To detect an error is to acknowledge incompetence. Doing so publicly in a work setting is often seen as ‘career limiting,’ discouragement enough even if it wasn’t also personally threatening. This article is a review of the impact the book, Organizational Learning, has had on management practice since its publication. Though there are flaws in the traditional […]
Blame Culture
Human Factors in the Management of the Critically Ill Patient
Case studies evaluated by the Institute of Medicine indicated that 4-16% of patients have suffered avoidable harm. This article describes the difficulty in maintaining reliability in the field of critical care medicine. It is useful in understanding the problem of patient safety, and offers an interdisciplinary look at safety and reliability. Among the barriers of […]