|Organisation sharing the GOP||
Related practices from PaSQ database
|Health Service Executive (HSE) and the State Claims Agency (SCA).||
|Quality improvement project
Professional learning program on quality and safety
|The project objective is to provide training and support for doctors and other healthcare professionals to support them in engaging in the open disclosure process with a view to the development of a national guidance document and national policy on Open Disclosure.|
|Doctors and other healthcare professionals working in acute hospitals in Ireland.|
|Project leads were identified in the HSE and SCA.
A national project team was established.
Two acute pilot sites were identified.
Initial Executive Management Board meetings to undertake proposal sign up and commitment to the project.
Awareness session delivery on site.
Open disclosure training on site.
Follow up meetings with various applicable committees e.g. Quality and Risk / Governance Committees.
Ongoing supports from HSE and SCA project leads.
|2 year pilot programme – 2010 – 2012. The pilot ended in October 2012 and the current emphasis is on the development of a national guidance document and policy in relation to Open Disclosure. Work has already commenced with several hospital sites in Ireland and on the national implementation strategy.|
|Implementation tools available|
|Awareness sessions delivered on site.
Open disclosure training delivered on site.
|Method used to measure the results|
|Internal evaluation: All training and awareness sessions delivered by the national leads were evaluated using a feedback evaluation form addressing specific aspects of both session types.
External evaluation: An external healthcare consultant was employed by the SCA to undertake the evaluation of year 1 of the project. It is anticipated that the overall project will be externally evaluated by a recognised leader / body in open disclosure. This is currently being scoped.
|Feedback regarding the training and awareness sessions delivered. An external evaluation of year 1 of the pilot project was also undertaken.|
|Analysis of the results|
|• A clear commitment from both pilot sites to implement Open Disclosure
• A lack of understanding of what is meant by Open Disclosure
• Staff support following adverse events need to improve
• Leadership paramount
• Lack of training
• Uncertainty regarding what to disclose
• Fear regarding the area of apology
|Did you find implementation barriers?|
|Please describe implementation barriers|
|• Time constraints for staff to attend sessions
• Leadership visibility issuesThe roll out of Open Disclosure across all healthcare organisations is planned and the learning from the pilot programme will be incorporated into the national implementation strategy regarding same.
|Describe the strategies used to overcome the barriers (If needed)|
|There is no specified text here|
|Other information about the GOP that you would like to add (Link or attached document)|
|The Open Disclosure project is more than a pilot, it is also a change management project that requires a significant cultural shift. The roll out of Open Disclosure across all healthcare organisations is planned and the learning from the pilot project will be incorporated into the national implementation strategy regarding same.|