Invited talk Conflicts between Learning and Accountability in Patient Safety.
Presented at the 10th Annual Clifford Symposium on Tort Law and Social Policy. "Starting Over?: Redesigning the Medical Malpractice System." DePaul Law School, Chicago IL, April 15-16, 2004.
Examines how blame-based systems of accountability block information flow and learning, exacerbate double binds and goal conflicts, and degrade cooperation. beyond blame pdf