U.S. Department of Health & Human Services
Patient Safety and the "Just Culture": A Primer for Health Care Executives.
Marx D. New York, NY: Columbia University; 2001.
Accountability is a concept that many wrestle with as they steer their organizations and patients toward understanding and accepting the idea of a blameless culture within the context of medical injury. Marx presents the concept from the legal perspective but does so for the non-barrister. Written prior to the acceptance of open disclosure or general policy support of it, the primer thoughtfully outlines the complex nature of deciding how best to hold individuals accountable for mistakes. Four key behavior concepts serve as the structure for the paper: human error, negligence, reckless conduct, and knowing violations. How they are applied to various situations in health care and how the individuals involved should be disciplined provide thoughtful reading.
Free full text (PDF)
Dana-Farber Cancer Institute Principles of a Fair and Just Culture.
Boston, MA: Dana-Farber Cancer Institute.
Leadership committed to safety.
Sentinel Event Alert. August 27, 2009;(43):1-3.
Do you hold staff accountable for safety?
Terry K. Hosp Health Netw. February 2010.
Getting it right when things go wrong.
Pettker CM, Funai EF. JAMA. 2010;303:977-978.
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