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A new structure of attention? Open disclosure of adverse events to patients and their families


Iedema, R and Jorm, C and Wakefield, J and Ryan, C and Sorensen, R, A new structure of attention? Open disclosure of adverse events to patients and their families, Journal of Language and Social Psychology, 28, (2) pp. 139-157. ISSN 0261-927X (2009) [Refereed Article]

DOI: doi:10.1177/0261927X08330614


This article presents an inquiry into how clinicians realize a health policy reform initiative called Open Disclosure. Open Disclosure mandates that discussions with patients/family and team staff about "adverse events" are now no longer ad hoc, individualized, and without consequences for how the work is done, but planned, collaborative, and leading to systems change. The article presents an empirical analysis of a corpus of interviews about the impact of Open Disclosure on clinicians' practices. It situates Open Disclosure in the context of arguments that health care workers are increasingly expected to do "emotional labor" with patients and their families, in that staff are advised to practise "reflexive listening" as a means of managing patients' and family members' emotions in response to incidents. The analysis suggests that thanks to the intensity of Open Disclosure interactions, clinicians may be introduced to an affective-interactive space that they were hitherto unaware of and unable to enter or attain what Nigel Thrift calls "a new structure of attention."

Item Details

Item Type:Refereed Article
Keywords:open disclosure; apology; adverse event; affect; complexity
Research Division:Language, Communication and Culture
Research Group:Other language, communication and culture
Research Field:Other language, communication and culture not elsewhere classified
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in language, communication and culture
UTAS Author:Iedema, R (Professor Rick Iedema)
ID Code:94303
Year Published:2009
Web of Science® Times Cited:6
Deposited By:Health Sciences B
Deposited On:2014-09-05
Last Modified:2014-12-10

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