Open Disclosure

I’m blogging from CabinFever, the University of Alberta’s conference for medical faculty. The first session I attended dealt with the issue of open disclosure to patients of harm resulting from medical errors. I thought I would share the Health Quality Council of Alberta’s http://www.hqca.ca/ suggestions about what should be included in the initial disclosure conversation.
1. An appropriate apology
2. Known and agreed upon facts
3. Patient’s questions/concerns
4. Consequences of harm and any side effects to look for
5. Discussion of ongoing care
6. What happens next
7. Arrangements for future meetings
8. Contact details in case of further questions.
Given these guidelines, how might you assist students, residents to develop skills in this area?

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