Health care professionals’ views of implementing a policy of open disclosure of errors

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

doi:10.1258/jhsrp.2008.008062

Cited by 25 publications

(22 citation statements)

References 19 publications

(27 reference statements)

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“…Cognitive impairments and cultural differences, including language, also made it harder to perform DPSI [32,59]. Furthermore, unfamiliarity with DPSI [28,60] and busy schedules [32] were highlighted as barriers to DPSI.…”

Section: Resultsmentioning

confidence: 99%

“…Considering medical professionals’ lack of familiarity with DPSI [28,60], the development and adoption of guidelines for DPSI [65] and education and training on DPSI [65-74] would help medical professionals to become more familiar with DPSI. These are also in line with the context of gaining traction on standardization of the care process in patient safety [79].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Review

Ock

Lim

et al. 2017

J Prev Med Public Health

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ObjectivesWe performed a systematic review to assess and aggregate the available evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents (DPSI).MethodsWe used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this systematic review and searched PubMed, Scopus, and the Cochrane Library for English articles published between 1990 and 2014. Two authors independently conducted the title screening and abstract review. Ninety-nine articles were selected for full-text reviews. One author extracted the data and another verified them.ResultsThere was considerable variation in the reported frequency of DPSI among medical professionals. The main expected effects of DPSI were decreased intention of the general public to file medical lawsuits and punish medical professionals, increased credibility of medical professionals, increased intention of patients to revisit and recommend physicians or hospitals, higher ratings of quality of care, and alleviation of feelings of guilt among medical professionals. The obstacles to DPSI were fear of medical lawsuits and punishment, fear of a damaged professional reputation among colleagues and patients, diminished patient trust, the complexity of the situation, and the absence of a patient safety culture. However, the factors facilitating DPSI included the creation of a safe environment for reporting patient safety incidents, as well as guidelines and education for DPSI.ConclusionsThe reported frequency of the experience of the general public with DPSI was somewhat lower than the reported frequency of DPSI among medical professionals. Although we identified various expected effects of DPSI, more empirical evidence from real cases is required.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Review

Ock

Lim

et al. 2017

J Prev Med Public Health

View full text Add to dashboard Cite

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“…Multiple barriers exist that might inhibit disclosure, 18 and one particular challenge with disclosure in our study was that almost one-third of the respondents are less likely to disclose if they believe they might be sued or reprimanded. 1,19 Although there is increasing attention to disclosing harmful events, there is a significant gap between what is expected and what actually occurs in current practice. Regardless of the health care provider's attitude about error disclosure, most patients or residents and their families want to know if an error has occurred, even if minor.…”

Section: Discussionmentioning

confidence: 99%

Nurses' Perceptions of Error Reporting and Disclosure in Nursing Homes

Wagner

Harkness

Hébert

et al. 2012

Journal of Nursing Care Quality

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Nurses have an obligation to disclose an error when one occurs. This study explored 1180 nurses' perceptions of error disclosure in the nursing home setting. Nurse respondents found disclosure to be a difficult process. Registered nurse respondents and nurses who had prior experience disclosing a serious error were more likely to disclose a serious error. The study has implications to improve nursing education, policy, and patient safety culture in the nursing home setting.

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“…As we have already argued, 7 how this space is used will depend on how well local health services learn from these experiences and engage with the communicative and social dimensions of patient‐centred policy such as Open Disclosure. Developing a style of communication in the context of adverse events that is respectful, truthful and understanding of difference can be emotionally positive for both patients and clinicians.…”

Section: Discussionmentioning

confidence: 99%

“…The hindrances are amenable to change where collaborative networks of researchers, policymakers and clinical practitioners generate and share policy‐relevant evidence 6 . In Open Disclosure, generating empirical evidence is important, as much of the activity is top‐down 7 and theoretically based 8 .…”

Section: Introductionmentioning

confidence: 99%