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PSNet: Patient Safety Network
Journal Article

Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong.

Jones A, Kelly D. BMJ quality & safety. 2014;23:709-13.

This commentary explores the differences between individuals failing to raise concerns and organizations disregarding problems that have been reported. Several organizational failures in the National Health Service provide context for this comparison and illustrate the need to build systems that reliably record and respond to shortcomings raised by staff.