SynthesisHealth expectations : an international journal of public participation in health care and health policy2020
The views and experiences of patients and health-care professionals on the disclosure of adverse events: A systematic review and qualitative meta-ethnographic synthesis.
Synthesis in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The views and experiences of patients and health-care professionals on the disclosure of adverse events: A systematic review and qualitative meta-ethnographic synthesis.Health expectations : an international journal of public participation in health care and health policy · 2020Pooled it
- Using an evidence-informed co-design approach to develop a mechanism to measure experiences of the open disclosure process: an Irish case study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Improving Diagnosis: Evaluation of Diagnostic Experiences Classified as Problems, Mistakes, or Both by Patients and Care Partners From a Nationally Representative Survey.Medical care · 2026Article
- What Do Consumers Need Before, During and After a Patient Safety Incident Review? A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Understanding what shapes patient and family experience of the open disclosure process in the Irish healthcare context: a qualitative study.BMC medical ethics · 2026Article
- Local anesthetic overdose during nurse-led epidural analgesia due to occlusion alarm misinterpretation: a case report and literature review.Frontiers in medicine · 2026Article
- Patient safety culture through the lenses of surgical patients: a qualitative study.BMC health services research · 2025Article
- A Mixed Methods Evaluation of the Statutory Duty of Candour in Victorian Health Services: Study Protocol.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- The power and pain of words: how language matters in responding to patients after harm.Frontiers in health services · 2025Article
- Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps.BMJ open quality · 2024Article
- The anatomy of safe surgical teams: an interview-based qualitative study among members of surgical teams at tertiary referral hospitals in Norway.Patient safety in surgery · 2024Article
- Enhancing Pharmacovigilance in Côte d'Ivoire: Impact of GSK's Training and Mentoring Pilot Project in the Abidjan Region.Drug safety · 2024Article
- Article
- Barriers and Facilitators to Coping with Second Victim Experiences: Insights from Nurses and Nurse Managers.Journal of nursing management · 2024Article
- Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study.Therapeutic advances in drug safety · 2023Article
- Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study.BMC health services research · 2022Article
- The Relationship of Medical Assistants' Work Engagement with Their Concerns of Having Made an Important Medical Error: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Views of healthcare consumer representatives on defensive practice: 'We are your biggest advocate and supporter… not the enemy'.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Perception Gaps of Disclosure of Patient Safety Incidents Between Nurses and the General Public in Korea.Journal of patient safety · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo synthesize the literature on the views and experiences of patients/family members and health-care professionals (HCPs) on the disclosure of adverse events.
methodsSystematic review of qualitative studies. Searches were conducted in MEDLINE, Embase, PubMed, CINAHL and PsycINFO. Study quality was evaluated using the Critical Appraisal Skills Programme tool. Qualitative data were analysed using a meta-ethnographic approach, comprising reciprocal syntheses of 'patient' and 'health-care professional' studies, combined to form a lines-of-argument synthesis embodying both perspectives.
resultsFifteen studies were included in the final syntheses. The results highlighted that there is a difference in attitudes and expectations between patients and HCPs regarding the disclosure conversation. Patients/family members expressed a need for information, the importance of sincere regret and a promise of improvement. However, HCPs faced several barriers, which hindered appropriate disclosure practices. These included difficulty of disclosure in a blame culture, avoidance of litigation, lack of skills on how to conduct disclosure and inconsistent guidance. A lines-of-argument synthesis is presented that identified both the key elements of an ideal disclosure desired by patients and the facilitators for HCPs, which can increase the likelihood of this taking place.
conclusionsAlthough patients/family members and HCPs both advocate disclosure, several barriers prevent HCPs from conducting disclosure effectively. Both groups have different needs for disclosure. To meet patients' requirements, training on disclosure for HCPs and the development of an open, transparent culture within organizations are potential areas for intervention.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.