Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study

Rick A M Iedema, Suellen Allen, Katherine Britton, Donella Piper, Andrew Cornelius Baker, Carol Grbich, Alfred Allan, Liz Jones, Anthony Tuckett, Allison Fiona Williams, Elizabeth Manias, Thomas Gallagher

Research output: Contribution to journalArticleResearchpeer-review

75 Citations (Scopus)

Abstract

To investigate patients and family members perceptions and experiences of disclosure of healthcare incidents and to derive principles of effective disclosure. Retrospective qualitative study based on 100 semi-structured, in depth interviews with patients and family members. Nationwide multisite survey across Australia. 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 ). Participants recurrent experiences and concerns expressed in interviews. 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. 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.
Original languageEnglish
Pages (from-to)1 - 9
Number of pages9
JournalBMJ: British Medical Journal
Volume343
DOIs
Publication statusPublished - 2011
Externally publishedYes

Cite this

Iedema, R. A. M., Allen, S., Britton, K., Piper, D., Baker, A. C., Grbich, C., Allan, A., Jones, L., Tuckett, A., Williams, A. F., Manias, E., & Gallagher, T. (2011). Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. BMJ: British Medical Journal, 343, 1 - 9. https://doi.org/10.1136/bmj.d4423