alexa Error Reporting and Safety Protocol Compliance: An Alternative to Punishment and Enforcement
ISSN: 2167-1222

Journal of Trauma & Treatment
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Editorial

Error Reporting and Safety Protocol Compliance: An Alternative to Punishment and Enforcement

John Kadzielski1* and James Herndon2
1Massachusetts General Hospital Hand and Upper Extremity Fellowship, Massachusetts General Hospital, 55 Fruit Street, Yawkey 2C, Boston, MA 02114, USA
2Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, White 535 Boston, MA02114, USA
Corresponding Author : John Kadzielski
Massachusetts General Hospital Hand and Upper Extremity Fellowship
Massachusetts General Hospital
55 Fruit Street, Yawkey 2C, Boston, MA 02114, USA
E-mail: [email protected]
Received May 10, 2012; Accepted May 24, 2012; Published May 26, 2012
Citation: Kadzielski J, Herndon J (2012) Error Reporting and Safety Protocol Compliance: An Alternative to Punishment and Enforcement. J Trauma Treat 1:e105. doi:10.4172/2167-1222.1000e105
Copyright: © 2012 Kadzielski J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

An article published in the New England Journal of Medicine focuses on personal responsibility for medical error, suggesting that restoring the balance between personal accountability and a ?noblame? system is the key factor in eliminating medical error [1]. The authors of this article write as if there has been a ?no-blame? system in place and that it is now time to reinstitute personal responsibility. We believe the opposite has been true. The current medical culture of blame, malpractice and reactionary punishment?all of which are based on the idea that one human or a team of humans is responsible for an error?has been in place for decades and has failed to improve safety [2]. The concept of personal responsibility and liability has been in place from before the IOM report on medical error in 1999 and things have not changed [3].

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