title: Nurses' disclosure of error scenarios in nursing homes.
abstract: BACKGROUND
  Little work has explored the disclosure of errors in nursing homes (NHs).
  
  
  OBJECTIVE
  This paper reports how nurses would disclose hypothetical errors that occur in NH settings.
  
  
  METHODS
  A cross-sectional survey was given to a randomly selected sample of registered nurses (RNs) and registered practical nurses (RPNs) working in Ontario, Canada NHs.
  
  
  RESULTS
  Of 1,180 respondents, only half might provide full details and the cause of the error and provide steps in how the error would be prevented if they were in situations described by the hypothetical scenarios. Scenarios that were less serious had an almost 3 times higher likelihood of an explicit apology (OR 2.97; 95% CI 1.36-6.51; P = 0.007). Nurses who were RNs, had more education, had a prior history of disclosing a serious error, and agreed with full disclosure were more likely to respond to disclosing more information about the error. Nurses also reported numerous barriers to effective disclosure in their workplace.
  
  
  CONCLUSIONS
  Improvements in NH safety culture are necessary to enhance the error disclosure process.
authors: University of California, San Francisco, School of Nursing, Community Health Systems, San Francisco, CA 94143, USA. laura.wagner@nursing.ucsf.edu
authors: Laura M
authors: LM
authors: Wagner
authors: Kimberley
authors: K
authors: Harkness
authors: Philip C
authors: PC
authors: Hébert
authors: Thomas H
authors: TH
authors: Gallagher
mesh_terms: D003430:Cross-Sectional Studies; D030881:Disclosure; D019538:Health Care Surveys; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control; D015999:Multivariate Analysis; D009735:Nursing Homes; D009740:Nursing Staff; D009864:Ontario; D061214:Patient Safety; D057184:Practice Patterns, Nurses'; D012044:Regression Analysis; D012308:Risk Management