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Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review
Minsu Ock1, So Yun Lim2, Min-Woo Jo1, Sang-Il Lee1
1Department of Preventive Medicine, University of Ulsan College of Medicine, Seoul, Korea
2Department of Medicine, University of Ulsan College of Medicine, Seoul, Korea
Corresponding Author: Sang-Il Lee ,Tel: 82-2-3010-4284, Fax: 82-2-477-2898, Email: sleemd@amc.seoul.kr
Received: November 2, 2016;  Accepted: January 17, 2017.
We have performed a systematic review to assess and aggregate the evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents (DPSI).
We used PRISMA guidelines for this systematic review and searched PubMed, Scopus, and the Cochrane Library for English articles published between 1990 and 2014. Two authors independently conducted the title screening and abstract review. Ninety-nine articles were selected for full-text reviews. One author extracted the data and another verified them.
There was considerable variation in the reported frequency of medical professionals??DPSI. The main expected effects of the DPSI were decreased intention of the general public to file medical lawsuits and punish medical professionals, increased credibility of medical professionals, increased intention of patients to revisit and recommend physicians or hospitals, higher rating of quality of care, and eased feelings of guilt of medical professionals. The obstacles to DPSI were fear of medical lawsuits and punishment, fear of a damaged professional reputation among colleagues and patients, diminished patient trust, the complexity of the situation, and the absence of a patient safety culture. However, the facilitators of the DPSI included a creation of a safe environment for reporting PSIs, and guidelines and education for the DPSI.
The reported frequency of the general public?셲 experience of DPSI was somewhat lower than the reported frequency of the medical professionals??DPSI. Although we determined the various expected effects of DPSI, more empirical evidence from real cases are required.
Key words: patient safety; medical errors; disclosure of patient safety incidents; systematic review
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