Open Disclosure
Project funded by own resources
Project title Open Disclosure
Principal Investigator(s) Elger, Bernice Simone
Project Members Mc Lennan, Stuart Roger
Organisation / Research unit Ethik / Bio- und Medizinethik (Elger)
Project Website http://ibmb.unibas.ch/research/open-disclosure/
Project start 01.06.2011
Probable end 31.05.2014
Status Completed
Abstract

Open disclosure is the prompt, compassionate, and honest communication with patients and families following an incident that has resulted in harm. While the open disclosure process can vary from country to country, it typically includes: an acknowledgment; an expression of regret or an apology; an investigation into the incident; providing a factual explanation of what happened; and explaining the steps being taken to manage the incident and prevent recurrence.

The issue of open disclosure has received growing attention from policy makers, legal experts and academic researchers, predominantly in a number of English speaking countries and a rich literature on open disclosure has emerged. While implementing open disclosure in practice is still an on-going process, open disclosure now forms an integral part of health policy in these countries, with various measures having been put in place to encourage open disclosure and to mitigate some of the barriers to such open communication.

In contrast, the literature regarding open disclosure in non-English speaking countries, including Switzerland, is very limited and there is currently no empirical data relating to actual practice or practitioners’attitudes and views in most countries in continental Europe.

This project seeks to address this situation, with a special focus on Switzerland. It will examine the current approach to regulating open disclosure in Switzerland via a literature review and a quantitative survey of hospitals.

It will also explore practitioners’ attitudes and views regarding the communication of errors to patients and the perceived barriers to such communication in Switzerland via qualitative interviews. In light of this, it will also consider measures that could potentially be implemented to further promote open disclosure in Switzerland.

Keywords Ethics
Financed by University funds
Other funds

Published results ()

  ID Autor(en) Titel ISSN / ISBN Erschienen in Art der Publikation
Details 1972485  McLennan, Stuart  Forced apology to a baby excessive and hollow      Publication: NewsItemPrint (Artikel in einer Tages, Wochen- oder Monatszeitschrift) 
Details 1983207  McLennan, Stuart  The ‘moral flabbiness’ of compulsory apologies  0028-8446  New Zealand Medical Journal  JournalItem (Kommentare, Editorials, Rezensionen, Urteilsanmerk., etc. in einer wissensch. Zeitschr. 
Details 2007687  Mc Lennan, Stuart  The forced apology risks putting damage control ahead of sincerity  2703-5883    Publication: NewsItemPrint (Artikel in einer Tages, Wochen- oder Monatszeitschrift) 
Details 2167615  McLennan, Stuart  Compulsory apologies are hollow    Kai Tiaki Nursing New Zealand  JournalItem (Kommentare, Editorials, Rezensionen, Urteilsanmerk., etc. in einer wissensch. Zeitschr. 
Details 2183958  McLennan, Stuart  The Handling of Medical Errors in New Zealand    Fehler und Ethik in der Medizin Neue Wege für Patientenrechte  Publication: Book Item (Buchkap., Lexikonartikel, jur. Kommentierung, Beiträge in Sammelbänden etc.) 
Details 2289518  McLennan, S; Engel, S; Ruhe, K; Leu, A; Schwappach, D; Elger, B  Implementation status of error disclosure standards reported by Swiss hospitals  1424-7860  Swiss medical weekly  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
Details 2369996  McLennan, Stuart; Elger, Bernice  Criminal liability and medical errors in Switzerland : an unjust system?  1424-7410  Jusletter  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
Details 2371929  McLennan, Stuart  Re: Would criminalising healthcare professionals for wilful neglect improve patient care?  0959-535X  BMJ: British medical journal  JournalItem (Kommentare, Editorials, Rezensionen, Urteilsanmerk., etc. in einer wissensch. Zeitschr. 
Details 2576069  McLennan, Stuart; Walker, Simon; Rich, Leigh E.  Should health care providers be forced to apologise after things go wrong?  1176-7529 ; 1872-4353  Journal of Bioethical Inquiry  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
Details 2576070  McLennan, Stuart; Rich, Leigh E; Truog, Robert D.  Apologies in medicine: Legal protection is not enough.   1488-2329  CMAJ  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
Details 2616034  McLennan, Stuart  Behandlungsfehler  978-3-11-028462-1  Ethik und Recht in Medizin und Biowissenschaften : aktuelle Fallbeispiele aus Biologie, klinischer Praxis und Forschung  Publication: Book Item (Buchkap., Lexikonartikel, jur. Kommentierung, Beiträge in Sammelbänden etc.) 
Details 2719798  McLennan, Stuart; Diebold, Martin; Rich, Leigh E.; Elger, Bernice.  Nurses’ Perspectives Regarding the Disclosure of Errors to Patients: A Qualitative Study  0020-7489 ; 1873-491X  International Journal of Nursing Studies  Publication: JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift) 
Details 2834585  Mc Lennan, Stuart Roger  Medical Error Communication: Policy and Practice      Publication: Thesis (Dissertationen, Habilitationen) 

Cooperations ()

  ID Kreditinhaber Kooperationspartner Institution Laufzeit - von Laufzeit - bis
Details 1016858  Elger, Bernice Simone  Scheidegger, Daniel, Prof., Co-Referee  Department of Anaesthesia, University Hospital of Basel  01.06.2011  31.05.2014 
Details 1016863  Elger, Bernice Simone  Pieth, Mark, Prof.   Professor of Criminal Law and Criminology at the University of Basel  01.06.2011  31.05.2014 
   

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