When an adverse event happens, what should be done first?

The appropriate first step when an adverse event occurs is to openly discuss the event with the patient, family, and staff. This approach fosters transparency and communication, which are critical components of patient safety and quality care. It helps build trust, allows for immediate addressing of any patient concerns, and provides necessary support to those affected by the event.

Engaging in a discussion about the adverse event also assists in gathering real-time information that can be vital for understanding the circumstances surrounding the incident. This can contribute to a more comprehensive understanding of what occurred and can guide the subsequent steps, such as investigations or root cause analyses.

Starting an investigation to determine fault or conducting a root cause analysis are important steps but should follow the initial open communication. It’s crucial to prioritize the well-being and information needs of the patient and family in the immediate aftermath of an adverse event. Keeping the patient uninformed is not only unethical but can also lead to further complications in trust and legal ramifications. Open dialogue ensures that the patient feels respected and valued, especially during a challenging time.