Health Workers’ Perspective on Patient Safety Incident Disclosure in Indonesian Hospitals [Response to Letter]

This article responds to:

Health Workers’ Perspective on Patient Safety Incident Disclosure in Indonesian Hospitals [Letter]

Dear editor

Dr. Laoh’s interest in our research is greatly appreciated. Thank you for highlighting significant factors influencing incident disclosure, such as ethical awareness and the impression of patient safety culture among hospital nurses, which we did not uncover in our study’s findings. We believe that ethical awareness will lay the groundwork for all health workers, not only nurses. Meanwhile, the safety culture will provide a supportive environment for all health staff to disclose incidents. Both are required in the Indonesian hospital system.

Thank you also for recommending that future studies employ the Patient Safety Guide for Primary Care (PSG-PC). Although the guidelines are helpful for increasing collaborations to enhance quality of care by improving communication and building partnerships between patients and health-care providers, they do not focus on incident disclosure. Rather, we advised using NHS’s Being Open Policy,¹ which provides a thorough approach to implementing open policy.

To summarize, like you, we strongly believe that feeling safe to disclose an occurrence is the most important factor; therefore, establishing a policy that protects health workers and is supported by an organizational structure will accelerate and improve the adoption of open disclosure within our health care system.

Disclosure

The authors report no other conflicts of interest in this communication.