Nature of blame in patient safety incident reports: mixed methods analysis of a national database.
Approach to Improving Safety
Setting of Care
Poor safety culture has been identified as a barrier to incident reporting. Researchers analyzed a sample of family practice patient safety incident reports from the England and Wales National Reporting and Learning System and found that blame was attributed to an individual in almost half of the reports. The authors suggest that successfully using incident reports to improve safety requires a shift to blame-free culture.