Question

At the large multi-specialty clinic in which you work, there have been two near misses and one medical error because various clinicians did not follow up on patient results. Different caregivers were involved each time. After the second near miss, the physician involved was asked to leave the clinic.

This appears to be an example of which of the following?
A. Just culture
B. Unfair attribution of blame
C. Reckless behavior
D. Both just culture and reckless behavior

Answer 1

This is an example of unfair attribution of blame where caregivers are not following up on patient results, leading to near misses and a medical error. Instead of addressing the systemic issue, blame is solely placed on individual clinicians.

Step-by-step explanation:

This situation appears to be an example of unfair attribution of blame (option B). In this scenario, caregivers are not following up on patient results, leading to near misses and a medical error. However, instead of addressing the systemic issue, the blame is solely placed on individual clinicians by asking a physician to leave the clinic after the second near miss. This approach does not promote a just culture (option A) where mistakes are treated as learning opportunities rather than occasions for blame.