Linguistic Considerations for the Disclosure of Medical Errors

Authors

Maisarah Ahmad Kamil

Academy of Language Studies, Universiti Teknologi MARA, 40450 Shah Alam, Selangor, Malaysia (Malaysia)

Article Information

DOI: 10.47772/IJRISS.2025.924ILEIID0083

Subject Category: Language

Volume/Issue: 9/24 | Page No: 764-769

Publication Timeline

Submitted: 2025-09-23

Accepted: 2025-09-30

Published: 2025-11-01

Abstract

This conceptual paper examines the linguistic considerations necessary for effective medical error disclosure; an area where communication choices directly influence patient trust and the perceptions of professional integrity. Drawing upon theories of the Situational Crisis Communication Theory, Linguistic Category Model, and Communication Competence Model, this paper highlights how language use can shape the attribution of responsibility and affect relational outcomes in clinical settings. It proposes four core considerations to guide effective disclosure: sociolinguistic competence in tailoring language to diverse settings; clarity and comprehensibility in ensuring understanding; the demonstration of empathy; and the critical role of timing and sequencing in structuring disclosure interactions. Together, these considerations underscore the need for medical professionals to balance informational accuracy with sensitivity towards patients’ emotions and expectations. The framework contributes to advancing understanding of how language can facilitate trust, reduce conflict, and support ethical practice in healthcare communication.

Keywords

medical disclosure; linguistic competence; professional communication

Downloads

References

1. Borden, J., & Zhang, X. A. (2019). Linguistic crisis prediction: An integration of the linguistic category model in crisis communication. Journal of Language and Social Psychology, 1-30. https://doi.org/10.1177/0261927X19860870 [Google Scholar] [Crossref]

2. Busetti, F., Baffoni, G., Tussardi, I. T., Raniero, D., Turrina, S., & De Leo, D. (2020). Policies and practice in the disclosure of medical error: Insights from leading countries to address the issue in Italy. Medicine, Science and the Law, 6(IS), 88-91. https://doi.org/10.1177/0025802420979441 [Google Scholar] [Crossref]

3. Canale, M. & Swain, M. (1980). Theoretical bases of communicative approaches to second language teaching and testing. Applied Linguistics I(1), 1-47. https://doi.org/10.1093/applin/I.1.1 [Google Scholar] [Crossref]

4. Coombs, W. T. (2007). Protecting organization reputations during a crisis: The development and application of situational crisis communication theory. Corporate Reputation Review, 10(3), 163-176. https://doi.org/10.1057/palgrave.crr.1550049 [Google Scholar] [Crossref]

5. Coombs, W. T., & Holladay, S. J. (1996). Communication and attributions in a crisis: An experimental study in crisis communication. Journal of Public Relations Research, 8, 279-295. https://doi.org/10.1207/s1532754xjprr0804_0 [Google Scholar] [Crossref]

6. Farnese, M. L., Zaghini, F., Caruso, R., Fida, R., Romagnoli, M., & Sili, A. (2018). Managing care errors in the wards: The contribution of authentic leadership and error management culture. Leadership & Organization Development Journal. https://doi.org/10.1108/LODJ-04-2018-0152 [Google Scholar] [Crossref]

7. Hajime, S. (2020). Strategic management of medical incidents for patient safety and crisis management: Applications of the principles of crisis management and recent developments in Japan. Journal of the National Institute of Public Health, 69(1), 41-51. [Google Scholar] [Crossref]

8. Lane, A. S., & Roberts, C. (2020). Developing open disclosure strategies to medical error using simulation in final-year medical students: Linking mindset and experiential learning to lifelong reflective practice. BMJ Simul Technology Enhance Learn, 7, 345-351. [Google Scholar] [Crossref]

9. Malaysian Medical Council. (2019). Code of professional conduct 2019: Medical errors and incident reporting (para. 2.2.6). https://www.mmc.gov.my/images/Code_of_Professional_Conduct_2019.pdf [Google Scholar] [Crossref]

10. Schoofs, L., Claeys, A-S., De Waele, A., & Cauberghe, V. (2019). The role of empathy in crisis communication: Providing a deeper understanding of how organizational crises and crisis communication affect reputation. Public Relations Review, 45(4), 1-9. https://doi.org/10.1016/j.pubrev.2019.101851 [Google Scholar] [Crossref]

11. Semin, G. R., & Fiedler, K. (1998). The cognitive functions of linguistic categories in describing persons: Social cognition and language. Journal of Personality and Social Psychology, 54(4), 558-568. https://doi.org/10.1037/0022-3514.54.4.558 [Google Scholar] [Crossref]

12. Shaw, J., Dunn, S., & Heinrich, P. (2012). Managing the delivery of bad news: An in-depth analysis of doctors’ delivery style. Patient Education and Counseling, 87(2), 186-192. https://doi.org/10.1016/j.pec.2011.08.005 [Google Scholar] [Crossref]

13. Stemie, L., von Peter, S., & Frank, F. (2024). Professional relationships during crisis interventions: A scoping review. PLoS ONE, 19(2) e0298726. https://doi.org/10.1371/journal.pone.0298726 [Google Scholar] [Crossref]

14. Tomić, Z., Vegar, V., & Radalj, M. (2024). Crisis communication in healthcare. Medicina Academica Integrativa, 1(1), 11-25. [Google Scholar] [Crossref]

15. Traylor, D. O., Kern, K. V., Anderson, E. E., & Henderson, R. (2025). Beyond the screen: The impact of generative artificial intelligence (AI) on patient learning and the patient-physician relationship. Cureus, 17(1). https://doi.org/10.7759/cureus.76825 [Google Scholar] [Crossref]

Metrics

Views & Downloads

Similar Articles