Breaking the silence: Revealing drivers and barriers to medical students' speaking up in medical error
Confidence and responsibility promote speaking up, but barriers such as hierarchy and fear of criticism hinder it. Although ethical and legal training is designed to promote patient advocacy, it may unintentionally prioritise self-preservation, thereby discouraging speaking-up behaviour in medical error events. These findings may prompt medical educators to re-evaluate the hidden curriculum within ethical and legal training as well as clinical rotations.
Authors
- S. Barry Issenberg (ORCID: https://orcid.org/0000-0002-2524-4736)
- Hung‐Wei Tsai (ORCID: https://orcid.org/0000-0002-8417-2461)
- Jen‐Chieh Wu
- H. Chen (ORCID: https://orcid.org/0000-0001-9304-9396)
- Enoch Kang (ORCID: https://orcid.org/0000-0002-4903-942X)
- Hung‐Chen Chen
- Hao‐Yu Chen
- Yi‐Chun Chen (ORCID: https://orcid.org/0000-0001-5244-3282)
Institutions
- University of Miami (US)
- National Taipei University of Nursing and Health Science (TW)
- Taipei Medical University Hospital (TW)
- Ministry of Health and Welfare (TW)
- National Taiwan University Hospital (TW)
- Wan Fang Hospital (TW)
- Taipei Medical University (TW)
Publication Details
- Journal
- Medical Education
- Published
- 2025-09-10
- DOI
- https://doi.org/10.1111/medu.70030
- Citations
- 1
- Primary Topic
- Patient Safety and Medication Errors
- Type
- article
- Field-Weighted Citation Impact
- 2.52