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 (7)

•Identification Errors (4)

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

•Medication Safety (13)

•Medical Complications (11)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (15)

•Transfusion Complications (1)

•Psychological and Social Complications (47)

Origin/Sponsor

•Australia and New Zealand (10)

Resource Types

•Journal Article (98)

•Legislation/Regulation (4)

•Meeting/Conference (2)

•Newspaper/Magazine Article (40)

•Special or Theme Issue (4)

•Web Resource (5)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (15)

•Active Errors (30)

•Latent Errors (8)

•Near Miss (2)

Approach to Improving Safety
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Patient Disclosure

Clinical Areas

Target Audience

•Health Care Providers (115)

•Health Care Executives and Administrators (118)

•Non-Health Care Professionals (66)

•Patients (56)

Setting of Care

•Hospitals (69)

•Ambulatory Care (4)

•Outpatient Surgery (3)

1 - 20 of 171

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STUDY

Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness.

Cleopas A, Villaveces A, Charvet A, Bovier PA, Kolly V, Perneger TV. Qual Saf Health Care. 2006;15:136-141.

COMMENTARY

Is consent required for publication of medical errors?

Weisbaum K, Hyland S, Bernstein M. Healthcare Q. 2005;8:66-69.

COMMENTARY

Disclosing medical errors to patients: a challenge for health care professionals and institutions.

Levinson W. Patient Educ Couns. 2009;76:296-299.

COMMENTARY

Ashamed to admit it: owning up to medical error.

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

STUDY

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

REVIEW

Disclosure of patient safety incidents: a comprehensive review.

O'connor E, Coates HM, Yardley IE, Wu AW. Int J Qual Health Care. 2010;22:371-379.

GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

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

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.

COMMENTARY

In Conversation with…Gerald B. Hickson, MD.

AHRQ WebM&M [serial online]. December 2009.

COMMENTARY

Disclosing errors that affect multiple patients.

Chafe R, Levinson W, Sullivan T. CMAJ. 2009;180:1125-1127.

COMMENTARY

In Conversation with...Sorrel King

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

NEWSPAPER/MAGAZINE ARTICLE

Coming clean on medical mistakes.

Talaga T, Cribb R. Toronto Star. March 19, 2007.

NEWSPAPER/MAGAZINE ARTICLE

When doctors say, "We're sorry."

Eisenberg D. Time Magazine. August 15, 2005;166:50.

STUDY

How surgeons disclose medical errors to patients: a study using standardized patients.

Chan DK, Gallagher TH, Reznick R, Levinson W. Surgery. 2005;138:851-858.

COMMENTARY

Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change.

Henry LL. Policy Polit Nurs Pract. 2005;6:127-134.

SPECIAL OR THEME ISSUE

Patient Safety Papers.

Baker GR, ed. Healthc Q. 2005;8:1-156.

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

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.

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.

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