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Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame.

Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021.

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December 8, 2021

Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021.

Blame is known to limit discussions of near-misses and failures, which negatively impacts learning and incident reduction. This article describes work to examine blameful context present in anesthesiology incident documentation, reducing its viability as a successful investigation record. Length of text was identified as an enabler of blameful orientation, and limitations as to word count were one strategy to minimize the use of punitive language.