AHRQ Patient Safety Network

The Collection > Patient Disclosure

PATIENT SAFETY PRIMERS
Error Disclosure

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (11)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (5)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (25)

•Medical Complications (12)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (17)

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•Psychological and Social Complications (47)

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•Australia and New Zealand (10)

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•Journal Article (164)

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•Newspaper/Magazine Article (49)

•Special or Theme Issue (6)

•Tools/Toolkit (2)

•Web Resource (6)

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Error Types

•Epidemiology of Errors and Adverse Events (17)

•Active Errors (44)

•Latent Errors (9)

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Approach to Improving Safety
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Patient Disclosure

Clinical Areas

Target Audience

•Health Care Providers (203)

•Health Care Executives and Administrators (176)

•Non-Health Care Professionals (99)

•Patients (49)

Setting of Care

•Hospitals (93)

•Ambulatory Care (6)

•Outpatient Surgery (3)

•Patient Transport (1)

1 - 20 of 264

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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

Disclosing harmful pathology errors to patients.

Dintzis SM, Gallagher TH. Am J Clin Pathol. 2009;131:463-465.

AUDIOVISUAL

When Things Go Wrong: Voices of Patients and Families.

Cambridge, MA: CRICO/RMF; 2006.

BOOK/REPORT classic

When Things Go Wrong: Responding to Adverse Events.

A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.

STUDY

Patients' and physicians' attitudes regarding the disclosure of medical errors.

Gallagher TH, Waterman AD, Ebers AG, Fraser VJ, Levinson W. JAMA. 2003;289:1001-1007.

REVIEW

Narrative review: do state laws make it easier to say "I'm sorry?"

McDonnell WM, Guenther E. Ann Intern Med. 2008;149:811-815.

COMMENTARY classic

Guilty, afraid, and alone — struggling with medical error.

Delbanco T, Bell SK. N Engl J Med. 2007;357:1682-1683.

BOOK/REPORT

Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians.

Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009.

BOOK/REPORT

Sorry Works! 2.0: Disclosure, Apology, and Relationships Prevent Medical Malpractice Claims.

Wojcieszak D, Saxton JW, Finkelstein MM. Bloomington, IN: AuthorHouse; 2010. ISBN: 9781438969732.

COMMENTARY

Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care.

Taylor D, Hassan MA, Luterman A, Rodning CB. Arch Surg. 2008;143:87-92.

STUDY

Peer support: healthcare professionals supporting each other after adverse medical events.

van Pelt F. Qual Saf Health Care. 2008;17:249-252.

STUDY

The many faces of error disclosure: a common set of elements and a definition.

Fein SP, Hilborne LH, Spiritus EM, et al. J Gen Intern Med. 2007;22:755-761.

SPECIAL OR THEME ISSUE

Special Focus: Patient Safety.

Case Manager. May/June 2005;16:57-82.

STUDY

Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study.

Iedema R, Allen S, Britton K, et al. BMJ. 2011;343:d4423.

REVIEW

An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors.

Kaldjian LC, Jones EW, Rosenthal GE, Tripp-Reimer T, Hillis SL. J Gen Intern Med. 2006;21:942-948.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

STUDY

How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data.

Helmchen LA, Richards MR, McDonald TB. Med Care. 2010;48:955-961.

STUDY

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

COMMENTARY

Ashamed to admit it: owning up to medical error.

Ofri D. Health Aff (Millwood). 2010;29:1549-1551.

BOOK/REPORT

Talking with Patients and Families about Medical Error: A Guide for Education and Practice.

Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins University Press; 2011. ISBN: 0801898048.

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