Abstract:
OBJECTIVES:To investigate patients' and family members' perceptions and experiences of disclosure of healthcare incidents and to derive principles of effective disclosure. DESIGN:Retrospective qualitative study based on 100 semi-structured, in depth interviews with patients and family members. SETTING:Nationwide multisite survey across Australia. PARTICIPANTS:39 patients and 80 family members who were involved in high severity healthcare incidents (leading to death, permanent disability, or long term harm) and incident disclosure. Recruitment was via national newspapers (43%), health services where the incidents occurred (28%), two internet marketing companies (27%), and consumer organisations (2%). MAIN OUTCOME MEASURES:Participants' recurrent experiences and concerns expressed in interviews. RESULTS:Most patients and family members felt that the health service incident disclosure rarely met their needs and expectations. They expected better preparation for incident disclosure, more shared dialogue about what went wrong, more follow-up support, input into when the time was ripe for closure, and more information about subsequent improvement in process. This analysis provided the basis for the formulation of a set of principles of effective incident disclosure. CONCLUSIONS:Despite growing prominence of open disclosure, discussion about healthcare incidents still falls short of patient and family member expectations. Healthcare organisations and providers should strengthen their efforts to meet patients' (and family members') needs and expectations.
journal_name
BMJjournal_title
BMJ (Clinical research ed.)authors
Iedema R,Allen S,Britton K,Piper D,Baker A,Grbich C,Allan A,Jones L,Tuckett A,Williams A,Manias E,Gallagher THdoi
10.1136/bmj.d4423subject
Has Abstractpub_date
2011-07-25 00:00:00pages
d4423eissn
0959-8138issn
1756-1833journal_volume
343pub_type
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journal_title:BMJ (Clinical research ed.)
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更新日期:2006-01-07 00:00:00
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更新日期:1996-03-02 00:00:00
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更新日期:2009-05-22 00:00:00
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更新日期:1995-10-14 00:00:00
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更新日期:2007-05-26 00:00:00
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更新日期:2009-06-16 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2001-02-17 00:00:00
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更新日期:2011-06-30 00:00:00
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更新日期:1990-09-22 00:00:00