Cooper J, Edwards A, Williams H, Sheikh A, Parry G, Hibbert G, Butlin A, Donaldson K, Carson-Stevens A. Nature of blame in patient safety incident reports: Mixed methods analysis of a national database. Annals of Family Medicine. 2017 Sep/Oct;15(5): 455-461.
A culture of blame and fear of retribution are recognized barriers to reporting patient safety incidents. This article finds a high frequency of blame in a random sample of safety incident reports in the UK, suggesting that there are still opportunities to shift toward a more systems-focused, blame-free culture in health care.