Apologies in medicine: Legal protection is not enough

There has been an important shift toward openness regarding adverse events and their communication to patients. Recent research suggests that saying sorry is a key element of successful disclosure practice. However, fear of legal action has been identified as a major barrier to issuing an apology in

[1]  S. Allen,et al.  From the Australian Commission on Safety and Quality in Health Care , 2011, The Medical journal of Australia.

[2]  T. Gallagher,et al.  What prevents incident disclosure, and what can be done to promote it? , 2011, Joint Commission journal on quality and patient safety.

[3]  R. Truog.  Talking with patients and families about medical error , 2010 .

[4]  T. Gallagher,et al.  The flaws in state 'apology' and 'disclosure' laws dilute their intended impact on malpractice suits. , 2010, Health affairs.

[5]  D. Studdert,et al.  Legal aspects of open disclosure: a review of Australian law , 2010, The Medical journal of Australia.

[6]  Sanjay Saint,et al.  Liability Claims and Costs Before and After Implementation of a Medical Error Disclosure Program , 2010, Annals of Internal Medicine.

[7]  Graham Barr.  Disingenuous or Novel? An Examination of Apology Legislation in Canada , 2009 .

[8]  T. Bailey,et al.  Erecting legal barriers: new apology laws in Canada and the patient safety movement: useful legislation or a misguided approach? , 2007, Health law in Canada.

[9]  W. Levinson,et al.  Disclosing harmful medical errors to patients. , 2007, The New England journal of medicine.

[10]  David M Studdert,et al.  Disclosure of medical injury to patients: an improbable risk management strategy. , 2007, Health affairs.

[11]  A. Lazare.  Apology in medical practice: an emerging clinical skill. , 2006, JAMA.

[12]  W. Levinson,et al.  US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. , 2006, Archives of internal medicine.

[13]  S. Powell.  When things go wrong: responding to adverse events: a consensus statement of the Harvard hospitals. , 2006, Lippincott's case management : managing the process of patient care.

[14]  L. Taft.  Apology and Medical Mistake: Opportunity or Foil? , 2005 .

[15]  S. Kraman,et al.  Advocacy: The Lexington Veterans Affairs Medical Center , 2002 .

[16]  A. Peterkin.  Guidelines covering disclosure of errors now in place at Montreal hospital. , 1990, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[17]  C. Truesdale.  Apology Accepted: How the Apology Act Reveals the Law's Deference to the Power of Apologetic Discourse , 2012 .

[18]  S. Kraman,et al.  John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. , 2002, The Joint Commission journal on quality improvement.

[19]  G. Robertson.  When things go wrong: the duty to disclose medical error. , 2002, Queen's law journal.