneniya. SPb.: Nordmedizdat, 2011. 146 s.

12. Albert W. Wu, MD, MPH, Thomas A. Cavanaugh, PhD, Stephen J. McPhee, MD,Bernard Lo, MD, Guy P. Micco, MD To Tell the Truth. Ethical and Practical Issues in Disclosing Medical Mistakes to Patients. [electronic resource] URL: https://www.researchgate.net/publication/13793430_To_tell_the_truth_Ethical_and_practical_issues_in_disclosing_medical_mistakes_to_patients (data obrascheniya 29 aprelya 2020).

13. Gallagher T.H., Waterman A.D., Ebers A.G., Fraser V.J., Levinson W. Patients’ and physicians’ attitudes regarding the disclosure of medical errors. JAMA 2003 Feb 26;289(8):1001-7. [electronic resource] URL: http://dx.doi.org/10.1001/jama.289.8.1001. (data obrascheniya 30 aprelya 2020).

14. Mazor K.M., Simon S.R., Gurwitz J.H. Communicating with patients about medical errors: a review of the literature. Arch Intern Med 2004 Aug 9-23;164(15):1690-7. [electronic resource] URL: http://dx.doi.org/10.1001/archinte.164.15.1690 (data obrascheniya 30 aprelya 2020).

15. Petronio S., Dicorcia M.J., Duggan A. Navigating ethics of physician-patient confidentiality: a communication privacy management analysis. Perm J 2012 Fall;16(4):41-5. [electronic resource] URL: http://dx.doi.org/10.7812/TPP/12-042 (data obrascheniya 30 aprelya 2020).

16. Petronio S. Impact of medical mistakes: navigating work-family boundaries for physicians and their families. Commun Monogr 2006;73(4):463-7. [electronic resource] URL: http://dx.doi.org/10.1080/03637750601061174 (data obrascheniya 30 aprelya 2020).

17. Petronio S., Torke A., Bosslet G., Isenberg S., Wocial L., Helft PR. Disclosing Medical Mistakes: A Communication Management Plan for Physicians.Perm J. 2013 Spring;17(2):73-9. doi:https://doi.org/10.7812/TPP/12-106. PMID: 23704848 PMCID: PMC3662285 DOI:https://doi.org/10.7812/TPP/12-106). [electronic resource] URL: https://media.nenaprasno.ru/articles/kolonki/oshibayutsya-vse-pochemu-patsientam-nuzhno-rasskazyvat-o-vrachebnykh-oshibkakh/ (data obrascheniya 29 aprelya 2020).

18. The Complete Guide to Communication Skills in Clinical Practice. [electronic resource] URL: https://www.mdanderson.org/documents/education-training/icare/pocketguide-texttabscombined-oct2014final.pdf (data obrascheniya 29 aprelya 2020).

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