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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Honesty and Transparency, Indispensable to the Clinical Mission-Part II: How Communication and Resolution Programs

Michael J Brenner1, Gerald B Hickson2, Cynda Hylton Rushton3

  • 1Department of Otolaryngology-Head & Neck Surgery, University of Michigan Medical School, Ann Arbor; GTC Quality Improvement Collaborative, Durham, NC, USA.

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Summary

When healthcare causes patient harm, honesty, transparency, and empathy are vital for recovery and prevention. This approach supports patients, families, and clinicians, focusing on communication and transparency to improve care.

Keywords:
Adverse eventsCommunication and resolution programHonestyMedical errorsPatient safetyQuality improvementTransparency

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Area of Science:

  • Healthcare quality and patient safety
  • Medical ethics
  • Clinical communication

Background:

  • Patient harm from healthcare is a significant concern, impacting patients, families, and professionals emotionally and financially.
  • Current systems often lack adequate support for clinicians to process adverse events or prevent future harm.
  • Effective response to unintended harm requires a patient and family-centered approach.

Purpose of the Study:

  • To outline essential components for responding to unintended healthcare harm.
  • To emphasize the role of honesty, transparency, and empathy in patient care.
  • To introduce communication and transparency as a key pillar for advancing clinical missions.

Main Methods:

  • Conceptual framework development.
  • Literature review on patient safety and communication in healthcare.
  • Analysis of ethical considerations in responding to adverse events.

Main Results:

  • Honesty, transparency, and empathy are identified as indispensable elements for a comprehensive response.
  • A patient and family-centered approach is crucial for managing unintended harm.
  • Communication and transparency are presented as the second of three pillars for clinical improvement.

Conclusions:

  • Prioritizing open communication and transparency is essential for healing and preventing future harm.
  • A supportive environment for clinicians processing adverse events is necessary.
  • Implementing these principles advances patient safety and clinical mission effectiveness.