Blame and Accountability 2: On Being Accountable

O’Connor, Nick; Kotzé, Beth; Wright, Murray

doi:10.3109/10398562.2011.562293

Cited by 14 publications

(17 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A robust approach to patient safety should balance "no blame" with accountability to maximize fairness and effectiveness (Wachter, 2013). This involves introducing systems of accountability to identify, review and report incidents moving away from a culture of blame towards a just culture (O'Connor, Kotze, & Wright, 2011). A just culture is where learning from disclosure is encouraged and individual accountability for improvement is maintained in order to support a safety culture (Vogelsmeier & Scott-Cawiezell, 2007;Wilson, 2011).…”

Section: Accountability and Safety Culturementioning

confidence: 99%

Safety culture in health care teams: A narrative review of the literature

et al. 2019

View full text Add to dashboard Cite

Aim Explore the recent literature to examine the factors that affect safety culture within health care teams. Background Health care organisations must understand and improve their safety culture. However, safety culture is a complex phenomenon which interacts with a myriad of factors, making it difficult to define, measure and improve. Evaluation A comprehensive search strategy was used to search four major databases. Peer‐reviewed which were published in English between 2006 and 2017 and presented research studies related to safety culture in health care teams were included. A narrative analysis was undertaken. Key issues Issues relevant to the definition, measurement and improvement of safety culture, the impact of teamwork and communication on safety culture, the role of leaders and accountability are explored. Conclusion The above themes inform our understanding of developing, measuring and sustaining safety culture in health care teams. However, further research is warranted to accurately understand how to measure and improve safety culture. Implications for nursing management To support a safety culture, initiatives to facilitate effective communication between nurse practitioners and other health care professionals must be introduced. Nurse managers should adopt leadership strategies that will support nurses’ psychological safety and create a just culture.

show abstract

Section: Accountability and Safety Culturementioning

confidence: 99%

Safety culture in health care teams: A narrative review of the literature

et al. 2019

View full text Add to dashboard Cite

show abstract

“…8 The patient safety literature echoes this perspective, with calls for organizational accountability that invoke punishment as an essential element and suggest that the lack of sanctions is impeding our progress. [2][3][4] Although there is extensive literature about individual accountability, [9][10][11][12][13] there is less information about organizational accountability, and it has been noted that it is poorly understood. 14 Accountability at its finest communicates organizational values, establishes boundaries for acceptable behaviors, explicates excellence, and creates psychological safety within a just culture that ultimately safeguards patients.…”

Section: The Goals Of Accountabilitymentioning

confidence: 99%

Accountability: Challenges to Getting It Right

Duthie

2018

J Patient Saf

View full text Add to dashboard Cite

Patient safety experts debated accountability in health care at the 2014 annual National Patient Safety Foundation Congress. The debate reflected the struggles organizations are facing with ensuring a responsible workforce committed to patient safety versus the need to redesign flawed systems that are error prone. The question, "is it the systems or the individual?" was at issue. This article proposes that it is the wrong question, and the failure to apply patient safety science in clinical practice is contributing to the ambiguity fueling the debate. To transform accountability from a source of confusion to a powerful tool for fulfilling health care's fiduciary responsibility to protect patients from harm, we need to reframe our approach. This article presents the science and strategies to create clarity that will redirect the dialogue from a debate in which accountability resides to one about learning for improvement when adverse events occur.

show abstract

“…5 After 10 years of effort focused on this objective, what evidence is there that we have made a difference to the care and safety of the suicidal patient?…”

mentioning

confidence: 99%