AHRQ Patient Safety Network

The Collection > Patient Disclosure

PATIENT SAFETY PRIMERS
Error Disclosure

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Safety Target

•Device-related Complications (2)

•Diagnostic Errors (8)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (4)

•Medication Safety (20)

•Medical Complications (12)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (14)

•Transfusion Complications (1)

•Psychological and Social Complications (29)

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•Asia (1)

•Australia and New Zealand (8)

Resource Types

•Journal Article (102)

•Legislation/Regulation (4)

•Meeting/Conference (2)

•Newspaper/Magazine Article (24)

•Special or Theme Issue (7)

•Tools/Toolkit (1)

•Web Resource (2)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (12)

•Active Errors (46)

•Latent Errors (9)

•Near Miss (3)

Approach to Improving Safety
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Patient Disclosure

Clinical Areas

•Medicine (71)

•Nursing (5)

•Pharmacy (2)

Target Audience

•Health Care Providers (117)

•Health Care Executives and Administrators (124)

•Non-Health Care Professionals (71)

•Patients (26)

Setting of Care

•Hospitals (70)

•Ambulatory Care (6)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 161

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GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

Rockville, MD: Agency for Healthcare Research and Quality; June 2008.

REVIEW

What have we learned about interventions to reduce medical errors?

Woodward HI, Mytton OT, Lemer C, et al. Annu Rev Public Health. 2010;31:479-497.

COMMENTARY

In Conversation with...Sorrel King

AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

The Sorry Works! Coalition: making the case for full disclosure.

Wojcieszak D, Banja J, Houk C. Jt Comm J Qual Patient Saf. 2006;32:344-350.

STUDY

Medical error disclosure training: evidence for values-based ethical environments.

Rathert C, Phillips W. J Bus Ethics. 2010;97:491-503.

SPECIAL OR THEME ISSUE

First, Do No Harm.

Ganguli I, ed. Virtual Mentor. 2011;13:587-678.

COMMENTARY

Communication with patients, suffering severe, avoidable harm as a result of treatment.

Cornwell J. Saferhealthcare. April 26, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

STUDY

Emergency physicians and disclosure of medical errors.

Moskop JC, Geiderman JM, Hobgood CD, Larkin GL. Ann Emerg Med. 2006;48:523-531.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

COURSE MATERIAL/CURRICULUM

Medical Errors and Patient Safety: A Curriculum Guide for Teaching Medical Students and Family Practice Residents.

Halbach JL, Sullivan L. Yonkers, NY: New York Medical College; 2003.

STUDY

Patients' concerns about medical errors during hospitalization.

Burroughs TE, Waterman AD, Gallagher TH, et al. Jt Comm J Qual Patient Saf. 2007;33:5-14.

COMMENTARY

The disclosure dilemma—large-scale adverse events.

Dudzinski DM, Hébert PC, Foglia MB, Gallagher TH. N Engl J Med. 2010;363:978-986.

NEWSPAPER/MAGAZINE ARTICLE

When errors occur.

Wetzel TG. Hosp Health Netw. October 2010.

STUDY

Analysis of Australian newspaper coverage of medication errors.

Hinchcliff R, Westbrook J, Greenfield D, Baysari M, Moldovan M, Braithwaite J. Int J Qual Health Care. 2012;24:1-8.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors: should you apologize?

Weiss GG. Med Econ. April 21, 2006;83:50-54.

COMMENTARY

Disclosing unanticipated outcomes to patients: the art and practice.

Gallagher TH, Denham CR, Leape LL, Amori G, Levinson W. J Patient Saf. 2007;3:158-165.

COMMENTARY

Mistakes and disclosure.

Winter RO, Birnberg BA. Fam Med. 2008;40:245-247.

SPECIAL OR THEME ISSUE

Hospital Transparency in Reporting Medical Errors.

Agency for Healthcare Research and Quality. Health Care Innovations Exchange. June 23, 2010.

BOOK/REPORT

Promoting Patient Safety: An Ethical Basis for Policy Deliberation.

Sharpe VA. Hasting Center Rep. 2003;33(suppl):S1-S20.

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