@article{article_1675607, title={POWER AND DISCLOSURE IN HEALTHCARE: A SCOPING REVİEW OF MEDICAL ERROR RESPONSE ACROSS SYSTEMS}, journal={International Journal of Health Services Research and Policy}, volume={10}, pages={305–317}, year={2025}, DOI={10.33457/ijhsrp.1675607}, url={https://izlik.org/JA95AL69FC}, author={Quon, Stephanie and Low, Sarah and Zhou, Sarah and Zheng, Katherine}, keywords={Medical error disclosure, patient safety, transparency, systems-based response, restorative justice, organizational culture, communication training, second victim support, legal protections, healthcare quality improvement}, abstract={Background: Medical errors remain as a troubling cause of preventable harm within healthcare systems. In response, error disclosure has emerged as both an ethical imperative and a quality improvement priority. Despite increasing institutional and legal support for transparency, disclosure practices are often hindered by emotional, organizational, and systemic barriers. Objective: This scoping review consolidates evidence on medical error disclosure and response, with particular attention to strategies that address power dynamics, communication practices, legal protections, organizational culture, and community engagement. Methods: A curated body of peer-reviewed literature from 2000 to 2025 was analyzed using an integrative and interpretive approach. Sources were drawn from medicine, public health, ethics, law, and education, and categorized across ten thematic domains: disclosure and communication; support for healthcare professionals; systematic learning; safety culture; legal and ethical considerations; restorative approaches; surveillance; education; interdisciplinary insights; and community-led models. Results: Findings highlight that effective disclosure is supported by structured frameworks (e.g., CANDOR), legal protections (e.g., apology laws), and organizational policies that promote psychological safety. Emerging innovations include patient-partnered education, virtual training modules, interdisciplinary root cause analysis, and community-informed participatory models. However, gaps remain in sustainability, long-term outcomes, and integration of equity and power-sensitive approaches. Conclusions: Medical error response is evolving from isolated clinician responsibility to an integrated, systems-based practice. Sustainable progress requires alignment of institutional culture, legal reform, emotional support, and patient engagement. By embracing relational, transparent, and justice-oriented frameworks, healthcare systems can transform error disclosure into a meaningful catalyst for healing, accountability, and trust}, number={3}