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despite increase disclosures medical errors transparency remains challenge recognized barriers include shame fear litigation disciplinary actions loss patient trust 2018 israeli ministry health initiated series workshops disclosure medical errors workshops involved medical center executives healthcare providers patients family members patients previously harmed medical error study presents lessons learned perceived challenges disclosure errors 15 workshops data collection included participant observations 15 workshops full audio recordings workshops documentation detailed field notes analysis performed thematic analysis guidelines identified four main themes providers agree value disclosure medical error patient emotional challenges disclosure medical error patients medicolegal discourse challenges transparency providers patients call change culture regarding disclosure medical errors participant observations indicated presence patient experienced tragedy another hospital willing share created intimate atmosphere enabled open conversation parties study shows moral human educational values open discourse protective setting occurrence medical error believe workshops like may help foster culture institutional disclosure following medical errors recommend ministry health extend workshops healthcare facilities establish guidelines mandate training skills disclosure providers