Suing a hospital or medical consultant was always a difficult task as such actions are protracted and expensive. These difficulties were compounded by the hospital/insurers’ reluctance to release their medical notes or be transparent about patient incident records.
Such difficulties could perhaps become a thing of the past with the introduction of recent legislation which basically requires the hospital or doctor to disclose to the patient and their family any serious patient safety incidents that occurred while the patient was in their care. The rather long-winded name of this act is The Patient Safety (Notifiable Incident and Open Disclosure) Act 2023 which came into effect on the 26th of September 2024.
Examples of such incidents might perhaps include the wrong medication being given or the wrong blood type transfusion being administered to a patient. Errors could occur in the anaesthetic area not to mention in the high-risk area of prenatal care and delivery.
The HSE and its hospitals have been historically reluctant to disclose any such incidents or errors that occurred when the patient was in their care. There was a strong tendency to circle the wagons and limit any relevant information from reaching the patient or their family. A culture of secrecy is now being slowly displaced by a culture of openness and transparency.
What exactly does “notifiable safety incident” mean?
It means any incidents resulting in the unanticipated and unintended death or serious injury to the patient.
But who has to comply with this new law?
Almost everyone who is a healthcare service provider such as public and private hospitals, GPs, dentists, and pharmacists. All of these must notify the HSE following such an incident and disclosure must then be finally made to the patient.
Can you be sued if you do make such a disclosure?
No. To encourage transparency, no liability will attach to any such disclosure.
What if your hospital just refuses to disclose?
An unreasonable refusal to disclose can attract substantial penalties.
Any other reforming measures contained in the act?
- The act obliges the National Cancer Screening Service to arrange a review of their screening results if requested by cancer patients.
- It excludes clinical records from being admissible in either negligence or disciplinary actions, thereby facilitating their full release.
- It expands the right of HIQA, the Health Authority, to inspect private hospitals and health services in the further cause of patient safety.
The model of the medical profession is: Do no Harm. But when harm does occur, they are now under an obligation to be transparent about it.