Institutional reporting systems discourage clinical honesty
A few years ago, I said something in a meeting that made the air go still.
“People don’t actually feel safe filing ‘safe’ reports.”
I said it to a room full of leaders from the quality and safety team, the very people tasked with building trust and accountability. They didn’t argue. They just didn’t believe me.
They pointed to the anonymous portal. The reporting dashboard. The just culture training modules. They cited infrastructure.
I …