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Your search keyword '"evaluation, medical error, Open Disclosure, patient involvement, policy implementation"' showing total 2 results
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2 results on '"evaluation, medical error, Open Disclosure, patient involvement, policy implementation"'

1. Disclosing clinical adverse events to patients: can practice inform policy?

Author

Sorensen, R, Iedema, R, Piper, D, Manias, E, Wilson, A, Tuckett, A, Sorensen, R, Iedema, R, Piper, D, Manias, E, Wilson, A, and Tuckett, A

Abstract

Objectives: To understand patients and health professionals experience of open disclosure and to consider how open disclosure practice can inform policy. Background: Open disclosure procedures are being implemented in health services worldwide yet empirical evidence on which to base patient-clinician communication and policy development is scant. Design, setting and participants: A qualitative methodology was used. Semi-structured open-ended interviews were conducted with 154 respondents (20 nursing, 49 medical, 59 clinical/administrative managerial, 3 policy coordinators, 15 patients and 8 family members) in 21 hospitals and health services in four Australian states. Results: Both patients and health professionals were positive about open disclosure. We found that five major elements underlie their experience of open disclosing error namely: initiating open disclosure, apologizing for the error, taking the patientâ¿¿s perspective, communicating the adverse event and being culturally aware. Patients and health professionals differed on their assessments of practice effectiveness. Conclusions: Health services that evaluate the impact of policies such as open disclosure can collectively refine their delivery processes and develop an evidence base to inform future policy development. Health services can use specific properties relating to each of the five open disclosure elements as standards for training purposes and to assess the progress of policy implementation.

Published
2008

2. Disclosing clinical adverse events to patients: can practice inform policy?

Author

Sorensen, Ros, Iedema, Rick, Donella Piper, Manias, Elizabeth, Williams, Allison, and Tuckett, Anthony

Subjects
Other Medical and Health Sciences, Medical Errors, Communication, education, fungi, Australia, food and beverages, ComputerApplications_COMPUTERSINOTHERSYSTEMS, Public Policy, Professional-Patient Relations, Truth Disclosure, humanities, Hospital Administration, evaluation, medical error, Open Disclosure, patient involvement, policy implementation, Humans, Public Health, InformationSystems_MISCELLANEOUS, Patients and Healthcare Safety, Cultural Competency, Qualitative Research
Abstract

Objectives To understand patients' and health professionals' experience of Open Disclosure and how practice can inform policy. Background Open Disclosure procedures are being implemented in health services worldwide yet empirical evidence on which to base models of patient-clinician communication and policy development is scant. Design, setting and participants A qualitative method was employed using semi-structured open-ended interviews with 154 respondents (20 nursing, 49 medical, 59 clinical/administrative managerial, 3 policy coordinators, 15 patients and 8 family members) in 21 hospitals and health services in four Australian states. Results Both patients and health professionals were positive about Open Disclosure, although each differed in their assessments of practice effectiveness. We found that five major elements influenced patients' and professionals' experience of openly disclosing adverse events namely: initiating the disclosure, apologizing for the adverse event, taking the patient's perspective, communicating the adverse event and being culturally aware. Conclusions Evaluating the impact of Open Disclosure refines policy implementation because it provides an evidence base to inform policy. Health services can use specific properties relating to each of the five Open Disclosure elements identified in this study as training standards and to assess the progress of policy implementation. However, health services must surmount their sensitivity to revealing the extent of error so that research into patient experiences can inform practice and policy development. © 2009 Blackwell Publishing Ltd.

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