This year marks the 10th anniversary of the Institute of Medicine’s report To Err Is Human,1 the document that launched the modern patient-safety movement. Although the movement has spawned myriad initiatives, its main theme, drawn from studies of other high-risk industries that have impressive safety records, boils down to this: Most errors are committed by good, hardworking people trying to d...

Background. The impact of stigma on adherence to antiretroviral therapy (ART) has been less studied in Tanzania. Recent studies indicate that people on ART still experience stigma. Qualitative information on the subject matter is especially insufficient. Objective. This paper reports on the dimensions of stigma and discrimination and their impact on adherence to ART as experienced by people liv...

Institutional ethics committees remain largely absent from the literature on error reduction and patient safety. In this paper, the author endeavors to fill the gap. As noted in the Hastings Center's recent report, "Promoting Patient Safety," the occurrence of medical error involves complex web of multiple factors. Human misstep is certainly one such factor, but not the only one. This paper bui...

While the patient safety field has emphasised 'systems thinking' as its central theme, experts have pointed to the need to balance this 'no blame' approach with the need for accountability in certain circumstances, such as failure to heed reasonable safety standards. Our growing appreciation of the importance of accountability raises several new questions, including the relative roles of person...

Psychoanalysis and its derivatives are clinical and research endeavours attempting to do just what the word implies – make a psychological analysis of a particular problem whether it be that of an individual, a group, a family or other context. There is currently a revival of interest in the psychology of psychosis and in the talking therapies in psychosis including the involvement of relevant ...

In three studies (total N = 619), the authors tested an evolutionary hypothesis: Men are more bothered by sexual than emotional infidelity, whereas the reverse is true of women. More diverse samples (in age) and measures than is typical were used. In Study 1, the authors found across gender, sample, and method that sexual infidelity was associated with anger and blame, but emotional infidelity ...

The aim of the current study is to examine the influence of the victim's, perpetrator's, and participant's ethnicity on victim and perpetrator blame attributions. Additionally, comparisons between males and females and a community and student sample were made. Participants read a rape vignette in the form of a newspaper article and subsequently attributed victim and perpetrator blame. A 2 (vict...

ABSTRACT A decade on from the Francis report, avoidable patient harm continues to occur and we have continued see new inquiries reviews into serious safety scandals. failure listen patients or learn previous investigations, a corrosive blame culture, lack of effective leadership an unresponsive regulatory framework are alarming often reported themes that review here.

OBJECTIVE To assess behavioral and characterological self-blame, identify demographic and relational correlates of self-blame, and determine the association of self-blame with psychological and clinical outcomes of chronic obstructive pulmonary disease (COPD). METHODS Data were collected via self-report questionnaires completed by 398 individuals with COPD who had at least a 10 pack-year hist...