AI Article Synopsis
- The study aimed to understand the attitudes of breast cancer care providers about discussing diagnostic errors with patients to improve communication.
- Focus groups with 41 providers across different specialties revealed that they were more likely to disclose errors if they felt responsible, less worried about legal repercussions, and if the patient directly asked.
- The findings suggest that addressing communication preferences and providing training can help providers engage in these challenging conversations more comfortably, emphasizing the importance of education, honesty, and optimism in discussions about errors.
Article Abstract
Objective: To gain understanding of breast cancer care providers' attitudes regarding communicating with patients about diagnostic errors, to inform interventions to improve patient- provider discussions.
Methods: Focus groups were held in three U.S. states involving 41 breast cancer care providers from a variety of specialties. Discussions focused on providers' experiences with potential errors in breast cancer diagnosis, communication with patients following three hypothetical diagnostic vignettes, and suggestions for how and why diagnostic errors in breast cancer care should be communicated. Transcripts were qualitatively analyzed.
Results: Providers were more willing to inform breast cancer patients of a diagnostic error when they felt it would be helpful, when they felt responsible for the error, when they were less concerned about litigation, and when the patient asked directly.
Conclusions: Breast cancer care providers experience several challenges when considering whether to inform a patient about diagnostic errors. A better understanding of patients' preferences for open communication, combined with customized tools and training, could increase clinicians' comfort with these difficult discussions.
Practice Implications: Providers gave suggestions to facilitate discussions about diagnostic errors when these events occur, including themes of education, honesty, and optimism.
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| http://dx.doi.org/10.1016/j.pec.2019.11.022 | DOI Listing |
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