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Medical Error: From Disclosure & Apology to Root Cause Analysis

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K.S. Gautham MD, DM, MS, FAAP


In this video, Dr. K. S. Gautham, Professor of Pediatrics at Baylor College of Medicine and Section Head and Chief of Service at The Newborn Center at Texas Children's Hospital, outlines best practices for disclosure, apology, and root cause analysis following adverse events. He also describes the effects of adverse events on staff, the importance of good debriefing techniques, and defines the role of the "second victim" in the disclosure and apology process.


Initial publication: September 18, 2019.



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Topics: Ethics Neonatology Critical Care Nursing General Pediatrics