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Honest Accountability is feasible if

Honest Accountability is feasible if. Healthcare organizations develop the right work environments. Regulatory agencies coordinate their activities. . Healthcare organizations and Clinicians. Align Leadership and Frontline perspectives WalkRounds. Train in and expect teamwork behavior

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Honest Accountability is feasible if

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  1. Frankel 2005

  2. Frankel 2005

  3. Honest Accountability is feasible if Healthcare organizations develop the right work environments. Regulatory agencies coordinate their activities. Frankel 2005

  4. Healthcare organizations and Clinicians • Align Leadership and Frontline perspectives • WalkRounds. • Train in and expect teamwork behavior • Cross-monitoring. • Appropriate assertion. • Critical language. • Implement Just Culture • Clearly define individual accountability versus system accountability with clear and simple rules. • Adopt transparent disclosure policies (Leape). • Utilize reporting systems for learning. • Preferentially support with Pay4Performance organizations that manifest these characteristics. Payors Frankel 2005

  5. Regulatory agencies • Define rules and coordinate their activities • James Reason’s Unsafe Acts Algorithm • Multidisciplinary evaluations utiliizing systems engineers and human factors experts • Maintain confidentiality when supporting personal improvement and quality improvement. • Make inappropriate risk behavior public. Frankel 2005

  6. Accountability Project Frankel 2005

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