The Australian Open Disclosure Framework outlines the principles, elements and process of open disclosure in healthcare. It emphasizes the importance of open and timely communication, acknowledgement, apology, supporting patients and healthcare providers, clinical risk management, good governance, and confidentiality. The key elements of the open disclosure process include detecting and assessing incidents, signalling the need for open disclosure, preparing for open disclosure, engaging in open disclosure, providing follow-up, and completing the process. The key components of open disclosure discussions include introductions, saying sorry, factual explanation, personal effect of the adverse event, plan agreed and recorded, pledge to feed back, and offer of support. Other considerations include the need for ongoing support for patients and staff, and the provision of a written account of the open disclosure meeting.
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