Patient incident management and open disclosure
The open disclosure of incidents is an important part of the incident management process and is essential to a patient centred model of care
SA Health recognises that effective incident management and open disclosure processes are attributes of high-quality health service organisations, and important parts of healthcare quality improvement and patient-centred approach to care.
A patient incident is any event or circumstance which could have (near miss) or did lead to unintended and/or unnecessary psychological or physical harm to a patient, that occurs during an episode of health care.
Open disclosure is the process of providing an open, consistent approach to communicating with patients/consumers, their family, carer and/or support person following a patient incident. This process includes expressing regret or saying sorry.
The diagram illustrates that the consumer is central to the activities that occur after an incident.
Consumer information and resources have been developed for patient / consumer, families, carers and/or support persons. The resources describe what an incident is, what the open disclosure process is, what you can expect from the process and what you can do.
Information on the Patient Incident Management and Open Disclosure Policy Directive (PDF 1.9MB) and related policies and resources for staff are available on the Patient Incident Management and Open disclosure page.
Open disclosure is designed for when things don’t go to plan in health care. Staff will:
This is a patient / consumer information brochure on the open disclosure process.It outlines what is open disclosure, when should open disclosure occur, what the benefit of open disclosure is, and where to obtain additional information.
The booklet – a guide for patients/consumers beginning an open disclosure process is designed to help patients, consumers, families, carers and/or support person when an incident resulting in harm has occurred.The guide talks about health services (including hospitals), outlines what an incident is, what the open disclosure process is, what they can expect from the process, including how to prepare for the first open disclosure meeting.
This flowchart illustrates the steps in the reporting and management of an incident resulting in harm, and a near miss incident for patient/consumers, their families, carers and/or support persons.
This information sheets provides patients/consumers, their families, carers and/or support persons with frequently asked questions about the open disclosure process, including what is open disclosure, what to expect in the process, what is an incident, what you can do, and how to find out more information on open disclosure.
The patient/consumer, family, carer and/or support person evaluation survey has been developed to enable feedback from patients/consumers, their families, their carers and/or support person about the open disclosure process. The aim of the survey is to improve the open disclosure experience for people involved in an incident that resulted in harm to a patient while receiving health care.
Safety and Quality Unit
(08) 8226 6971