In the UK, a patient experiences avoidable harm after a delay in recognising deterioration. The incident is confirmed as a notifiable safety incident. Which action best meets the duty of candour?
Correct answer: B. Give a prompt explanation and apology, then provide written follow-up
- A. Wait until the full investigation is completed before speaking to the patient
- B. Give a prompt explanation and apology, then provide written follow-up
- C. Tell the patient only that an internal review is taking place
- D. Ask another patient involved in the incident to explain what happened
Explanation
The statutory duty of candour requires an open and timely discussion, an apology, an explanation of the known facts, and written follow-up for a notifiable safety incident. The organisation should continue investigating, but a complete investigation is not required before the initial communication.
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About Safeguarding and Duty of Candour
Safeguarding covers recognising signs of abuse, neglect, exploitation and domestic violence in children and adults, responding to disclosure, recording facts, sharing information lawfully and escalating to the safeguarding lead or relevant authority. Duty of candour requires openness, apology, explanation and reporting after qualifying harm, and is distinct from investigating blame or proving negligence.
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