Patient safety is not elective: a debate at the NPSF Patient Safety Congress.
McTiernan P, Wachter RM, Meyer GS, Gandhi TK. BMJ Qual Saf. 2014 Nov 19; [Epub ahead of print].
Past commentaries have explored the tension between balancing no blame and individual accountability for medical errors. This commentary summarizes a debate exploring accountability in patient safety, with one argument describing the need for health care to differentiate individual failures from systems problems and an opposing perspective suggesting that incorporating blame would hinder progress in patient safety.
Changing our culture: adopting the military aviation safety system.
Kerber CW. J Neurointerv Surg. 2014;6:332-341
The relationship between safety culture and patient outcomes: results from pilot meta-analyses.
Groves PS. West J Nurs Res. 2014;36:66-83.
Improving the quality of health care: what's taking so long?
Chassin MR. Health Aff (Millwood). 2013;32:1761-1765.
COMMENTARYView all related resources...
The Sorry Works! Coalition: making the case for full disclosure.
Wojcieszak D, Banja J, Houk C. Jt Comm J Qual Patient Saf. 2006;32:344-350.