Punitive cultures
Punitive cultures..Before the 1990s, health- care providers ofte attempted to manage risk and errors by making frequent exhortation to work carefully and by retraining, counseling, or disciplinin workers involved in errors, particularly those closest to the event
. Th prevailing thought at the time was that individual workers were fully, an sometimes solely, accountable for the outcomes of patients under their care even if the underlying processes for achieving those outcomes were not unde their direct control. example, when a medication error
occurred—with little direction about how to achieve the goals or how to make safer behavioral choices. Punitive cultures..Before the 1990s, health- care providers ofte attempted to manage risk and errors by making frequent exhortation to work carefully and by retraining, counseling, or disciplinin workers involved in errors, particularly those closest to the event. Th prevailing thought at the time was that individual workers were fully, an sometimes solely, accountable for the outcomes of patients under their care even if the underlying processes for achieving those outcomes were not unde their direct control. example, when a medication error
occurred—with little direction about how to achieve the goals or how to make safer behavioral choices.