title: [Something is wrong in the way we inform patients of an adverse event].
abstract: OBJECTIVE
  To analyze which actions are carried out in hospitals and primary care to ensure open disclosure to the patient after an adverse event (AE).
  
  
  METHODS
  We surveyed 633 managers and patient safety coordinates (staff) and 1340 physicians and nurses from eight autonomous communities. The level of implementation of open disclosure recommendations was explored.
  
  
  RESULTS
  A total of 112 (27.9%) staff and 386 (35.9%) professionals considered that patients were correctly informed after an EA; 30 (7.4%) staff claimed to have a guideline on how to report EA; only 92 medical professionals (17.4%) and 93 nurses (19.1%) had received training on open disclosure.
  
  
  CONCLUSIONS
  There are gaps in the way of planning, organizing and ensuring that patients who suffer an AE will receive an apology with honest information about what has happened and what could subsequently happen.
authors.affiliation: Departamento de Psicología de la Salud, Alicante-Sant Joan, Alicante, España; Universidad Miguel Hernández, Elche Alicante, España. Electronic address: jose.mira@umh.es.
authors.forename: José Joaquín
authors.initials: JJ
authors.lastname: Mira
authors.affiliation: Unidad de Calidad, Hospital Universitario Fundación Alcorcón, Madrid, España.
authors.forename: Susana
authors.initials: S
authors.lastname: Lorenzo
mesh_terms: D000328:Adult; D003142:Communication; D005260:Female; D006740:Hospital Administrators / Q000523:psychology; D006761:Hospitals; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology; D017008:Negotiating; D009740:Nursing Staff / Q000523:psychology; D064406:Patient Harm; D061214:Patient Safety; D011320:Primary Health Care; D011369:Professional-Patient Relations; D012308:Risk Management; D011795:Surveys and Questionnaires; D014342:Truth Disclosure
keywords: Adverse events; Eventos adversos; Gestión y organización; Organization and administration management; Pacientes; Patient safety; Patients; Seguridad del paciente