Error and Accountability

Abstract

In this chapter we will explore the issues related to individual and organizational accountability for error, particularly when a patient suffers harm that is attributable to physician error. We will review the blameless culture and “just culture” models, as well as related issues of peer-review, regulatory compliance, medicolegal, and ethical aspects of error in this context. We will discuss the ethical duty to provide open disclosure of all errors and lapses directly to patients and their families, regardless of cause (and separated from the issue of blame) and in some circumstances coupled with financial or other compensation for any harm done.