I have to say this:
I have had coworkers and my assistant manger all say they trust me a lot because I DO admit when I screw up.
It's never easy to admit. And that horrible sick feeling in my stomach is something I think anyone who has made an error can relate to. But I have not had my mistakes held against me, ever. I have actually, in reporting that "biggie" I told you about, had some coworkers change how they do things because of it.
That can't be a bad thing.
Now if I had covered it up and hidden it, I would feel bad still----really badly. And if the mistake had been uncovered and I had either lied or omitted, I think there would be huge trust issues on the parts of my coworkers/mgt with me, as well as the physician. She has never treated me poorly or differently because of this, if anything she was VERY nice the next week or so afterward, because she knew how awful I felt and that I did own up as soon as it was discovered there had been a problem caused by me.
I hope never to make a major error like that again----Lord, please no. But if I do, I have to say, I will HAVE to report it. I can't live with the guilt of making an error like that AND covering it up.
You know what I feel worst about? That the patient had to go through what she did (a very rapid csection versus a more relaxed, controlled situation) because of my mistake. Yes, her baby and she were fine, but I feel so badly about any distress I caused that lady. If I saw her today, I would feel the guilt rise up again. I never want to cause harm to a patient or her baby due to any error on my part.