Enhancing Healthcare Accountability for Administrators: Fostering Transparency for Patient Safety and Quality Enhancement
Open accessAbstract
Transparency in healthcare organizations is essential for creating a culture of patient-centered care where patients are respected, informed, and actively engaged in their health and well-being. Organizational transparency is a crucial element in healthcare, enhancing patient safety and quality improvement. Transparency involves open communication about healthcare organizations' performance, outcomes, and processes, leading to improved accountability, trust, and patient engagement. Transparent organizations prioritize patient-centered care, involving patients in decision-making and fostering shared mental models between healthcare providers and patients. Psychological safety is vital for organizational transparency. Patient safety reporting systems play a key role in transparency, allowing anonymous reporting of safety concerns and incidents. These systems facilitate early risk identification, continuous improvement, and compliance with regulatory requirements. Transparency in reporting encourages a culture of openness, learning from near misses, and addressing systemic issues and human errors. It aligns with ethical principles, potentially mitigating legal challenges. This review synthesizes key themes, including the importance of patient-centered care, the role of psychological safety in fostering transparency, and the effectiveness of patient safety reporting systems.
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Improving information transparency, such as providing easy access to medical information for patients, can bridge the information gap and encourage engagement.
“In addition to strengthening the clinician-patient relationship, improving information transparency [368,369], such as providing easy access to medical information for patients [370], can bridge the information gap and encourage engagement.”
From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [368]
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Cites
Shared decision making: A model for clinical practice
Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S., et al. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2077-6 · Cited by 4,405 · see citing works
Flagged first, then by citations
Research works printed but not linked: 29
- [1]Vital Directions for Health & Health Care: An Initiative of the National Academy of Medicine Washington (DC) The National Academies Press 2017 37782728
- [2]Error reporting and disclosure Patient Safety and Quality: An Evidence-Based Handbook for Nurses Wolf ZR Hughes RG Rockville (MD) Agency for Healthcare Research and Quality (US) 2008 https://pubmed.ncbi.nlm.nih.gov/21328752/ 21328752
- [3]Consumer comprehension of surgeon performance data for coronary bypass procedures Ann Thorac Surg Donelan K Rogers RS Eisenhauer A Mort E Agnihotri AK 1400 1405 91 2011 21524448
- [4]The "Transparency for safety" triangle: developing a smart transparency framework to achieve a safety learning community Int J Environ Res Public Health Lindhout P Reniers G 12037 19 2022 36231340 PMC9566178
- [5]Significance of incident reports by medical doctors for organizational transparency and driving forces for patient safety Patient Saf Surg Fukami T Uemura M Nagao Y 13 14 2020 32322306 PMC7164346
- [6]Open notes: new federal rules promoting open and transparent communication Jt Comm J Qual Patient Saf Delbanco T Wachenheim D 207 209 47 2021 33678527
- [7]The patient experience of patient-centered communication with nurses in the hospital setting: a qualitative systematic review protocol JBI Database System Rev Implement Rep Newell S Jordan Z 76 87 13 2015 26447009
- [8]The role of quality transparency in health care: challenges and potential solutions NAM Perspect Saghafian S Hopp WJ 2019 2019 PMC8406510 34532667
- [9]Intervention efficacy for eliminating patient misidentification using step-by-step problem-solving procedures to improve patient safety Nagoya J Med Sci Fukami T Uemura M Terai M 315 321 82 2020 32581410 PMC7276410
- [10]Shared decision making with psychological safety Lancet Fukami T 1153 1154 401 2023 37030882
- [11]Doctors-in-training support strategy from incident report point of view Ann Med Surg (Lond) Fukami T Uemura M Nagao Y 139 141 56 2020 32637089 PMC7327027
- [13]A typology of shared decision making, informed consent, and simple consent Ann Intern Med Whitney SN McGuire AL McCullough LB 54 59 140 2004 14706973
- [14]Attitudes in an interpersonal context: psychological safety as a route to attitude change Front Psychol Itzchakov G DeMarree KG 932413 13 2022 35959020 PMC9361786
- [16]A concept analysis of psychological safety: further understanding for application to health care Nurs Open Ito A Sato K Yumoto Y Sasaki M Ogata Y 467 489 9 2022 34651454 PMC8685887
- [17]Enhancing psychological safety in mental health services Int J Ment Health Syst Hunt DF Bailey J Lennox BR Crofts M Vincent C 33 15 2021 33853658 PMC8045992
- [19]Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service Sociol Health Illn Ehrich K 903 926 28 2006 17163859
- [20]The comprehensive double loop activities for patient safety management Ann Med Surg (Lond) Fukami T Nagao Y 103520 77 2022 35638001 PMC9142377
- [21]Building learning organizational culture during COVID-19 outbreak: a national study BMC Health Serv Res Alonazi WB 422 21 2021 33947380 PMC8094974
- [22]Making moral mistakes: what ethical failure can teach students about life and leadership New Dir Stud Leadersh Dalton JC 71 79 2015 2015 26894905
- [23]Tools and strategies for quality improvement and patient safety Patient Safety and Quality: An Evidence-Based Handbook for Nurses Hughes RG Rockville (MD) Agency for Healthcare Research and Quality (US) 2008 https://pubmed.ncbi.nlm.nih.gov/21328752/ 21328752
- [24]Benchmarking: a method for continuous quality improvement in health Healthc Policy Ettorchi-Tardy A Levif M Michel P 0 19 7 2012 https://pubmed.ncbi.nlm.nih.gov/23634166/ PMC3359088 23634166
- [25]Data-driven diffusion of innovations: successes and challenges in 3 large-scale innovative delivery models Health Aff (Millwood) Dorr DA Cohen DJ Adler-Milstein J 257 265 37 2018 29401031 PMC5810405
- [26]The Joint Commission 6 2024 https://www.jointcommission.org/ 32496726
- [27]Identifying and prioritizing the key performance indicators for hospital management dashboard at a national level: viewpoint of hospital managers Health Informatics J Nabovati E Farrahi R Sadeqi Jabali M Khajouei R Abbasi R 14604582231221139 29 2023 38062641
- [28]Development of a novel scoring system to quantify the severity of incident reports: an exploratory research study J Med Syst Uematsu H Uemura M Kurihara M 106 46 2022 36503962
- [29]Effectiveness and limitations of an incident-reporting system analyzed by local clinical safety leaders in a tertiary hospital: prospective evaluation through real-time observations of patient safety incidents Medicine (Baltimore) Ramírez E Martín A Villán Y 0 97 2018 PMC6160204 30235764
- [30]Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review BMJ Sari AB Sheldon TA Cracknell A Turnbull A 79 334 2007 17175566 PMC1767248
- [31]Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the english national reporting and learning system data PLoS ONE Howell AM Burns EM Bouras G Donaldson LJ Athanasiou T Darzi A 0 10 2015 PMC4674095 26650823
- [32]Assessment of medical malpractice cost at a Japanese national university hospital Nagoya J Med Sci Hoshi T Nagao Y Sawai N 397 405 83 2021 34552278 PMC8438010
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Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors
Yen, C., Epling, J. W., Rockwell, M., & Vaughn-Cooke, M. (2026) · Diagnostics · doi:10.3390/diagnostics16020347 · Cited by 6 · see citing works
Disha, J. F., Dehan, M. F. Z., & Anzum, K. M. T. (2026) · Advanced Intelligent Systems · doi:10.1002/aisy.70487
- Authors
- Fukami, T.
- Affiliations
- Shimane University Hospital (JP)
- Corresponding author
- Fukami, Tatsuya
- ORCID
- Fukami, Tatsuya
- Venue
- Cureus
- Published
- 2024-08-02
- Volume
- 16
- Issue
- 8
- Pages
- e66007-e66007
- ISSN
- 2168-8184 (ISSN-L)
- PMC
- PMC11366401
- OpenAlex
- W4401253230
- Cited by
- 37
- References
- 1
- Citations by year
- 2026: 10 · 2025: 26 · 2024: 1
- FWCI
- 4.62
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Cureus (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- organizational transparency, health care accountability, patient safety, quality improvement, patient-centered care, patient engagement, psychological safety, patient safety reporting systems, near-miss reporting, human error, shared mental models
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