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Rural patients' experiences of the open disclosure of adverse events


Piper, D and Iedema, R and Bower, K, Rural patients' experiences of the open disclosure of adverse events, Australian Journal of Rural Health, 22, (4) pp. 197-203. ISSN 1038-5282 (2014) [Refereed Article]

Copyright Statement

Copyright 2014 National Rural Health Alliance Inc

DOI: doi:10.1111/ajr.12124


Objective: To analyse rural patients' and their families' experiences of open disclosure and offer recommendations to improve disclosure in rural areas.

Design: Retrospective qualitative study based on a subset of 13 semistructured, in-depth interviews with rural patients from a larger dataset. The larger data set form a nationwide, multisite, retrospective-qualitative study that included 100 semistructured, in-depth interviews with 119 patients and family members who were involved in high-severity health care incidents and incident disclosure. The larger study is known as the '100 Patient Stories' study. Interviews were transcribed verbatim and analysed by one analyst (D.P.) for recurrent experiences and concerns.

Setting: Acute care.

Participants: A sub-set of 13 of the 100 participants from the '100 Patient Stories' study who identified as experiencing an adverse incident in a rural or regional area.

Main outcome measures: Patients' and family members' perceptions and experiences of health care incident disclosure, as expressed in interviews.

Results: Rural patients and clinicians experience additional challenges to metropolitan patients and clinicians in their experiences of health care incidents. These additional barriers include: a lack of resources at small hospitals; delays in diagnosis and transfer; distance between services; and a lack of communication between providers. These challenges impact not only upon how patients and their families experience incidents, but also how open disclosure is implemented.

Conclusions: This analysis of 13 of the 100 Patient Stories interviews provides guidance to rural health services on how to conduct open disclosure.

Item Details

Item Type:Refereed Article
Keywords:communication, consumer issue and perspective, patient safety/medical error, rural healthpolicy, safety and quality
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health care administration
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health outcomes
UTAS Author:Iedema, R (Professor Rick Iedema)
ID Code:98318
Year Published:2014
Web of Science® Times Cited:9
Deposited By:Health Sciences B
Deposited On:2015-02-11
Last Modified:2017-11-06

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