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King L, Peacock G, Crotty M, et al. Health Expect. 2019;22:385-395.
Patients and families have the potential to help medical teams proactively detect clinical deteriorations. This qualitative study with consumer advocates resulted in a comprehensive model for empowering patients to accurately activate rapid response systems.
Dahm MR, Georgiou A, Herkes R, et al. Diagnosis (Berl). 2018;5:215-222.
Inadequate test result follow-up places patients at risk of delayed diagnosis, especially in the ambulatory setting. Diverse stakeholders in Australia established an agenda for enhancing test result management, which included better governance, improved use of technology, and consistent patient engagement. A WebM&M commentary explored two incidents where poor test result follow-up led to patient harm.
Australian National Health and Medical Research Council.
Overdiagnosis and the subsequent overuse of medical care contributes to unnecessary financial, psychological, and physical risk to patients. This research collaborative draws from expertise and experience from organizations in Australia investigating the problem of overdiagnosis and testing solutions to prevent medical care overuse.
Ringdal M, Chaboyer W, Ulin K, et al. BMC Nurs. 2017;16:69.
This qualitative study of hospitalized patients in Sweden found that patients expressed interest in engaging in their care. Themes included shared decision-making and increasing patient understanding of health conditions. Patients also expressed concern about the power dynamic between patients and providers and uncertainty about how to best participate in their own hospital care.
Collier A, Sorensen R, Iedema R. Int J Qual Health Care. 2016;28:66-73.
This ethnographic study revealed dying patients' and their families' perceptions of iatrogenic harm. Communication-related harms were considered distressing to the patients and their families. These results underscore the importance of maintaining trust in end-of-life care to augment safety.
Hinchcliff R, Westbrook J, Greenfield D, et al. Int J Qual Health Care. 2012;24:1-8.
This study analyzed media coverage of medication errors in Australian newspapers and found that most articles simply reported on errors with little discussion of potential solutions or steps patients could take to minimize error risk.
Department of Health of Western Australia, Patient Safety Directorate. Perth: Department of Health WA; 2011.
This report shares the 2010-2011 results of Western Australia's sentinel event reporting program. Patient suicide is the highest recorded sentinel event. The data is placed in the context of the overall data collected since the program's launch in 2003.
Iedema R, Jorm C, Wakefield JG, et al. J Lang Soc Psychol. 2009;28.
Open disclosure is an important principle and policy in health care, with varying views on its implementation among providers and varying practices in different countries. This article discusses the broad context of an open disclosure policy and provides an empirical analysis of the impact on clinicians.

Four Corners. ABC Television. July 3, 2006. 

This Web site on an Australian documentary provides links to resources and an online forum discussing patient safety.
Australian Commission for Safety and Quality in Health Care.
Established in January 2006, the Commission leads and coordinates improvements in safety and quality in health care across Australia. Five areas have been identified as priorities for the Commission's efforts and include interventions to ensure the patient blood supply is safe, antimicrobial resistance is monitored, and rights of patients are considered when accessing health care services.
Iedema R, Allen S, Britton K, et al. BMJ. 2011;343:d4423.
Clinicians’ approach to disclosing errors has evolved in recent years, thanks to survey data showing that patients consistently desire full disclosure of errors. In Australia, an open disclosure policy was formally endorsed in 2008. This study used in-depth interviews with 100 patients who experienced errors, and went through the error disclosure process to evaluate the perception of patients (and their families) of the disclosure process. Patients consistently stated that how errors were disclosed affected their feelings about the process, even if all relevant information was disclosed. Many patients complained that they were not adequately prepared for disclosure meetings, did not feel they had the opportunity to ask questions, or had difficulty obtaining follow-up after the initial meeting. As full disclosure policies become more widely implemented, this study provides important guidance for implementing disclosure policies that are truly patient-centered.