How To Create A Blame-Free Culture

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According to the Agency for Healthcare Research and Quality (AHRQ) (2011), any error should not be taken lightly especially when harm is sustained. First, the internal notification should be initiated and inform those who need to be aware of the event such as manager, physician, patient safety officer, risk management, and pharmacy if the event related to a drug (AHRQ, 2011). Second, the external notification, which requires reporting the error to the proper organization to follow through such as Department of Health (DOH), Error Reporting Program (ERP), or The Joint Commission (TJC); this report will alert other organization can take the appropriate precautions to prevent the occurrence of similar events (AHRQ, 2011). The third step in creating a blame-free culture is to investigate and analyze the event, then learn the proper method to communicate with the employee, the patient, and family members, if they witnessed the incident (AHRQ, 2011).…show more content…
The final step is the improvement process; which utilizes the appropriate preventative actions such as adopting a new policy and creating a different plan of care to accommodate the new changes (AHRQ,
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