Clinical risk managment and the ethics of open disclosure : part 2 : implications for the nursing profession

Johnstone, Megan-Jane 2008, Clinical risk managment and the ethics of open disclosure : part 2 : implications for the nursing profession, Australasian emergency nursing journal, vol. 11, no. 3, pp. 123-129, doi: 10.1016/j.aenj.2008.02.008.

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Title Clinical risk managment and the ethics of open disclosure : part 2 : implications for the nursing profession
Author(s) Johnstone, Megan-Jane
Journal name Australasian emergency nursing journal
Volume number 11
Issue number 3
Start page 123
End page 129
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2008-08
ISSN 1574-6267
Keyword(s) clinical risk management
open disclosure
patient safety
Summary Patient safety experts and other authorities have strongly postulated the open disclosure of errors and adverse events to patients and their nominated support persons as an essential component of effective clinical risk management in health care. Commentators also contend that ‘when things go wrong’, openly disclosing such events to the patient is simply ‘the right thing to do’. Important questions about the ethics of open disclosure remain, however. Is openly disclosing errors and adverse events to patients necessarily ‘the right thing to do’? Do hospital authorities and health care professionals always have an overriding duty to openly communicate with patients and their families when thing go wrong? If patients do not suffer any material harm when a mistake is made, should they or their nominated support persons still be told? Are there overriding moral considerations that might justify non-disclosure in certain circumstances? Despite the obvious importance of these issues and their possible implications for the nursing profession, they have not been comprehensively explored in the nursing literature. An important aim of this article (the second of a two-part discussion) is to contribute to the positive project of redressing this oversight.
Language eng
DOI 10.1016/j.aenj.2008.02.008
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
HERDC collection year 2008
Copyright notice ©2008, Elsevier
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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