[Your Practice Name]: No-Fault, Open Disclosure – The Path to Safety and Quality Policy

Policy Statement: [Your Practice Name] is dedicated to providing all patients with a safe and high-quality healthcare environment. We recognize the importance of a culture that encourages open disclosure and reporting of near-miss and adverse events without fear of punishment or retribution. Our “No Fault, Open Disclosure” policy aims to foster a transparent and accountable approach to patient safety and continuous improvement.


  1. Promote Patient Safety: The primary goal of this policy is to enhance patient safety by encouraging early reporting of near-miss and adverse events. Timely reporting allows for prompt analysis, identifying root causes, and implementing corrective measures to prevent recurrence.
  2. Encourage Open Disclosure: We emphasize a culture of open disclosure, where all staff members are encouraged and supported in reporting any near-miss or adverse event they encounter. This includes healthcare professionals, administrative staff, and support personnel.
  3. No-Fault Approach: [Your Practice Name] acknowledges that errors are a natural part of healthcare delivery. Our policy ensures that any individual involved in an adverse event will not face punitive actions if there is timely and honest disclosure. This approach aims to remove barriers to reporting and sharing valuable insights that contribute to patient safety improvements.
  4. Learning and Continuous Improvement: We are committed to a continuous improvement mindset. Lessons learned from near-miss and adverse events are valuable opportunities for growth. By sharing these experiences, we collectively contribute to enhancing the quality of care provided.


  1. Awareness and Education: All staff members will receive education and training on the “No Fault, Open Disclosure” policy during their orientation and regularly thereafter. Training will emphasize the importance of reporting, open communication, and the absence of punitive measures for timely disclosures.
  2. Confidential Reporting Mechanism: [Your Practice Name] will establish a confidential reporting mechanism that allows staff to report near-miss and adverse events anonymously if desired. This mechanism will ensure that the identity of the reporter is protected.
  3. Investigation and Analysis: Each reported event will be thoroughly investigated to identify contributing factors and root causes. A multidisciplinary team will conduct these investigations, including representatives from clinical, administrative, and quality assurance departments.
  4. Open Disclosure Process: In the event of an adverse event, an open disclosure process will be initiated promptly. The affected patient, their family, and relevant stakeholders will be informed about the incident, the investigation findings, and the steps taken to prevent recurrence.
  5. Supportive Environment: [Your Practice Name] is committed to creating a supportive environment for individuals involved in near-miss or adverse events. Staff members will be provided with appropriate emotional and psychological support throughout the disclosure and investigation process.
  6. Quality Improvement Initiatives: Insights gained from near-miss and adverse events will be used to develop and implement quality improvement initiatives. These initiatives may include changes to clinical protocols, staff training, and process enhancements to reduce the risk of future occurrences.

Review and Revision: This policy will be periodically reviewed and updated to ensure its effectiveness and alignment with industry best practices. Feedback from staff, patients, and stakeholders will be considered during these reviews.

[Your Practice Name] is committed to upholding patient safety principles, open communication, and continuous improvement. Through our “No Fault, Open Disclosure” policy, we aim to create a culture that prioritizes learning and transparency, ultimately contributing to the highest standards of healthcare delivery.

Policy Effective Date: [Insert Date] Policy Review Date: [Insert Date of First Review]