How to discuss a medical error with a patient

Discussing a medical error with a patient may be one of the most difficult conversations a physician ever faces. Medicine demands confidence, precision and trust, yet even the most skilled and experienced doctors can make mistakes. When that happens, physicians often confront a complicated mix of emotions — embarrassment, guilt, fear and self-doubt — while also trying to protect the relationship they have built with their patients.

Many doctors worry that admitting an error could damage their reputation, undermine a patient’s confidence or even trigger a malpractice lawsuit. The instinct to avoid the conversation, minimize what happened or retreat into denial can be powerful. But that silence and avoidance often create even greater problems, fueling mistrust, anger and confusion for patients and families who are already facing difficult circumstances.

Open communication after a medical error is not easy, and there is no perfect script for these conversations. Physicians must balance honesty, empathy and professionalism while navigating legal, emotional and ethical concerns. Medical Economics spoke with Anthony Orsini, D.O., a communications expert and founder of The Orsini Way about how to approach these situations.