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While the Australian Open Disclosure Framework was published almost 10 years ago in 2014, it is still not routinely applied in healthcare. In aged care, open disclosure has been a regulatory requirement since 1 July 2019, when the Aged Care Quality Standards came into effect - which purported to ‘clearly define what good aged care should look like’. Clinical governance under Standard 8 (on Organisational Governance) specifically requires the practice of open disclosure. But how is open disclosure relevant to clinical governance?