In healthcare, leaders saying “we’ll hold them accountable” too often means, in reality, “we’ll punish individuals for mistakes that have many systemic causes.” To the extreme side of this spectrum, a nurse, RaDonda Vaught, was criminally prosecuted and convicted as an individual, while the organization and its leaders she worked for were not “held accountable” to a similar extent. What happened to her was unjust.  How does naming, blaming, and shaming individual caregivers do anything … Continue reading Beyond Blame: How Punishing Healthcare Workers Fails to Prevent Medication Errors