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6 - A question of accountability

Published online by Cambridge University Press:  12 October 2009

Emily Friedman
Affiliation:
Independent health policy and ethics analyst
Frankie Perry
Affiliation:
University of New Mexico
Richard J. Davidson
Affiliation:
American Hospital Association
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Summary

It is one thing to commit an error, whether intentional or not. It is another thing to be the person on whose watch an error is committed by another party. And it is yet another thing to be willing to be held accountable for either type of mistake, and to accept the consequences. But the truth is that if there is no accountability for managers and organizations, or if there are no consequences that affect them – no matter how devastating the damage done – then there is no reason not to commit errors or even felonies. Accountability and impunity are mutually exclusive.

The psychology of accountability

We learn from a very early age that accountability has a price. If a group of children is playing baseball, and an errant hit goes through the neighbor's window, the children's inherent tendency is to run away so as not to get “caught.” Rare is the child who will ring the neighbor's doorbell and say, “I did it.” And although most parents, churches, and schools try to teach children that they should “own up” to what they have done, in too many cases that lesson is overwhelmed by experience – that is, once children learn that confessing is not enough, but that consequences also must be faced, their willingness to be held accountable diminishes.

Type
Chapter
Information
Management Mistakes in Healthcare
Identification, Correction, and Prevention
, pp. 103 - 116
Publisher: Cambridge University Press
Print publication year: 2004

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References

Ackman, D., 2003. “Feds charge Scrushy with life of crime,” Forbes, November 5, Internet edn.
Appleby, J., 2003. “Tenet to pay $54M to settle disputed surgery case.” USA Today August 7, Internet edn. 1B
Associated Press, 2003. “Ex-Enron employees target execs' bonuses.” Detroit Free Press July 24, Internet edn.
Barret, D., 2002. “WorldCom settlement includes fine, ethics training for executives.” International Herald Tribune November 27, Internet edn.
Burns, G., 2002. “Scandals shake faith in big business.” Chicago Tribune July 28, section 1:1.
Canfield, D., 2003. “The real bottom line.” Modern Healthcare, June 23: 50
Downey, M., 2003. “Hey, Sammy, don't take it so personally.” Chicago Tribune June 19 section 4:1
Farrell, G., 2003. “Hunt is on for notebook that Scrushy denies exists.” USA Today June 12
Friedman, E., 2001. “The butler did it.” Health Forum Journal 44(4): 5–7Google Scholar
Galloro, V., 2003. “HealthSouth vs. everybody.” Modern Healthcare August 4: 8
Hays, C., 2004. “Stewart sentenced to 5 months in prison for lying to investigators” The New York Times, July 16, Internet edn.
Hill, P., 2004. “WorldCom founder indicated in fraud,” Washington Times, March 3, Internet edn.
Kaiser Daily Health Policy Report, 2003. “Individual Tenet hospitals, not parent company, should be sued for allegedly upcoding, Tenet attorneys say” June 11, Internet edn.
Lee, D., and R. White, 2002. “Tenet's stock hammered on news of probe.” Los Angeles Times November 1, Internet edn.
Mollenkamp, C., 2003. “Accountant tried in vain to expose HealthSouth fraud.” The Wall Street Journal May 20: A1
Parker, K., 2003. “Eat, drink, smoke, and then sue.” Chicago Tribune July 23
Reuters News Service, 2002. “Judge OKs bonus for 1,700 at Enron.” Chicago Tribune, April 17 section: 1: 19.
Reuters News Service, 2003. “HealthSouth paid auditors for janitorial work-report.” Private Internet communication June 11
Salant, J., 2002. “After Enron scandal, ethics is in again.” Duluth News Tribune, October 31 Internet edn.
Stafford, M., 2002. “Druggist gets 30 years for diluting.” Chicago Sun-Times, December 6: 34
Vrana, D., and R. D.White, 2003. “Tenet to pay $54 million in surgery scandal.” Los Angeles Times August 6 Internet edn.

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