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An "always someone else to blame" approach undermines any possible connections between the personal and the political.
The quality movement in medicine has prompted a shift from a "name, shame, blame" approach to medical errors to one in which each error is regarded as an opportunity to prevent future patient harm.
In their report, Pronovost and Wachter suggest penalties that they say could serve as a starting point for implementing an accountability system to run parallel to the "no blame" approach for four common but entirely avoidable medical errors.
And if something does go wrong, the Air Accidents Investigation Branch has a 'no blame' approach, seeking to find out what went wrong and how to put it right so that it does not happen again.
To support their "get tough" approach, Pronovost and Wachter cite more than half a dozen examples in which the "no blame" approach has been successful only up to a certain point in correcting unsafe hospital practices and lowering the number of unintended mistakes in patient care.
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Patient safety experts at Johns Hopkins and elsewhere are taking their prescription for avoiding medical errors in hospital care one step beyond already successful "no fault, no blame" approaches, calling now for penalties for doctors and nurses who fail to comply with proven safety measures.
They are also expected to adopt and ensure 'no blame' approaches in response to mistakes and errors, making it possible for people to speak up about things that have gone wrong so that they can be prevented in future; and they are supposed to lead by example, both modelling what is expected and encouraging like behavior by staff.
"When [campus administrators] engage with our work, they respond with a victim blaming approach.
Advances in science and medicine have overturned Freud and his couch, helping us move from a deficit, blaming approach to recognizing that mental health disruptions are functions of our physiology.
A "no-blame" approach could be adopted to remove the vessel's liability for losses.
The guidelines suggested three consultation components following National Institute for Health and Care Excellence NICEE) guidance: 22 (1) communicating a no-blame approach to non-adherence to facilitate openness; (2) eliciting ICS necessity beliefs and concerns and (3) addressing doubts about ICS necessity beliefs and concerns (table 1).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com