tag:blogger.com,1999:blog-7402507499237282629.post8130585647579966147..comments2023-05-19T12:11:09.145+01:00Comments on Indygal Goes to Holyrood!: My MisdiagnosisUnknownnoreply@blogger.comBlogger1125tag:blogger.com,1999:blog-7402507499237282629.post-17991648953386080752009-09-23T10:46:16.669+01:002009-09-23T10:46:16.669+01:00Here's one reason for recording misdiagnoses t...Here's one reason for recording misdiagnoses that has nothing to do with blame: in order to promote an airline safety approach to patient safety. High risk industries do so well in avoiding accidents because they promote a safety culture. One reason for the much higher level of accidents in health care is a lack of systematic risk management, presumably the patient safety programme is designed to address this. <br /><br />The other reason is a reactive culture in which health care practitioners and their bosses cover up mistakes. This is much harder to address and can only be done by promoting a safety culture in which every member of a team is encouraged to report accidents and near-misses, without regard for hierarchy. See for an example of the kind of culture change that is needed http://news.bbc.co.uk/1/hi/health/7610645.stm<br />Airline staff report near misses, not so the pilot can be blamed (hopefully) but so lessons can be learned.Anonymoushttps://www.blogger.com/profile/04995630196912539413noreply@blogger.com