{"id":4241,"date":"2023-03-29T15:56:15","date_gmt":"2023-03-29T13:56:15","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4241"},"modified":"2023-04-02T13:55:46","modified_gmt":"2023-04-02T11:55:46","slug":"disclosure-of-adverse-events-in-the-united-states-and-canada-an-update-and-a-proposed-framework-for-improvement","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/jphr.2013.e32\/","title":{"rendered":"Disclosure of adverse events in the United States and Canada: an update, and a proposed framework for improvement"},"content":{"rendered":"<div class=\"item doi\"><span class=\"type\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2013.e32\">https:\/\/doi.org\/10.4081\/jphr.2013.e32<\/a><\/span><\/div>\n<p><span class=\"name\"><strong><br \/>\nAlbert W. Wu<\/strong><br \/>\n<\/span><span class=\"affiliation\">Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA, United States.<\/span><\/p>\n<p><span class=\"name\"><strong>Dennis J. Boyle<\/strong><br \/>\n<\/span><span class=\"affiliation\">University of Colorado School of Medicine, Denver Health Medical Center Denver, CO, USA, United States.<\/span><\/p>\n<p><span class=\"name\"><strong>Gordon Wallace<\/strong><br \/>\n<\/span><span class=\"affiliation\">Canadian Medical Protective Association, Ottawa, Canada.<\/span><\/p>\n<p><span class=\"name\"><strong>Kathleen M. Mazor<\/strong><br \/>\n<\/span><span class=\"affiliation\">Meyers Primary Care Institute and the University of Massachusetts Medical School, Worcester, MA, United States.<\/span><\/p>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p>There is consensus that physicians, health professionals and health care organizations should discuss harm that results from health care delivery (adverse events), including the reasons for harm, with patients and their families. Thought leaders and policy makers in the USA and Canada support this goal. However, there are gaps in both countries between patients and physicians in their attitudes about how errors should be handled, and between disclosure policies and their implementation in practice.<\/p>\n<\/div>\n<div class=\"item abstract\">This paper reviews the state of disclosure policy and practice in the two countries, and the barriers to full disclosure. Important barriers include fear of consequences, attitudes about disclosure, lack of skill and role models, and lack of peer and institutional support. The paper also describes the problem of the second victim, a corollary of disclosure whereby health care workers are also traumatized by the same events that harm patients.<\/div>\n<div><\/div>\n<div class=\"item abstract\">The presence of multiple practical and personal barriers to disclosure suggests the need for a comprehensive solution directed at multiple levels of the health care system, including health departments, institutions, local managers, professional staff, patients and families, and including legal, health system and local institutional support.<\/div>\n<div><\/div>\n<div class=\"item abstract\">At the local level, implementation could be based on a translating-evidence-into-practice framework. Applying this framework would involve the formation of teams, training, measurement and identification of local barriers to achieving universal disclosure of adverse events.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2013.e32 Albert W. Wu Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA, United States. Dennis J. Boyle University of Colorado School of Medicine, Denver Health Medical Center Denver, CO, USA, United States. Gordon Wallace Canadian Medical Protective Association, Ottawa, Canada. Kathleen M. Mazor Meyers Primary Care Institute and the University of Massachusetts &#8230; <a title=\"Disclosure of adverse events in the United States and Canada: an update, and a proposed framework for improvement\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/jphr.2013.e32\/\" aria-label=\"More on Disclosure of adverse events in the United States and Canada: an update, and a proposed framework for improvement\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4241","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Disclosure of adverse events in the United States and Canada: an update, and a proposed framework for improvement - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/jphr.2013.e32\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Disclosure of adverse events in the United States and Canada: an update, and a proposed framework for improvement - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2013.e32 Albert W. Wu Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA, United States. Dennis J. Boyle University of Colorado School of Medicine, Denver Health Medical Center Denver, CO, USA, United States. Gordon Wallace Canadian Medical Protective Association, Ottawa, Canada. Kathleen M. Mazor Meyers Primary Care Institute and the University of Massachusetts ... 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