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Essay text:
She added a category to the existing patient safety report to allow employees to describe and comment on the incidents.
Challenges
o To change people’s ingrained mindset towards a medical accident; from one that is penalty-centric to one that is a learning-centric.
o To convince employees that owning up to a mistake would not backfire.
Effectiveness
o The system indeed encouraged, the employees to be more forthcoming in sharing their mistakes.
o The system assumed that errors occurred due to drawbacks in processes rather than incompetence of staff. However, besides process drawbacks, human errors could also be the cause...
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