O'Connor Nick, Kotze Beth, Wright Murray
Sydney South West Area Mental Health Service, Australia.
Australas Psychiatry. 2011 Apr;19(2):119-24. doi: 10.3109/10398562.2011.562293.
This second paper follows an exploration of the nature of blame and addresses the balance between a 'blame-free' health culture and appropriate accountability. This paper aims to define and describe accountability as a key component of clinical governance and a responsive, fair and transparent health culture.
The literature is examined and the concept of a fair and transparent health culture is explored. The case vignette in Part 1 is used to illustrate a particular issue of accountability.
The place of accountability in relation to clinicians and health organisations is elucidated.
The necessary conditions for an accountable, responsive, fair and transparent health culture are proposed.
第二篇论文继对责备的本质进行探讨之后,探讨“无责备”健康文化与适当问责之间的平衡。本文旨在将问责定义并描述为临床治理的关键组成部分以及一种积极响应、公平且透明的健康文化。
审视相关文献并探讨公平且透明的健康文化概念。第一部分中的案例 vignette 用于阐明一个特定的问责问题。
阐明了问责在临床医生和卫生组织方面的地位。
提出了建立一个有问责性、积极响应、公平且透明的健康文化的必要条件。