ArticleHealth expectations : an international journal of public participation in health care and health policy2022
Humanizing harm: Using a restorative approach to heal and learn from adverse events.
Article in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- What can we learn from patient and family experiences of open disclosure and how they have been evaluated? A systematic review.BMC health services research · 2025Pooled it
- Humanising Government Inquiry: A Realist Examination of a Restorative Approach to Surgical Mesh Harm in Aotearoa New Zealand.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Powerless or Powerful? Healthcare Professionals' Construction of Agency in Patient and Family Engagement Accounts.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- The Cycle of Equitable Codesign' Using Restorative Practice Principles to Address Epistemic Injustice and Advance Codesign in Mental Health.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- 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
- Conceptualising trauma in eating disorders: a reflexive commentary on the role of neglect, iatrogenic harm, and epistemic injury.Journal of eating disorders · 2026Article
- What do people do in the aftermath of healthcare-related harm? A qualitative study on experiences and factors influencing decision-making.BMJ quality & safety · 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
- Investigators are human too: outcome bias and perceptions of individual culpability in patient safety incident investigations.BMJ quality & safety · 2026Article
- Patient-reported harm from NHS treatment or care, or the lack of access to care: a cross-sectional survey of general population prevalence, impact and responses.BMJ quality & safety · 2025Article
- Integrating equity into incident reporting and patient concerns systems: a critical interpretive synthesis.BMJ quality & safety · 2025Review
- Systems analysis of clinical incidents: development of a new edition of the London Protocol.BMJ quality & safety · 2025Review
- The Learn Together programme (part A): co-designing an approach to support patient and family involvement and engagement in patient safety incident investigations.Frontiers in health services · 2025Article
- Restorative initiatives: emerging insights from design, implementation and collaboration in five countries.Frontiers in health services · 2025Article
- The Learn Together programme (part B): evaluating co-designed guidance to support patient and family involvement in patient safety incident investigations.Frontiers in health services · 2025Article
- A closer look at the role of apology in error disclosure: a simulation study.Frontiers in health services · 2025Article
- Decades of failure to prevent harm to patients-where are we going wrong? A mixed methods study of the perspectives of health services staff across Australia and internationally.Frontiers in health services · 2025Article
- The power and pain of words: how language matters in responding to patients after harm.Frontiers in health services · 2025Article
- Restorative Just Culture: An Exploration of the Enabling Conditions for Successful Implementation.Healthcare (Basel, Switzerland) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare is not without risk. Despite two decades of policy focus and improvement efforts, the global incidence of harm remains stubbornly persistent, with estimates suggesting that 10% of hospital patients are affected by adverse events.
methodsWe explore how current investigative responses can compound the harm for all those affected-patients, families, health professionals and organizations-by neglecting to appreciate and respond to the human impacts. We suggest that the risk of compounded harm may be reduced when investigations respond to the need for healing alongside system learning, with the former having been consistently neglected. DISCUSSION: We argue that incident responses must be conceived within a relational as well as a regulatory framework, and that this-a restorative approach-has the potential to radically shift the focus, conduct and outcomes of investigative processes.
conclusionThe identification of the preconditions and mechanisms that enable the success of restorative approaches in global health systems and legal contexts is required if their demonstrated potential is to be realized on a larger scale. The policy must be co-created by all those who will be affected by reforms and be guided by restorative principles. PATIENT OR PUBLIC CONTRIBUTION: This viewpoint represents an international collaboration between a clinician academic, safety scientist and harmed patient and family members. The paper incorporates key findings and definitions from New Zealand's restorative response to surgical mesh harm, which was co-designed with patient advocates, academics and clinicians.
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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.