Improving disclosure of medical errors: Including patients and family members in the disclosure process

Over the last decade, adverse events and medical errors have become a main focus of interest for the standards of quality and safety in the U.S. healthcare system (Weinstein & Henderson, 2009). Particularly when a medical error occurs, the disclosure of medical errors and its practices have become a focal point of the healthcare process. Patients and family members who have experienced a medical error might be able to provide knowledge and insight on how to improve the disclose process. However, patient and family member are not typically involved in the disclosure process, thus their experiences go unnoticed. ^ The purpose of this research was to explore how best to include patients and family members in the disclosure process regarding a medical error. The research consisted of 28 qualitative interviews from three stakeholder groups: Hospital Administrators, Clinical Service Providers, and Patients and Family Members. They were asked for their ideas and suggestions on how best to include patients and family members in the disclosure process. Framework Analysis was used to analyze this data and find prevalent themes based on the primary research question. A secondary aim was to index categories created based on the interviews that were collected. Data was used from the Texas Disclosure and Compensation Study with Dr. Eric Thomas as the Principal Investigator. Full acknowledgement of access to this data is given to Dr. Thomas. ^ The themes from the research revealed that each stakeholder group was interested and open to including patients and family members in the disclosure process and that the disclosure process should not be a "one-way" avenue. The themes gave many suggestions regarding how to best include patients and family members in the disclosure process of a medical error. Secondary aims revealed several ways to assess the ideas and suggestion given by the stakeholders. Overall, acceptability of getting the perspective of patients and family members was the most common theme. Comparison of each stakeholder group revealed that including patients and family members would be beneficial to improving hospital disclosure practices. ^ Conclusions included a list of recommendations and measureable appropriate strategies that could provide hospital with key stakeholders insights on how to improve their disclosure process. Sharing patients and family members experience with healthcare providers can encourage a shift in culture where patients are valued and active in participating in hospital practices. To my knowledge, this research is the very first of its kind and moves the disclosure process conversation forward in a patient-family member inclusion direction that will assist in improving disclosure practices. Future research should implement and evaluate the success of the various inclusion strategies.^

The operation of the welfare and pension plans disclosure act, January 1, 1959-June 30, 1960.

Reproduced from typewritten copy.

Internet pharmacies : adding disclosure requirements would aid state and federal oversight : report to Congressional Requesters /

"GAO-01-69."

Disclosure of odometer readings on motor vehicle title documents. Guidelines for motor vehicle administrators.

Mode of access: Internet.

Patents, invention disclosure information for NASA inventors.

Shipping list no.: 94-0070-P.

The law relating to actionable non-disclosure and other breaches of duty in relations of confidence and influence,

Mode of access: Internet.

Awful disclosure! Murderers exposed; downfall of Papers; death-bed confessions; death-bed confession and renunciation of the Reglit Rev. Bishop Mc Murray.

Mode of access: Internet.

A brief disclosure to the people of England, of the liberality of the Irish Roman Catholics, : both in politics and religion, and the contempt with which all classes of that community treat the miracles of Prince Hohenloe. With a postscript, on a late occurrence in the Catholic Association. /

Publisher's advertisements on [2] p. at end.

Financial disclosure reports of members of the U.S. House of Representatives of the ... Congress from ... submitted to the Clerk of the House pursuant to 2 U.S.C. [section] 703(a).

Title varies slightly.

Labor-management reporting and disclosure act of 1959; a digest and full text.

Mode of access: Internet.

CPA audit quality : status of actions taken to improve auditing and financial reporting of public companies : report to the chairman, Oversight and Investigations Subcommittee, Committee on Energy and Commerce, House of Representatives /

"B-233641"-- P. [1].

Strengthening the supervision and regulation of the depository institutions : hearings before the Committee on Banking, Housing, and Urban Affairs, United States Senate, One Hundred Second Congress, first session, on reform federal deposit insurance, protect the deposit insurance funds, and improve supervision and regulation of and disclosure relating to federally insured depository institutions ....

"February 26, 1991 ... April 23, 1991"--Vol. 1. "April 25, 1991 ... November 25, 1991"--Vol. 2.

Corporate disclosure : hearings before the Subcommittee on Budgeting, Management, and Expenditures and the Subcommittee on Intergovernmental Relations of the Committee on Government Operations, Ninety-third Congress, second session.

Pt. 1. March 21, 26, and 28, 1974 -- pt. 2. April 23, 24, and May 20, 21, 1974 -- pt. 3. June 25, 27, and August 14, 1974.

Impact of the Corporate Law Economic Reform Program Act 1999 on initial public offering prospectus earnings forecasts

Commencing 13 March 2000, the Corporate Law Economic Reform Program Act 1999 (Cth) introduced changes to the regulation of corporate fundraising in Australia. In particular, it effected a reduction in the litigation risk associated with initial public offering prospectus disclosure. We find that the change is associated with a reduction in forecast frequency and an increase in forecast value relevance, but not with forecast error or bias. These results confirm previous findings that changes in litigation risk affect the level but not the quality of disclosure. They also suggest that the reforms' objectives of reducing fundraising costs while improving investor protection, have been achieved.

Disclosure of proxy voting information by Australian managed investment schemes

The US Securities and Exchange Commission requires registered management investment companies to disclose how they vote proxies relating to portfolio securities they hold. The primary purpose of this rule is to enable fund investors to monitor the role of institutional shareholders in the corporate governance practices of public companies. In Australia, despite reform proposals, there are no regulations requiring institutional investors to report proxy voting procedures and practices. There is little evidence of voluntary disclosure of proxy voting by Australian managed investment schemes in equities, indicating that there are costs involved in such disclosure.