The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes?
Weakness in organizational culture is known to diminish safety. This commentary discusses an investigation of failures in a National Health Service trust that revealed disruptive, arrogant, and bullying behaviors persist in health care settings worldwide. The author suggests that greater emphasis on eliminating the conditions that enable these behaviors is the only reliable approach to improvement and emphasizes that simply introducing patient safety initiatives without improving the environment will not succeed.