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Disclosure of adverse event — MCCQE Part 1 MCQ

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ModerateEthics & ProfessionalismDisclosure of adverse eventMCCQE Part 1

64-year-old woman presents with received an incorrect medication dose in hospital. She had transient hypotension but recovered. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Disclose the event honestly, explain known consequences and document/follow institutional process

Disclose the event honestly, explain known consequences and document/follow institutional process is best because patients should be informed of harmful adverse events. Breach confidentiality broadly without legal basis is suboptimal because disclosure must be limited to what is legally authorised or clinically necessary; Let family preference override a capable patient is suboptimal because capable patients direct their own care; Refuse to discuss the issue and document nothing is suboptimal because professional practice requires communication and clear documentation; Delay a mandatory report until certainty is absolute is suboptimal because statutory reporting thresholds are often suspicion or reasonable belief, not proof. Apology and disclosure are compatible with professionalism.

Reference: CMPA disclosure of harm guidance