Beyond blame: cultural barriers to medical incident reporting

摘要: The paper explores the attitudes of medical physicians towards adverse incident reporting in health care, with particular focus on inhibiting factors or barriers to participation. It is recognised that there are major reporting, such as 'culture blame'. There are, however, few detailed qualitative accounts culture it relates reporting. Drawing a 2-year case study UK, this presents data gathered from 28 semi-structured interviews specialist physicians. findings suggest blame certainly inhibits but other cultural issues were also significant. was commonly accepted by doctors errors an 'inevitable' and potentially unmanageable feature work therefore 'pointless'. found discouraged anti-bureaucratic sentiment rejection excessive administrative duties. Doctors apprehensive about increased potential for managers non-physicians engage regulation quality through use data. argues promotion must more than ubiquitous blame' instead address medicine', especially collegial professional control quality.