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A duty of candour: Implications for Australian osteopaths

Journal: International Journal of Osteopathic Medicine Date: 2020/03, 35Pages: 34-40. doi: Subito , type of study: article

Full text    (http://www.sciencedirect.com/science/article/pii/S174606891930118X)

Keywords:

duty of candour [1]
ethical decision-making [1]
open disclosure [1]
osteopathy [460]
adverse events [35]
Australia [151]

Abstract:

A duty of candour is a duty to tell the truth. Yet, there is no legal duty of candour for Australian osteopaths. However, osteopaths worldwide have a vested interest in meeting patient's needs, identifying risks and improving clinical outcomes. The objective of this paper is to enhance osteopath's legal literary concerning ethical decision-making in clinical practice re open disclosure conversations or report adverse events. The aim is to identify the best way to manage open disclosure conversations and why Australian osteopaths should report adverse events. Method This paper reports on doctrinal research related to open disclosure and the reporting of adverse events. It reports on thematic and critical analysis of the content of pertinent osteopathic regulatory documents to identify if and how, the ethical principles of non-maleficence, beneficence, justice and autonomy and the clinical principles of patient-safety and person-centred care are applied. Findings and conclusion The ethical principles of beneficence and non-maleficence, justice and autonomy and the concepts of patient-safety and person-centred underpin the Code of Conduct's directive to osteopaths to engage in open disclosure and to report adverse events. Frameworks for how to manage open disclosure conversations are offered. Prior to engaging in open disclosure conversation's osteopaths must consult their professional indemnity insurers. Suggestions are offered for future studies.


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