A case study: A leader's commitment to transparency and accountability through a serious reportable event | Zendy

Jeanette Ives Erickson | Zendy; Marianne Ditomassi | Zendy; Theresa Gallivan | Zendy; Keith Perleberg | Zendy; Mary Jane Costa | Zendy

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A case study: A leader's commitment to transparency and accountability through a serious reportable event

Author(s) -

Jeanette Ives Erickson,

Marianne Ditomassi,

Theresa Gallivan,

Keith Perleberg,

Mary Jane Costa

Publication year - 2013

Publication title -

journal of hospital administration

Language(s) - English

Resource type - Journals

eISSN - 1927-7008

pISSN - 1927-6990

DOI - 10.5430/jha.v2n3p1

Subject(s) - blueprint , transparency (behavior) , accountability , event (particle physics) , medicine , health care , medical emergency , business , nursing , political science , engineering , law , mechanical engineering , physics , quantum mechanics

Analysis reveals that most preventable adverse events result from systemic causes, not human error. The senior patient care executive at a leading hospital recounts the unnecessary death of a patient and the investigation that followed. Citing the critical importance of a “just culture,” this case study offers a blueprint for managing a serious reportable event.

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