Practising open disclosure: Clinical incident communication and systems improvement

Sociology of Health and Illness

Volumn 31, Issue 2, 2009, Pages 262-277

  Iedema, Rick ^a   Jorm, Christine ^b   Wakefield, John ^c   Ryan, Cherie ^c   Dunn, Stewart ^d  

^a UNIVERSITY OF TECHNOLOGY SYDNEY   (Australia)

^b Australian Commission on Safety and Quality in Health Care   (Australia)

^c QUEENSLAND HEALTH   (Australia)

^d UNIVERSITY OF SYDNEY   (Australia)

Author keywords

Apology; Incident communication; Open Disclosure; Simulation training

Indexed keywords

ARTICLE; AUSTRALIA; ETHICS; HEALTH CARE QUALITY; HUMAN; HUMAN RELATION; INTERPERSONAL COMMUNICATION; PATIENT SATISFACTION; POLICY; STANDARD; WRITING;

AUSTRALIA; CORRESPONDENCE AS TOPIC; HUMANS; ORGANIZATIONAL POLICY; PATIENT SATISFACTION; PROFESSIONAL-FAMILY RELATIONS; PROFESSIONAL-PATIENT RELATIONS; QUALITY OF HEALTH CARE; TRUTH DISCLOSURE;

EID: 60449119573     PISSN: 01419889     EISSN: 14679566     Source Type: Journal    
DOI: 10.1111/j.1467-9566.2008.01131.x     Document Type: Article

References (43)

1. Austin, J.L. (1962) How to do Things with Words. Oxford : Clarendon Press.
2. Australian Council for Safety Quality in Health Care (2003) Open Disclosure Standard: a National Standard for Open Communication in Public and Private Hospitals Following an Adverse Event in Health Care. Canberra : Commonwealth of Australia.
3. Bateson, G. (1973) Steps to an Ecology of Mind. New York : Granada.
4. Borneman, J. (2005) Public apologies as performative redress. SAIS Review, xxv, 2, (Summer-Fall 2005), 53 66.
5. Canadian Patient Safety Institute (2008) Canadian Disclosure Guidelines. Canadian Patient Safety Institute.
6. Degeling, P. (2000) Reconsidering clinical accountability: an examination of some dilemmas inherent in efforts to bolster clinician accountability, International Journal of Health Planning and Management, 15, 1, 3 16.
7. Dekker, S.W.A. (2005) Ten questions about human error: a new view of human factors and system safety. Mahwah, N.J Lawrence Erlbaum.
8. Duclos, C.W., Eichler, M., Taylor, L., Quintela, J., Main, D.S., Pace, W. et al 2005) Patient perspectives of patient-provider communication after adverse events, International Journal for Quality in Health Care, 17, 6, 479 86.
9. Egan, G. (2006) The Skilled Helper: a Problem-Management and Opportunity-Development Approach to Helping. New York : Brooks/Cole.
10. Hardt, M. (2007) Foreword: What affects are good for. In Ticineto-Clough, P. Halley, J. (eds) The Affective Turn: Theorizing the Social. Durham : Duke University Press.
11. Harris, S., Grainger, K. Mullany, L. (2006) The pragmatics of political apologies, Discourse and Society, 17, 6, 715 37.
12. Haynes, P. (2003) Managing Complexity in the Public Services. Maidenhead : Open University Press.
13. Health Quality Council of Alberta (2006) Disclosure of Harm to Patients and Families: Provincial Framework. Calgary : Health Quality Council of Alberta.
14. Hochschild, A.R. (1983) The Managed Heart: Commercialisation of Human Feeling. Berkeley : University of California Press.
15. Huizinga, J. (1971 1938 Homo Ludens: A Study of the Play Element of Culture. Boston : Beacon Press.
16. Iedema, R. (2007) Essai: The materiality, contingency and multi-modality of organizational discourse, Organization Studies, 28, 6, 931 46.
17. Iedema, R., Jorm, C.M., Long, D., Braithwaite, J., Travaglia, J. Westbrook, M. (2006) Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error, Social Science and Medicine, 62, 7, 1605 15.
18. Iedema, R., Mallock, N., Sorensen, R., Manias, E., Tuckett, A., Williams, A. et al 2008a) Final Report: Evaluation of the National Open Disclosure Pilot Program (Report for the Australian Commission on Safety and Quality in Health Care). Sydney : University of Technology, Sydney.
19. Iedema, R., Mallock, N., Sorensen, R., Manias, E., Tuckett, A., Williams, A. et al 2008b) The National Open Disclosure Pilot: evaluation of a policy implementation initiative, Medical Journal of Australia, 188, 2008, 397 400.
20. James, N. (1992) Care = organisation + physical labour + emotional labour, Sociology of Health and Illness, 14, 4, 488 509.
21. Jensen, C.B. (2008) Sociology, systems and (patient) safety: knowledge translations in healthcare policy, Sociology of Health & Illness, 30, 2, 309 24.
22. Jorm, C., Travaglia, J. Iedema, R. (2007) Why do doctors not engage with the health system? In Iedema, R. (ed.) Discourses of Hospital Communication: Tracing Complexities in Contemporary Health Organizations. Basingstoke : Palgrave-Macmillan.
23. Kraman, S., Cranfill, L., Hamm, G. Woodard, T. (2002) Advocacy: the Lexington Veterans Affairs Medical Center. John M. Eisenberg Patient Safety Awards, Joint Commission Journal for Quality Improvement, 28, 12, 646 50.
24. Kraman, S.S. Hamm, G. (1999) Risk management: extreme honesty may be the best policy, Annals of Internal Medicine, 131, 12, 963 7.
25. Lakoff, R. (2003) Nine ways of looking at apologies. In Schiffrin, D. Tannen, D. (eds) The Handbook of Discourse Analysis. Oxford : Blackwell.
26. Lave, J. Wenger, E. (1990) Situated Learning: Legitimate Peripheral Participation. Cambridge : Cambridge University Press.
27. Luke, A. (1997) The material effects of the word: 'stolen children' and public discourse, Discourse Studies in the Cultural Politics of Education, 18, 3, 343 68.
28. National Patient Safety Agency (2005) Being Open: Communicating Patient Safety Incidents with Patients and Carers. London : National Health Service.
29. Newman, M.C. (1996) The emotional impact of mistakes on family physicians, Archives of Family Medicine, 5, 2, 71 5.
30. NSW Health (2007) Policy Directive: Open Disclosure. Sydney : Department of Health, NSW.
31. Peterkin, A. (1990) Guidelines covering disclosure of errors now in place at Montreal hospital, Canadian Medical Association Journal, 142, 1990, 984 5.
32. Queensland Health (2006) Queensland Health Incident Management Policy. Brisbane : Queensland Health.
33. Schrage, M. (1999) Serious Play: How the World's Best Companies Simulate to Innovate. Boston, MA Harvard Business School Press.
34. Seale, C., Butler, C.C., Hutchby, I., Kinnersley, P. Rollnick, S. (2007) Negotiating frame ambiguity: a study of simulated encounters in medical education, Communication and Medicine, 4, 3, 177 87.
35. Thrift, N. (1999) Performing new cultures in the new economy, Annals of the Association of American Geographers, 90, 4, 674 92.
36. Thrift, N. (2004) Intensities of feeling: towards a spatial politics of affect, Geografiska Annaler, 86B, 1, 57 78.
37. Thrift, N. (2005) From born to made: technology, biology and space, Transactions of the Institute of British Geographers, 30, 463 76.
38. Thrift, N. (2006) Re-inventing invention: new tendencies in capitalist commodification, Economy and Society, 35, 2, 279 306.
39. UK Department of Health (2005) Creating a Patient-led NHS - Delivering the NHS Improvement Plan. London : UK Department of Health.
40. US Institute of Medicine (1999) To Err is Human: Building a Safer Health System. Washington D.C National Academy Press.
41. US Institute of Medicine (2001) Crossing the Quality Chasm: a New Health System for the 21st Century. Washington : National Academy Press.
42. Waring, J. (2007) Doctors' thinking about 'the system' as a threat to patient safety. Health: an International Journal for the Social Study of Health, Illness and Medicine, 11, 1, 29 46.
43. Woods, M.S. (2007) Healing Words: the Power of Apology in Medicine. Oakbrook Terrace, Ill Joint Commission on Accreditation of Healthcare Organizations.