The Australian Open Disclosure Framework

The Australian Open Disclosure Framework provides a nationally consistent basis for open disclosure in Australian health care.

Australian Open Disclosure Framework

The framework is designed to enable health service organisations and clinicians to communicate openly with patients when health care does not go to plan.

Implementation materials and other resources

The Commission has developed a range of materials and resources to support the implementation of the Australian Open Disclosure Framework in a range of settings.

Australian Open Disclosure Framework endorsement

The Australian Open Disclosure Framework has been formally endorsed by Australian Health Ministers.

It has been officially endorsed by the following professional organisations:

  • Australian College of Nursing
  • Australian and New Zealand College of Anaesthetists
  • Royal Australian and New Zealand Colleges of Obstetricians and Gynaecologists
  • Royal Australasian College of Physicians
  • Royal Australasian College of Surgeons
  • Society of Hospital Pharmacists of Australia

It is supported by the:

  • Australasian College of Emergency Medicine
  • Royal College of Pathologists of Australia

The Royal Australian College of General Practitioners has officially recognised a supporting document Implementing the Implementing the Australian Open Disclosure Framework in small practices  as an Accepted Clinical Resource.

Review of the implementation of the Framework

The Commission is currently undertaking a review to better understand the extent to which the Australian Open Disclosure Framework is being implemented in Australian hospitals, including how it is currently happening in practice and the enablers and barriers to open disclosure.

The Commission is consulting with consumers and consumer organisations, healthcare providers, health service managers and the state and territory health departments. Findings and recommendations of the review are expected to be completed by the end of 2019. This will inform the Commission's future work to improve open disclosure in Australia.


The Australian Open Disclosure Framework was endorsed by the Commission in March 2013. It replaced the Open Disclosure Standard (now obsolete) which was released in 2003 and was the first nation-wide open disclosure policy in the world.

A review of the Open Disclosure Standard in 2011-12 preceded development of the Australian Open Disclosure Framework.