A qualitative study of attitudes toward error in patients facing brain tumour surgery.
BACKGROUND
Medical error is an extremely important component of patient safety and requires intense study. The present investigation undertook to examine patients' perceptions and attitudes regarding medical error.


METHODS
Qualitative case study methodology was used. We conducted 30 face-to-face interviews with patients within one week of undergoing a neurosurgical operation for a brain tumour. Interviews were audiotaped and transcribed and the data subjected to thematic analysis.


RESULTS
Three overarching themes emerged from the data: 1) trust in the patient's surgeon was of paramount importance; 2) patients' views toward medical error varied between fear and vulnerability to no concern; and 3) discussion of error was felt to be beneficial as it could help the medical profession decrease future errors and could help dispel the patient's fear and anxiety about the upcoming surgery.


CONCLUSIONS
Patients' trust in their physician/surgeon is of paramount importance in allaying their fears about the possible occurrence and impact of medical error during their treatment. The level of concern about error varies among patients, but most felt that discussion of error was a good thing.
Bernstein
Mark
M
Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
Potvin
Dawn
D
Martin
Douglas K
DK
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001932:Brain Neoplasms / Q000523:psychology / Q000601:surgery*; D005239:Fear / Q000523:psychology; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D019300:Medical Errors; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000523:psychology*; D010817:Physician-Patient Relations; D036301:Qualitative Research; D035502:Trust / Q000523:psychology