GESTIÓN EN SALUD PÚBLICA: AHRQ Patient Safety Network ► Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.

sábado, 22 de noviembre de 2014

AHRQ Patient Safety Network ► Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.

Study explores VA's approach to disclosure of large-scale adverse events. Patients/families support disclosure, staff ambivalent.J Gen Intern Med. 2014 Oct 30; [Epub ahead of print].

Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.

Elwy AR, Bokhour BG, Maguire EM, et al. J Gen Intern Med. 2014 Oct 30; [Epub ahead of print].

This interview study examined how the Veterans Affairs medical centers disclosed large-scale adverse events to stakeholders. These incidents impacted multiple patients and included system failures as well as errors by individuals. Interviews with frontline staff, local leadership, and affected patients and family members examined strengths and weakness of the current disclosure process and elicited input for improvement. All stakeholders reinforced the need for tailored, interactive, multi-modal communication rather than standard mailed letters. While staff expressed the concern that adverse event disclosure led to loss of trust, patients and families stated that despite their initial distress they supported disclosure and follow-up care associated with large-scale adverse events. These findings are consistent with prior studies of error disclosure, but demonstrate a gap in frontline staff understanding of the rationale for disclosure.

PubMed citation