Anonymous Reports Reduce Mistakes
Finding someone to blame when things go wrong is a common management strategy. Despite its popularity, this approach is usually ineffective. If employees know they will be blamed, they will avoid responsibility and hide mistakes. It becomes very difficult for coworkers and management to improve quality, if everyone is afraid to talk about errors. An anonymous incident reporting system is the solution to the problem. Employees get a confirmation ticket when reporting an error. Anyone who makes an honest mistake, then reports it himself, should be granted immunity from disciplinary action. This encourages reporting. The world of aviation has had such a system since 1975. Called the Aviation Safety Reporting System (ASRS) it has proven very effective in preventing accidents. Application of this idea to healthcare has reduced medical errors up to 90% See Kim Vicente's _The Human Factor_ for a fascinating account.
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