“It Matters What I Think, Not What You Say”: Scientific Evidence for a Medical Error Disclosure Competence (MEDC) Model

  title={“It Matters What I Think, Not What You Say”: Scientific Evidence for a Medical Error Disclosure Competence (MEDC) Model},
  author={Annegret F. Hannawa and Richard M. Frankel},
  journal={Journal of Patient Safety},
  pages={e1130 - e1137}
Objective This study sought to validate the ability of a “Medical Error Disclosure Competence” (MEDC) model to predict the effects of physicians’ communication skills on error disclosure outcomes in a simulated context. Method A random sample of 721 respondents was assigned to 16 experimental disclosure conditions that tested the MEDC model’s constructs across 2 severity conditions (i.e., minor error and sentinel event). Results Severity did not affect survey respondents’ perceptions of the… 
Disclosing Adverse Events in Clinical Practice: The Delicate Act of Being Open
It is demonstrated that specific disclosure communication strategies on the level of interpersonal skills, organization, and supportive factors may facilitate healthcare professionals to provide optimal disclosure of adverse events.
Communication about medical errors.
  • L. Kaldjian
  • Medicine
    Patient education and counseling
  • 2020
Medical Error Disclosure: Developing Evidence-Based Guidelines for Chinese Hospitals
Chinese individuals’ expectations regarding the disclosure of errors that vary in level of harm severity are investigated and guidelines for medical error disclosure are developed to develop guidelines for error disclosure.


What constitutes "competent error disclosure"? Insights from a national focus group study in Switzerland.
This study provides concrete evidence-based starting points for the development of a disclosure training that is grounded in a communication science model, aiming to support clinicians, institutions and patients with this challenging task.
"Explicitly implicit": examining the importance of physician nonverbal involvement during error disclosures.
  • A. Hannawa
  • Medicine, Psychology
    Swiss medical weekly
  • 2012
The findings of this study imply that nonverbal communication has a significant impact on error disclosure outcomes and thus should be considered as an important component of future research and disclosure training efforts.
Medical errors: Disclosure styles, interpersonal forgiveness, and outcomes.
Disclosing medical errors to patients: effects of nonverbal involvement.
  • A. Hannawa
  • Medicine, Psychology
    Patient education and counseling
  • 2014
Disclosure of Adverse Events in the United States and Canada: An Update, and a Proposed Framework for Improvement
The presence of multiple practical and personal barriers to disclosure suggests the need for a comprehensive solution directed at multiple levels of the health care system, including health departments, institutions, local managers, professional staff, patients and families, and including legal, health system and local institutional support.
Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation.
Although more data are needed about the outcomes of DA&O programs, the model holds considerable promise for transforming the current approach to medical liability and patient safety.
Building bridges: future directions for medical error disclosure research.
The Interactive Media Package for Assessment of Communication and Critical Thinking (IMPACCT©): Testing a Programmatic Online Communication Competence Assessment System
IMPACCT is an online survey covering over 40 self-report types of student communication competency, as well as a test of critical thinking based on cognitive problem-solving. The student nominates
The Tactical Topography of Stalking Victimization and Management
A meta-analysis of 108 samples across 103 studies of stalking-related phenomena, representing almost 70,000 participants, reveals an average prevalence across studies of 23.5% for women and 10.5% for