Fear of retribution. “You have to feel safe to report someone else’s error, or your own,” Gibson said. “Most hospitals have yet to create a safety culture.”
A sense of disbelief. “I remember talking to a hospital CEO once right after the IOM report,” Gibson said. “He said that after a significant error, he would get up in the morning and look in the mirror and think, ‘Did this really happen here?’ There’s almost a sense that if you don’t see it, it didn’t exist.”
Competing pressures. “The requirements of health care reform have taken up so much time and energy that I fear safety has moved to the back burner,” Gibson said. “Someone in a quality and safety leadership role at one hospital said to me, ‘Safety was just a fad. We’re not doing that anymore.’”
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