• Australas Psychiatry · Apr 2011

    Blame and accountability 2: on being accountable.

    • 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): 119-24.

    ObjectiveThis second paper follows an exploration of the nature of blame and addresses the balance between a 'blame-free' health culture and appropriate accountability. This paper aims to define and describe accountability as a key component of clinical governance and a responsive, fair and transparent health culture.MethodsThe literature is examined and the concept of a fair and transparent health culture is explored. The case vignette in Part 1 is used to illustrate a particular issue of accountability.ResultsThe place of accountability in relation to clinicians and health organisations is elucidated.ConclusionsThe necessary conditions for an accountable, responsive, fair and transparent health culture are proposed.

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