Open Disclosure — Written Follow-Up to the Patient or Family
Sent within three days of the first conversation, and again when the review is complete. Two templates
What it is
Two letter templates: the written summary after the first disclosure conversation, and the letter that closes the review with its findings and changes.
Where to use it
Sent by the senior clinician or medical director; copy in the record. Evidence for: Standard 4 — open disclosure; Sentinel Event Policy. Evidence for: Standard 4 — open disclosure; Sentinel Event Policy. Evidence for: Standard 4 — open disclosure; Sentinel Event Policy. Evidence for: Standard 4 — open disclosure; Sentinel Event Policy. Evidence for: Standard 4 — open disclosure; Sentinel Event Policy. Evidence for: Standard 4 — open disclosure; Sentinel Event Policy. Evidence for: Standard 4 — open disclosure; Sentinel Event Policy.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Open Disclosure — The First Conversation
Supporting Staff After a Serious Incident — The Second Victim
Open Disclosure Policy — Template
Open Disclosure — Record and Quarterly Audit
Print to share.
