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Australas Psychiatry · Apr 2011
Case ReportsBlame and accountability 1: understanding blame and blame pathologies.
- Nick O'Connor, Beth Kotze, and Murray Wright.
- Sydney South West Area Mental Health Service, Australia. nick.oconnor@sswahs.nsw.gov.au
- Australas Psychiatry. 2011 Apr 1; 19 (2): 113-8.
ObjectiveIn this first paper the role and dynamics of blame in the context of medical critical incidents is examined. Blame pathologies are described and the complex nature of medical adverse events and the environment are explored.MethodsThe literature is examined and a case scenario explored.ResultsEvidence regarding effects of a 'blame culture' on clinicians and organizations is presented. In an accompanying second paper the place of accountability in relation to clinicians and health organizations is elucidated.ConclusionsThe necessary conditions for an accountable, responsive, fair and transparent health culture are proposed.
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