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Health providers in Western countries are adopting “open disclosure” policies that promote the discussion of healthcare incidents with patients.1 2 3 4 5 Studies using hypothetical designs have suggested that a gap exists between clinicians’ and patients’ views of what is appropriate incident disclosure. Clinicians tend to consider unexpected clinical outcomes as less serious and therefore less in need of disclosure than do patients.6 Clinicians also err on the side of caution, whereas patients expect openness and admission of responsibility.7 Such breakdowns in the disclosure process exacerbate the distress patients experience from the event itself.

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