Health care
is especially prone to using punishment as a motivational tool, largely
due the widely-accepted myth that performance should be perfect.
When finding
a culprit to blame is the focus of an events aftermath, the opportunity
to discover the actual underlying causes is squandered.
Training is
a common but often inadequate corrective response to an event.
When punishment
is a cultural norm, people tend to hide their mistakes, which undermines
organizational learning.
The absence
of accountability or a blame-free culture is not an acceptable alternative.
The second lesson, Punitive Culture,
discusses an organizational culture that reacts to events by blaming
individuals and uses punishment as a motivational tool.