Which practice supports open disclosure after an adverse event?

• A. Open disclosure and transparent communication with patient and family.
• B. Conceal the event to avoid liability.
• C. Blame the patient for the error.
• D. Delay disclosure until legal counsel is consulted.

Answer: (A)

Open disclosure after an adverse event centers on honesty and transparent communication with the patient and family. When something goes wrong, the clinician should acknowledge that an error occurred, explain in clear terms what happened, and offer a sincere, I’m sorry if appropriate. It’s important to discuss the potential or actual impact on the patient, outline the immediate steps being taken to manage the situation, and describe what is being done to prevent recurrence. Providing ongoing support, answering questions, and arranging follow-up or monitoring are all part of this open dialogue. Documenting the conversation and the plan is also essential.

This approach respects the patient’s right to know, supports trust and shared decision-making, and aligns with professional ethical standards and patient-safety culture. In contrast, concealing the event to avoid liability undermines trust and violates professional duties. Blaming the patient is inappropriate and shifts responsibility away from addressing the real causes. Delaying disclosure until legal counsel is consulted creates unnecessary delay and can erode the patient–physician relationship.