10:13 PM
I have a shorthand saying about finding the underlying cause when a clinician is involved in harming a patient: If you can say, "It could have happened to anybody," the cause is not personal.
Unfortunately, though, there have been too many stories about nurses being blamed for errors in hospitals when the actual causes were underlying human factors problems or work flow poor designs or other systemic issues.
There are very few stories about hospitals that have acknowledged this error of blame and apologized to the nurse and the community.
Here's one example of the latter, from Medstar Health. Annie's story presents a message to us all about the need for a just culture in an organization--and about valuing the people with whom we work.
Unfortunately, though, there have been too many stories about nurses being blamed for errors in hospitals when the actual causes were underlying human factors problems or work flow poor designs or other systemic issues.
There are very few stories about hospitals that have acknowledged this error of blame and apologized to the nurse and the community.
Here's one example of the latter, from Medstar Health. Annie's story presents a message to us all about the need for a just culture in an organization--and about valuing the people with whom we work.
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