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Disclosure of harm — RCPSC IM MCQ

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ModerateGeneral IM, Ethics, CanMEDSDisclosure of harmRCPSC IM

A 58-year-old inpatient receives 10 times the intended dose of hydromorphone because of a prescribing interface error. He requires naloxone and observation but recovers without lasting harm. The team has corrected the order and reported the incident internally. What is the most appropriate management?

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Correct answer: ADisclose the event to the patient, apologise, explain known facts and outline prevention steps

Canadian professionalism standards support timely disclosure of patient safety incidents, including what is known, clinical consequences, apology and prevention plans. Disclosure should not be delayed until every systems detail is complete.

Reference: CanMEDS Professional and Leader roles; Canadian Patient Safety Institute disclosure guidance