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Peter Walsh

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    Second Victim, accountability and no blame culture... can these three exist together?

    in Culture

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    1. Yes there should be a 'just and learning' (rather than 'no blame') culture which encourages reporting and reduces the risk of people feeling tempted to cover up, but....

    2. The existence of an unsatisfactory culture does not excuse departure from required professional and statutory duties such as the duty of candour. The patient has to be told in accordance with these. It's simply an essential part of being a health professional, but...

    3. Being 'held to account' does not mean the person who made an error should be punished. It is about having insight, committing to learn from the incident, and doing the right thing by the patient. If on the other hand the duty of candour is not complied with, then the person / people responsible should definitely be held to account in a more formal disciplinary/regulatory way

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