Confessional Approach to Disclosure of Medical Error

Recent literature on the ethics of medical error disclosure acknowledges the feelings of injustice, confusion, and grief patients and their families experience as a result of medical error. Substantially less literature acknowledges the emotional and relational discomfort of the physicians responsib...

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Bibliographic Details
Main Author: Mason, Jordan (Author)
Format: Electronic Article
Language:English
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Published: Oxford University Press 2021
In: Christian bioethics
Year: 2021, Volume: 27, Issue: 2, Pages: 203-222
IxTheo Classification:FA Theology
NCA Ethics
NCH Medical ethics
VA Philosophy
Online Access: Volltext (lizenzpflichtig)
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520 |a Recent literature on the ethics of medical error disclosure acknowledges the feelings of injustice, confusion, and grief patients and their families experience as a result of medical error. Substantially less literature acknowledges the emotional and relational discomfort of the physicians responsible or suggests a meaningful way forward. To address these concerns more fully, I propose a model of medical error disclosure that mirrors the theological and sacramental technique of confession. I use Aquinas’ description of moral acts to show that all medical errors are evil, and some accidental medical errors constitute venial sins; all sin and evil should be confessed. As Aquinas urges confession for sins, here I argue that confession is necessary to restore physicians to the community and to provide a sense of absolution. Even mistakes for which physicians are not morally culpable ought to be confessed in order to heal the physician-patient relationship and to address feelings of professional distress. This paper utilizes an Episcopal theology of confession that affirms verbal admission and responsibility-taking as freeing and relationally restoring acts, arguing that a confessional stance toward medical error both leads to better outcomes in physician-patient relationships and is more compassionate toward physicians who err. 
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