{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T07:10:37Z","timestamp":1776150637944,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Medical errors represent a major issue for healthcare professionals. Although they may not always cause direct harm to patients, timely reporting of such errors is an important step in improving safety and reducing malpractice risk. As the number of these lawsuits rises, physicians often resort to defensive medicine practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>The aim of this study is to evaluate the attitudes, behaviours and knowledge levels of physicians working in palliative care services with resprect to defensive medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This multicenter, cross\u2010sectional and analytical study, 110 physicians working in the Palliative Care Service participated in the study between 01.10.2023 and 31.10.2023. Demographic information, defensive medicine attitude scale and medical error attitude scale were applied to the participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010two of the participants were female and 48 were male. Based on the data, 5.5% of the participants had a moderate, 64.5% had a high, and 30.0% had a very high level of defensive medicine attitudes. Resident physicians rated their defensive medicine attitude with higher scores than specialist physicians. In addition, physicians with less than 5 years of experience have higher positive defensive medicine scores. There is a significant relationship between age and the medical error attitude scale score. Most of the participants received palliative care training, but they stated that they did not have sufficient knowledge about defensive medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although the defensive medicine scores of the participants are high, additional training is necessary to close the gaps in knowledge. There is also a promising situation in terms of medical error awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70316","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T07:36:34Z","timestamp":1763019394000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Physicians' Attitudes Toward Defensive Medicine and Medical Errors in Palliative Care: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"31","author":[{"given":"Ardacan","family":"Uy\u011fur","sequence":"first","affiliation":[{"name":"Health Sciences University Gaziosmanpa\u015fa Training and Research Hospital, Family Medicine Clinic Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4398-0817","authenticated-orcid":false,"given":"Abdullah Ozan","family":"Polat","sequence":"additional","affiliation":[{"name":"Health Sciences University Gaziosmanpa\u015fa Training and Research Hospital, Family Medicine Clinic Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Okcan","family":"Basat","sequence":"additional","affiliation":[{"name":"Health Sciences University Gaziosmanpa\u015fa Training and Research Hospital, Family Medicine Clinic Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"issue":"2","key":"e_1_2_9_2_1","first-page":"287","article-title":"Determination of Surgical Nurses' Attitudes and Tendencies Towards Medical Errors","volume":"23","author":"Kandemir A.","year":"2020","journal-title":"Anatolian Nursing and Health Sciences Journal"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2017.12.001"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14148"},{"key":"e_1_2_9_5_1","unstructured":"S.\u00c7\u0131narl\u0131. Defensive Medicine. (Advisor: Sel\u00e7uk). 2015 https:\/\/acikbilim.yok.gov.tr\/handle\/20.500.12812\/637194."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-019-01144-0"},{"key":"e_1_2_9_7_1","unstructured":"\u00d6.G\u00f6k\u015fenandT.Haz\u0131rlayan The Legal Dimension of Defensive Medicine and Medical Malpractice Practices Solution Proposals and Professional Liability Insurance. 2014 https:\/\/acikbilim.yok.gov.tr\/handle\/20.500.12812\/711807."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckv171.043"},{"key":"e_1_2_9_9_1","unstructured":"A. T.Erg\u00f6nen. Research on the Attitudes of Specialty Training Students Towards Defensive Medicine. (Advisor: Bicen). 2018 https:\/\/acikbilim.yok.gov.tr\/handle\/20.500.12812\/578074."},{"key":"e_1_2_9_10_1","first-page":"33","volume-title":"2nd International Understanding Violence Congress Full Text Book Istanbul, Turkey","author":"Mammadli A.","year":"2020"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.10.055"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-5-71"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1613719"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2017-001417"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ph17081009"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-021-00658-8"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11019-020-09950-7"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/aqaa088"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000024176"},{"issue":"1","key":"e_1_2_9_20_1","first-page":"969","article-title":"A Study on Determining the Medical Error Attitudes of Physicians and Nurses","volume":"8","author":"Ulusoy H.","year":"2020","journal-title":"Business & Management Studies: An International Journal"},{"key":"e_1_2_9_21_1","unstructured":"Hacettepe University Faculty of Nursing Journal. Determination of Medical Error Attitudes of Physicians and Nurses Working in a University Hospital. 2022 https:\/\/dergipark.org.tr\/en\/pub\/hunhemsire\/issue\/69367\/1101872."},{"issue":"2","key":"e_1_2_9_22_1","first-page":"99","article-title":"Validity and Reliability of the Turkish Version of the Defensive Medicine Practices Attitude Scale: A Preliminary Study","volume":"24","author":"Ba\u015fer A.","year":"2014","journal-title":"Tepecik Education and Research Hospital Journal"},{"key":"e_1_2_9_23_1","unstructured":"\u00d6.\u00dcnal n.d. Defensive Medicine Practices Antecedents and Outcomes\u2014Department of Health Management (Doctoral Thesis) January 2020."},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/08964280109595771"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.69487\/hemarge.695715"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0042613"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6939-14-42"},{"issue":"3","key":"e_1_2_9_28_1","first-page":"237","article-title":"The Effect of Patient Complaints on Defensive Medicine Practices: Are Family Physicians Secondary Victims?","volume":"24","author":"Hicran H.","year":"2019","journal-title":"Anatolian Clinic Journal of Medical Sciences"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315615002"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70316","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jep.70316","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70316","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T06:33:48Z","timestamp":1776148428000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,12]]},"references-count":28,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/jep.70316"],"URL":"https:\/\/doi.org\/10.1111\/jep.70316","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,12]]},"assertion":[{"value":"2025-02-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70316"}}