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§” ”§—≠: °“√‡ªî¥‡º¬§«“¡º‘¥æ≈“¥∑“ß°“√·æ∑¬å, º≈√⓬∑’ˇ°‘¥¢÷Èπ°—∫ºŸâªÉ«¬

Abstract Current concepts on medical error disclosure Boonsak Hanterdsith*

*Department of Forensic Medicine, Faculty of Medicine, Chiang Mai University

Recently, rate of medical malpractice claim and file a law suit on the medical adverse events are increasing. The primary etiology of claims and filing were adverse medical events which caused by either preventable medical error or mishap. No one wants adverse event occurred. In the past ten years after the Institute of Medicine (IOM) reported the facts of medical errors in “To Err Is Human: Building a Safer Health System”, health care personals have been deeply concerned with and have tried to improve their practice for patient safety worldwide. However, there are still many medical errors in recent years and will inevitably occur in the future. So, health care providers should learn how to manage and disclose when the medical errors occur. Several studies have proved that disclosure of medical error have taken more benefits than risks. The main benefits are decreased in filing rate, decreased in payments for adverse events, and maintenance of doctor and patient relationships with trust. Disclosure of medical error is the process which closely related to the incident report system. The importance of full open disclosure to the patient after medical error occurrence will significantly increase in the future for patient’s safety and should be simultaneously integrated into the mediation system.

Key words: Disclosure of medical error, adverse medical event

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‡Àμÿ ÿ¥«‘ —¬∑“ß°“√·æ∑¬åπ’ÈμâÕß¡’°“√Õâ“ßÕ‘ß„π‡™‘ß«‘™“°“√∑’Ë¡’

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Û. Disclosure of medical error À¡“¬§«“¡«à“Õ¬à“߉√

À¡“¬∂÷ß °“√‡ªî¥‡º¬¢âÕ¡Ÿ≈∑’ˇ°’ˬ«°—∫§«“¡º‘¥æ≈“¥

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À√◊Õª√–¡“∑°Áμ“¡ ‡ªìπμâπ

24

√–∫∫°“√√“¬ß“πÕÿ∫—μ‘°“√≥å (incident report) ∑’Ë¡’Õ¬Ÿà„π ªí®®ÿ∫—π ‚¥¬¡’«—μ∂ÿª√– ß§å‡æ◊ËÕ„À⇰‘¥§«“¡ª≈Õ¥¿—¬·°àºŸâªÉ«¬

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26

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ı.  ”π—°π‚¬∫“¬·≈–·ºπ ”π—°ß“πÀ≈—°ª√–°—π ÿ¢¿“æ·Ààß™“μ‘.

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§√—Èß∑’Ë Ò. °√ÿ߇∑æœ: ‡√◊Õπ·°â«°“√æ‘¡æå; ÚıÛ. Àπâ“ ¯Ò-ÒÒ.

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‚√ß欓∫“≈·≈–∫√‘°“√ ÿ¢¿“æ (©∫—∫‡©≈‘¡æ√–‡°’¬√μ‘©≈Õß ‘√‘√“™

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