Overview

Medical Errors and Medical Narcissism examines the concept of medical narcissism and how error disclosure to patients and families is often compromised by the health professionals need to preserve his or her self-esteem at the cost of honoring the patients right to the unvarnished truth about what has happened. This groundbreaking book explores common psychological reactions of healthcare professionals to the commission of a serious harm-causing error and the variety of obstacles that can compromise ethically sound, truthful disclosure. This groundbreaking book explores common psychological reactions of healthcare professionals to the commission of a serious harm-causing error and the variety of obstacles that can compromise ethically sound, truthful disclosure. Insights are offered on how talented, capable persons who feel a driving need to demonstrate their competence can fall into narcissistic traps. Guidance on disclosing errors artfully and ethically is provided through a series of step-by-step recommendations along with a list of particularly helpful words and phrases. This book explores a variety of obstacles that can compromise ethically sound, truthful disclosures of error. It offers numerous observations on tort reform measures and on organizational strategies that can encourage a greater 'moral atmosphere' in our hospitals and clinics resulting in improved, patient-centered communications. Readers will find numerous recommendations as to what words to use in disclosing errors artfully as well as ethically. But even more, this book is a sustained examination of how talented, capable persons who feel a driving need to demonstrate their competence and be respected can fall into narcissistic traps.

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9780763783617

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John Banja is a clinical ethicist at the Center For Ethics in Public Policy and the Professions and an associate professor of rehabilitation medicine. He received a doctorate degree in philosophy from Fordham University in New York and maintains a specialty interest in moral issues associated with catastrophic neurological impairment. He teaches medical ethics at Emory and has authored or coauthored over 100 publications, including the entry ""Rehabilitation Medicine"" which appears in the most recent edition of the Encyclopedia of Bioethics.He has delivered over 500 invited lectures at regional, national, and international conferences and has appeared numerous times on television, radio and in the popular press. He spent the 1998-99 academic year as a Mary Switzer Distinguished Fellow with grant support from the National Institute On Disability and Rehabilitation Research where he studied the ethical dimensions of private health insurance.He is presently conducting grant funded research on the impact of insurance coverage as an outcome predictor in traumatic brain injury and on communicational strategies for health providers who encounter emotionally painful situations. He was the year 2000 recipient of the John W. Goldschmidt Award for Excellence in Rehabilitation, presented by the National Rehabilitation Hospital in Washington, DC.

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