In preparation for the safety initiative, we drew on the safety themes that emerged from the original OpenNotes study and further explored patient safety topics in focus groups conducted in April and May 2013. Drawing on surveys, focus groups, and our experience during the last five years, in this article we reflect on theoretical risks and benefits to safety and quality through three emergent overarching questions, as follows:
How do patients and providers view the potential effects of open notes on patient safety and quality of care?
How do physicians anticipate reacting to mistakes that patients find in the notes?
What are the potential implications of shared visit notes for institutional disclosure, education, and patient engagement programs?