Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

OBJECTIVE: To examine the current state of practice in English NHS Trusts in relation to the communication of serious patient safety incidents to patients and families and support for all parties involved. DESIGN: Cross-sectional design using online surveys. PARTICIPANTS: 209 patient safety managers, responsible for the 'Being Open' policy (54% response rate). SETTING: English NHS Trusts. RESULTS: 98% of the participants reported that they are familiar with the National Patient Safety Agency Being Open guidance and 82% that they implement it more than half the time when incidents occur. However, provision of timely information was not reported as routine, with two-thirds of the discussions taking place 3-6 months [corrected] after the investigation. The frequency of taking responsibility for harm was low for incidents of different severity levels but significantly lower for less serious ones (p<0.001). Follow-ups of patients in the long term and ex gratia payments were provided less than half the time. The most highly rated barriers to being open were clinical staff's fear of negative reactions from patients or their families and anxiety about litigation. Support practices for staff, such as debriefing and training on being open, were acknowledged as highly important but not always available. CONCLUSIONS: Awareness of the importance of being open is high among patient safety managers in English NHS Trusts, but there is still considerable scope for improvement in the management of the after effects of patient safety incidents. More research is needed on patients' and healthcare professionals' preferences for support after patient safety incidents.

Original publication




Journal article


BMJ Qual Saf

Publication Date





1001 - 1008


Administrative Personnel, Cross-Sectional Studies, England, Follow-Up Studies, Humans, Incidence, Medical Errors, National Health Programs, Online Systems, Patient Safety, Professional-Patient Relations, Safety Management, Surveys and Questionnaires, Time Factors, Wounds and Injuries