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 (12)

•Identification Errors (9)

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

•Fatigue and Sleep Deprivation (1)

•Medication Safety (27)

•Medical Complications (14)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (20)

•Transfusion Complications (1)

•Psychological and Social Complications (45)

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•Asia (1)

•Australia and New Zealand (12)

Resource Types

•Journal Article (177)

•Legislation/Regulation (7)

•Meeting/Conference (2)

•Newspaper/Magazine Article (50)

•Special or Theme Issue (8)

•Tools/Toolkit (2)

•Web Resource (6)

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Error Types

•Epidemiology of Errors and Adverse Events (18)

•Active Errors (49)

•Latent Errors (10)

•Near Miss (6)

Approach to Improving Safety
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Patient Disclosure

Clinical Areas

Target Audience

•Health Care Providers (211)

•Health Care Executives and Administrators (193)

•Non-Health Care Professionals (106)

•Patients (52)

Setting of Care

•Hospitals (100)

•Ambulatory Care (6)

•Outpatient Surgery (3)

•Patient Transport (1)

1 - 20 of 281

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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.

COMMENTARY

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

Cornwell J. Saferhealthcare. April 26, 2007.

BOOK/REPORT

Risk Management Pearls on Disclosure of Adverse Events.

Amori G. Chicago, IL: American Society for Healthcare Risk Management; 2006.

NEWSPAPER/MAGAZINE ARTICLE

Full disclosure and apology—an idea whose time has come.

Leape LL. Physician Exec. 2006 Mar-Apr;32:16-18.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

The best medical care in the U.S.

Arnst C. Business Week. July 17, 2006.

AUDIOVISUAL

When Things Go Wrong: Voices of Patients and Families.

Cambridge, MA: CRICO/RMF; 2006.

BOOK/REPORT

Disclosing Medical Errors: A Guide to an Effective Explanation and Apology.

Oakbrook Terrace, IL: Joint Commission Resources; 2006. ISBN: 1599400219.

STUDY

More than words: patients' views on apology and disclosure when things go wrong in cancer care.

Mazor KM, Greene SM, Roblin D, et al. Patient Educ Couns. 2013;90:341-346.

COMMENTARY classic

A 62-year-old woman with skin cancer who experienced wrong-site surgery.

Gallagher TH. JAMA. 2009;302:669-677.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

STUDY

Liability claims and costs before and after implementation of a medical error disclosure program.

Kachalia A, Kaufman SR, Boothman R, et al. Ann Intern Med. 2010;153:213-221.

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.

STUDY

Factors associated with disclosure of medical errors by housestaff.

Kronman AC, Paasche-Orlow M, Orlander JD. BMJ Qual Saf. 2012;21:271-278.

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.

STUDY

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

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

STUDY

Health care professionals' views of implementing a policy of open disclosure of errors.

Sorensen R, Iedema R, Piper D, Manias E, Williams A, Tuckett A. J Health Serv Res Policy. 2008;13:227-232.

STUDY

Patients' and family members' experiences of open disclosure following adverse events.

Iedema R, Sorensen R, Manias E, et al. Int J Qual Health Care. 2008;20:421-432.

STUDY

Risk managers, physicians, and disclosure of harmful medical errors.

Loren DJ, Garbutt J, Dunagan WC, et al. Jt Comm J Qual Patient Saf. 2010;36:101-108.

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