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OPSC recommends that healthcare organizations disclose serious adverse event information as soon as possible after the event occurs. For organizations participating in PSRP, Oregon law states, “After a serious adverse event occurs, a participant must provide written notification in a timely manner to each patient served by the participant who is affected by the event. Notice provided under this subsection may not be construed as an admission of liability in a civil action” (Oregon Revised Statute ORS 442.837(4)).

When creating a disclosure policy, organizations should strongly consider the disclosure of non-serious adverse events and near misses. OPSC recommends that physicians and healthcare organizations disclose adverse events regardless of harm level or whether an error is identified. The decision to disclose events that do not fit the definition of serious adverse events should be clearly addressed in an organization’s disclosure policy.

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