Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture.
Reporting on the criminal indictment of a nurse involved in the death of a patient, this newsletter article reviews factors that contributed to the failure, urges leadership to modify the use of blame tactics in response to medical mistakes, and highlights guidelines to prevent similar incidents.
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.