Diagnosing "vulnerable system syndrome": an essential prerequisite to effective risk management. (1/6)
Investigations of accidents in a number of hazardous domains suggest that a cluster of organisational pathologies-the "vulnerable system syndrome" (VSS)-render some systems more liable to adverse events. This syndrome has three interacting and self-perpetuating elements: blaming front line individuals, denying the existence of systemic error provoking weaknesses, and the blinkered pursuit of productive and financial indicators. VSS is present to some degree in all organisations, and the ability to recognise its symptoms is an essential skill in the progress towards improved patient safety. Two kinds of organisational learning are discussed: "single loop" learning that fuels and sustains VSS and "double loop" learning that is necessary to start breaking free from it. (+info)Not afraid to blame: the neglected role of blame attribution in medical consumerism and some implications for health policy. (2/6)
A crucial aspect of medical consumerism has been overlooked in past research and policymaking: how consumers decide whom to "blame" for bad outcomes. This study explores how, in a system increasingly dominated by managed care, these attributions affect consumers' attitudes and behavior. Using data from the experiences of people with serious mental illness, hypotheses are tested regarding the origins and consequences of blaming for medical consumerism. Blame was allocated to health plans in a manner similar, but not identical, to the way in which blame was allocated to health care professionals. Both allocations are shaped by enrollment in managed care, with blame allocation affecting consumers' subsequent willingness to talk about adverse events. Policy implications include the need for more finely tuned grievance procedures and better consumer education about managed care practices. (+info)The relation between abuse and violent delinquency: the conversion of shame to blame in juvenile offenders. (3/6)
(+info)'All her children are born that way': gendered experiences of stigma in families affected by sickle cell disorder in rural Kenya. (4/6)
(+info)Doctors are to blame for perceived medical adverse events. A cross sectional population study. The Tromso Study. (5/6)
(+info)Ethical problems in feeding patients with advanced dementia. (6/6)
Aged patients with dementia if not stricken by an acute disease sooner or later approach a terminal phase that is distinguished by a failure of spoon feeding. This condition induces great anxiety in the workers who care for these patients. The interaction between patient and care-worker during spoon-feeding failure is described by the psychological model of double-binding. Two serious consequences of double-binding are the distancing of the care-workers from the patient and scapegoating among the care-workers. It is essential that the pressure of double-bindings in the wards should be reduced. (+info)Scapegoating in a medical context is not a clinical term, but in a broader social sense, it refers to the misattribution of blame, rejection, or stigmatization of an individual or group for problems that are not entirely their responsibility, which can lead to emotional and psychological distress.
I'm sorry for any confusion, but "scapegoating" is not a term that has a specific medical definition. It is a psychological and social concept, often used in discussions related to mental health, group dynamics, and discrimination. Scapegoating refers to the act of blaming an individual or group for problems, failures, or wrongdoings that are not entirely their responsibility or fault. This can occur due to various reasons such as prejudice, ignorance, or a desire to divert attention from the actual cause of the issue. It's essential to clarify that scapegoating is not a clinical diagnosis or medical condition.