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Disclosure of adverse event — RCPSC IM MCQ

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ModerateGeneral IM/Ethics/CanMEDSDisclosure of adverse eventRCPSC IM

A patient receives 10 times the intended insulin dose because of a prescribing-interface error and develops severe hypoglycemia requiring IV dextrose. She recovers fully. The resident asks whether to tell her because no permanent harm occurred. The chart confirms the dosing error. What is the most appropriate next step?

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Reveal the answer and explanation

Correct answer: DDisclose the event, apologise, explain known facts and initiate safety reporting

Patient safety events causing harm require timely disclosure, apology where appropriate, factual explanation, documentation and system reporting for quality improvement.

Reference: Canadian Patient Safety Institute disclosure guidance; Royal College CanMEDS