Medical error disclosure in the Italian healthcare context: A delicate balance between ethical obligations and the principle of non-self-incrimination.


Journal

Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280

Informations de publication

Date de publication:
07 2022
Historique:
received: 11 12 2021
revised: 16 02 2022
accepted: 04 03 2022
pubmed: 16 3 2022
medline: 18 6 2022
entrez: 15 3 2022
Statut: ppublish

Résumé

Surprisingly, Italian legal doctrine and jurisprudence never systematically address the medical error disclosure issue. The topic of medical error communication represents a non-negligible profile of interest, relating to the possible detrimental effects on doctors who accuse themselves of conduct that does not comply with the lex artis. The effects of error disclosure on the effectiveness of insurance guarantees in civil and administrative liability are particularly relevant, as are the implications for ethical liability. Although the burden of reporting an error falls within the wide range of informative duties doctors hold, it still seems far from having found a factual statement in clinical practice, especially in Italy. This applies whether the error has a marginal or significant impact on the patient's health. The reasons lay in a very contradictory legal framework. Doctors tend with increasing ease not to comply with their information obligation - especially in cases where fulfilling this duty means admitting a personal, professional error - to preserve the integrity of their professional images. This article aims to offer a brief overview of that topic in the context of Italian healthcare.

Identifiants

pubmed: 35287993
pii: S0738-3991(22)00096-9
doi: 10.1016/j.pec.2022.03.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1976-1979

Informations de copyright

Copyright © 2022 Elsevier B.V. All rights reserved.

Auteurs

Filippo Gibelli (F)

Section of Legal Medicine, School of Law, University of Camerino, Camerino, Italy. Electronic address: filippo.gibelli@unicam.it.

Stefania Turrina (S)

Section of Legal Medicine, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

Domenico De Leo (D)

Section of Legal Medicine, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

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Classifications MeSH