Disclosure is a difficult process

1
Disclosure is a difficult process

• Sadness/fear/embarrassment
• Legal/malpractice ramifications
• No training/unfamiliar process
• Individual culture/experience

2
Sadness/Fear/Embarrassment

• Patient injury
• Patient/family anger
• Colleague disapproval
• Administrative reprisal
• Legal action
• Publicity

3
Legal/malpractice ramification

• A patients right
• A relatively rare occurrence
• Insurance coverage/protection
• The value of disclosure

4
Unfamiliar process

• Never saw one, never did one, never taught one.

5
Individual Cultural/Experience

• It may be your nature to be more or less
  forthright than the situation calls for.
• Any previous experience in this type of
  situation (positive or negative) may influence
  future situations.