Disclosing clinical adverse events to patients: can practice inform policy?

Sorensen, Ros; Iedema, Rick; Piper, Donella; Manias, Elizabeth; Williams, Allison; Tuckett, Anthony G.

doi:10.1111/j.1369-7625.2009.00569.x

Cited by 18 publications

(64 citation statements)

References 19 publications

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“…It is a topic of communication that has not been systematically researched (Sorensen et al, 2010). We sought to unpack the specific communication behaviors that differentiate effective and ineffective open disclosure interactions.…”

Section: Discussionmentioning

confidence: 99%

Communication in open disclosure conversations about adverse events in hospitals

Watson

Angus

Gore

et al. 2015

Language & Communication

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Section: Discussionmentioning

confidence: 99%

Communication in open disclosure conversations about adverse events in hospitals

Watson

Angus

Gore

et al. 2015

Language & Communication

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“…1 According to the disclosure of medical error policies, errors must be revealed to patients and their families; however, policymaking is extremely difficult in health care due to health care organizations' obligation toward patient-centered practice; adding patients' needs is a major part of creating health policy objectives. 3 During the mid-1980s, a full-disclosure policy was implemented in the US, following major harm cases; several health care organizations followed the same lead. 3 Furthermore, the National Patient Safety Foundation announced a report stating, When a health care injury occurs, the patient and the family or representative are entailed to a prompt explanation of how the injury occurred and long-term effects.…”

Section: Introductionmentioning

confidence: 99%

<p>Policies vs Practice of Medical Error Disclosure at a Teaching Hospital in Saudi Arabia</p>

Madani¹,

Al-Rayes²,

Alumran³

2020

RMHP

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Background: Medical errors are unavoidable in health care institutions. Errors can occur due to multiple reasons, yet communication between health care providers has proven to be the highest. However, policies and programs of medical error disclosure were established to ensure that patients and their family members get the necessary closure. Hence, it is vital to recognize physicians' awareness of policies and programs related to disclosure practice. Objective: The objective of this study was to examine factors impacting the awareness of hospital policies and programs and their impact on the actual disclosure of medical errors. Methods: This was a quantitative cross-sectional study, using a self-administered survey given to 206 physicians from numerous departments at King Fahd Hospital of the University. Results: The majority of participants were not aware of policies and programs related to disclosure, nor had they disclosed a medical error to patients. There was no statistical significance between policies and programs and the practice of disclosure, yet position level and gender were statistically significantly related to awareness. Conclusion: Physicians of King Fahd Hospital of the University demonstrated a low awareness rate of the hospital policies and programs regarding disclosure practice. Advanced efforts of hospital leaders need to be made to communicate, train and educate providers about their policies to promote disclosure practice.

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“…Both the managerial model and the legal model have a naïve understanding of the function and nature of dissatisfaction and how it is expressed. They pay lip service to patients' needs but do not fit well in this particular health care sector, where patients are residents and receive long-term care in a social setting [26]. National health care policies should leave more room for sector specific adaptations, especially where the informal complaint trajectories are concerned.…”

Section: Resultsmentioning

confidence: 99%

Complaints in long-term care facilities for older persons: Why residents do not give ‘free advice’

Bomhoff

Friele

2017

Health Policy

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In health care policies, the right to complain is presented as a key patient right. Complaints are also seen as a potential vehicle for quality improvement. However, in long-term care facilities for older persons in the Netherlands, relatively few complaints are registered. An explorative qualitative study was performed at three long-term care facilities to examine the ways in which different relevant actors define and relate to complaints. We conducted observations and semi-structured interviews with 76 persons: residents, their family members, nurses, volunteers, middle (facility) and upper (institutional) managers and complaint handling personnel. Long-term care facilities are social contexts obeying complex social and cultural norms. There are great differences in how complaining and complaints are perceived. For most residents, 'complaining' had strong negative connotations: they expected it would lead to undesirable social consequences that could not outweigh possible advantages. To nurses it was important to hear of residents' dissatisfactions but communicative aspects were challenging. Institutional managers saw complaints as 'free advice' they wished to use to enhance the quality of the care provision. Complaint managers underlined the procedural aspects to complaints. A more appropriate and productive policy on complaints in this health care sector should take these differences into account.

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Disclosing clinical adverse events to patients: can practice inform policy?

Cited by 18 publications

References 19 publications

Communication in open disclosure conversations about adverse events in hospitals

Communication in open disclosure conversations about adverse events in hospitals

<p>Policies vs Practice of Medical Error Disclosure at a Teaching Hospital in Saudi Arabia</p>

Complaints in long-term care facilities for older persons: Why residents do not give ‘free advice’

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