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

Sorensen, R; Iedema, R; Piper, D; Manias, E; Wilson, A; Tuckett, A

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

Sorensen, R Iedema, R Piper, D Manias, E Wilson, A Tuckett, A

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Publisher:: Blackwell Publishing Ltd.
Publication Type:: Journal Article
Citation:: Sorensen Rozlyn et al. 2008, 'Disclosing clinical adverse events to patients: can practice inform policy?', Blackwell Publishing Ltd., vol. 13, no. 2, pp. 148-159.
Issue Date:: 2008

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Field	Value	Language
dc.contributor.author	Sorensen, R	en_US
dc.contributor.author	Iedema, R	en_US
dc.contributor.author	Piper, D	en_US
dc.contributor.author	Manias, E	en_US
dc.contributor.author	Wilson, A	en_US
dc.contributor.author	Tuckett, A	en_US
dc.date.accessioned	2012-10-12T03:34:22Z
dc.date.available	2012-10-12T03:34:22Z
dc.date.issued	2008	en_US
dc.identifier	2007003148	en_US
dc.identifier.citation	Sorensen Rozlyn et al. 2008, 'Disclosing clinical adverse events to patients: can practice inform policy?', Blackwell Publishing Ltd., vol. 13, no. 2, pp. 148-159.	en_US
dc.identifier.issn	1369-6513	en_US
dc.identifier.other	C1	en_US
dc.identifier.uri	http://hdl.handle.net/10453/18563
dc.description.abstract	Abstract Objectives: To understand patients and health professionals experience of open disclosure and to consider how open disclosure practice can inform policy. Background: Open disclosure procedures are being implemented in health services worldwide yet empirical evidence on which to base patient-clinician communication and policy development is scant. Design, setting and participants: A qualitative methodology was used. Semi-structured open-ended interviews were conducted with 154 respondents (20 nursing, 49 medical, 59 clinical/administrative managerial, 3 policy coordinators, 15 patients and 8 family members) in 21 hospitals and health services in four Australian states. Results: Both patients and health professionals were positive about open disclosure. We found that five major elements underlie their experience of open disclosing error namely: initiating open disclosure, apologizing for the error, taking the patientâ¿¿s perspective, communicating the adverse event and being culturally aware. Patients and health professionals differed on their assessments of practice effectiveness. Conclusions: Health services that evaluate the impact of policies such as open disclosure can collectively refine their delivery processes and develop an evidence base to inform future policy development. Health services can use specific properties relating to each of the five open disclosure elements as standards for training purposes and to assess the progress of policy implementation.	en_US
dc.publisher	Blackwell Publishing Ltd.	en_US
dc.relation.ispartof	Verified OK	en_US
dc.relation.ispartof	Health Expectations	en_US
dc.relation.isbasedon	http://dx.doi.org/10.1111/j.1369-7625.2009.00569.x	en_US
dc.subject	evaluation, medical error, Open Disclosure, patient involvement, policy implementation	en_US
dc.subject.classification	Other Medical and Health Sciences	en_US
dc.title	Disclosing clinical adverse events to patients: can practice inform policy?	en_US
dc.type	Journal article
utslib.citation.volume	13	en_US
utslib.citation.number	2	en_US
utslib.location	United Kingdom	en_US
utslib.citation.startpage	148	en_US
utslib.citation.endpage	159	en_US
utslib.identifier.org	FOH.Faculty of Health	en_US
utslib.for	119900	en_US
utslib.percentage	000034	en_US
utslib.copyright.status	closed_access

Abstract:

Abstract Objectives: To understand patients and health professionals experience of open disclosure and to consider how open disclosure practice can inform policy. Background: Open disclosure procedures are being implemented in health services worldwide yet empirical evidence on which to base patient-clinician communication and policy development is scant. Design, setting and participants: A qualitative methodology was used. Semi-structured open-ended interviews were conducted with 154 respondents (20 nursing, 49 medical, 59 clinical/administrative managerial, 3 policy coordinators, 15 patients and 8 family members) in 21 hospitals and health services in four Australian states. Results: Both patients and health professionals were positive about open disclosure. We found that five major elements underlie their experience of open disclosing error namely: initiating open disclosure, apologizing for the error, taking the patientâ¿¿s perspective, communicating the adverse event and being culturally aware. Patients and health professionals differed on their assessments of practice effectiveness. Conclusions: Health services that evaluate the impact of policies such as open disclosure can collectively refine their delivery processes and develop an evidence base to inform future policy development. Health services can use specific properties relating to each of the five open disclosure elements as standards for training purposes and to assess the progress of policy implementation.

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http://hdl.handle.net/10453/18563