Wednesday, July 20, 2011
How do any nurses or doctors feel about medical standards or ethics ?
There is a strong push in most organizations to institute a "culture of safety," meaning that employees who commit errors are not blamed for the error, but rather are seen as an unfortunate individual who made a mistake that many, if not all, employees would be prone to make under the same circumstances (within reason, of course; with repeated errors, the common denominator becomes the individual rather than the institution). The thought is that the "system" failed in some way to provide adequate safeguards against the error (this certainly isn't the case in all errors, but it is the assumption made initially in hopes of identifying any systematic faults that increase the chances of employee error). By not blaming/punishing the individual, the thought is that more errors will be reported voluntarily and thus more information can be learned about systematic influences which can be addressed to minimize the potential for such errors in the future. In practice, this concept is considerably more difficult to implement. Employees in many cases are shunned by coworkers (because THEY would NEVER make such an error!!! [studies have shown time and time again this conception is utterly false, however, and that many people, if subjected to the same circumstances, have similar failure rates...), and in some cases (pharmacy in my state being one example) can be reprimanded by the Pharmacy Examining Board (or similar agency) for errors (this can result in financial loss [fines], limitations on your license to practice, etc).
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