David Oliver: Accountability—individual blame versus a “just culture”
David Oliver: Accountability—individual blame versus a “just culture”
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大卫·奥利弗：问责制——个人指责与“公正文化”
DOI：
10.1136/bmj.k1802
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发表时间：
2018
影响因子：
--
通讯作者：
D. Oliver
中科院分区：
文献类型：
--
作者：
D. Oliver
我很想停止不断谈论“问责制”和个人被“追究责任”在国家提供的，免费的点医疗保健。现在，我毫不怀疑，故意违反刑法的NHS临床医生和管理人员应该面临与其他公民相同的后果。我相信NHS临床医生对自己的决定和行为负责，并保持他们的技能和知识最新。
但要求问责的呼声远不止于此。主流和社交媒体上的公开辩论痴迷于这样一种观念，即当医疗保健出现问题时，这必须表明个人的失败。在...
I’d love to stop the constant talk of “accountability” and individuals being “held to account” in state provided, free-at-point healthcare. Now, I don’t doubt for a minute that NHS clinicians and managers who wilfully break criminal law should face the same consequences as other citizens. And I believe that NHS clinicians are personally responsible for their own decisions and behaviours and for keeping their skills and knowledge up to date.
But the clamour for accountability goes well beyond this. Public debate in mainstream and social media is obsessed with the notion that, when things go wrong in healthcare, this must indicate failures by individuals. In …