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  • The National Open Disclosure Pilot: evaluation of a policy implementation initiative

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    Version of Record (VoR)
    Author(s)
    M Iedema, Rick
    Mallock, Nadine
    Sorensen, Roslyn
    Manias, Elizabeth
    Tuckett, Anthony G.
    Williams, Allison
    Perrott, Bruce
    Brownhill, Suzanne
    Piper, Donella
    Hor, Suyin
    Hegney, Desley
    Scheeres, Hermine
    Jorm, Christine
    Griffith University Author(s)
    Sorensen, Ros
    Year published
    2008
    Metadata
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    Abstract
    Objective: To determine which aspects of open disclosure "work" for patients and health care staff, based on an evaluation of the National Open Disclosure Pilot. Design, setting and participants: Qualitative analysis of semi-structured and open-ended interviews conducted between March and October 2007 with 131 clinical staff and 23 patients and family members who had participated in one or more open disclosure meetings. 21 of 40 pilot hospital sites, in New South Wales, South Australia, Victoria and Queensland, were included in the evaluation. Participating health care staff comprised 49 doctors, 20 nurses, and 62 managerial ...
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    Objective: To determine which aspects of open disclosure "work" for patients and health care staff, based on an evaluation of the National Open Disclosure Pilot. Design, setting and participants: Qualitative analysis of semi-structured and open-ended interviews conducted between March and October 2007 with 131 clinical staff and 23 patients and family members who had participated in one or more open disclosure meetings. 21 of 40 pilot hospital sites, in New South Wales, South Australia, Victoria and Queensland, were included in the evaluation. Participating health care staff comprised 49 doctors, 20 nurses, and 62 managerial and support staff. In-depth qualitative data analysis involved mapping of discursive themes and subthemes across the interview transcripts. Results: Interviewees broadly supported open disclosure; they expressed uncertainty about its deployment and consequences, and made detailed suggestions of ways to optimise the experience, including careful pre-planning, participation by senior medical staff, and attentiveness to consumers' experience of the adverse event. Conclusion: Despite some uncertainties, the national evaluation indicates strong support for open disclosure from both health care staff and consumers, as well as a need to resource this new practice.
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    Journal Title
    Medical Journal of Australia
    Volume
    188
    Issue
    7
    Publisher URI
    https://www.mja.com.au/journal/2008/188/7/national-open-disclosure-pilot-evaluation-policy-implementation-initiative
    Copyright Statement
    Iedema RAM, Mallock NA, Sorensen RJ, et al. The National Open Disclosure Pilot: evaluation of a policy implementation initiative. Med J Aust 2008; 188 (7): 397-400. © Copyright 2008 The Medical Journal of Australia – reproduced with permission.
    Subject
    Clinical Sciences not elsewhere classified
    Medical and Health Sciences
    Psychology and Cognitive Sciences
    Publication URI
    http://hdl.handle.net/10072/44118
    Collection
    • Journal articles

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