Citation

O'Connor N, Kotze B, Wright M. Australas. Psychiatry 2011; 19(2): 113-118.

Copyright

(Copyright © 2011, Royal Australian and New Zealand College of Psychiatrists, Publisher SAGE Publishing)

DOI

10.3109/10398562.2011.562296

PMID

21443390

Abstract

OBJECTIVE: In 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.
METHODS: The literature is examined and a case scenario explored.
RESULTS: Evidence 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.
CONCLUSIONS: The necessary conditions for an accountable, responsive, fair and transparent health culture are proposed.

Language: en

Keywords

Humans; Adult; Male; Family; Suicide; Health Personnel; Psychiatry; Hospitalization; Suicidal Ideation; Patient Care Team; Inpatients; Social Justice; Hospital Mortality; Psychotic Disorders; Medical Errors; Social Responsibility; Psychotropic Drugs; Organizational Culture