| dc.description.abstract | Purpose: This study examined how health staff in Indonesian hospitals perceived open disclosure of patient safety incidents (PSIs).
Patients and Methods: This study employed a mixed method explanatory sequential approach. We surveyed 262 health workers and
interviewed 12 health workers. Descriptive statistical (frequency distributions and summary measures) analysis was performed to
assess the distributions of variables using SPSS. We used thematic analysis for the qualitative data analysis.
Results: We discovered a good level of open disclosure practice, open disclosure system, attitude toward open disclosure and process,
open disclosure according to the level of harm resulting from PSIs in the quantitative phase. The qualitative phase revealed that most
participants were confused about the difference between incident reporting and incident disclosure. Furthermore, the quantitative and
qualitative analyses revealed that major errors or adverse events should be disclosed. The contradictory findings may be due to a lack
of awareness of incident disclosure. The important factors in disclosing the incident are effective communication, type of incident, and
patient and family characteristics.
Conclusion: Open disclosure is novel for Indonesian health professionals. A good open disclosure system in hospitals could address
several issues such as lack of knowledge, lack of policy support, lack of training, and lack of policy. To limit the negative implications
of disclosing situations, the government should develop supportive policies at the national level and organize many initiatives at the
hospital level. | en_US |
