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In terms of performance, health care workers’ accountability reduces risk of medical malpractice applied to patients. Patient safety refers to the reduction and mitigation of unsafe acts and practices, and the use of good practices proven to lead to safe patient care. Healthcare accountability, patient experience, service performance, service quality improvement, continuous improvement Accountability, simply defined, involves the manners and methods by which one party justifies and accepts responsibility for its activities.1 Accountability in healthcare, where the stakes of caring for patients are so In 2015, patient safety advocates advanced the conversation on how to meaningfully implement structures that introduce more accountability in patient safety. While much can be done by doctors and the healthcare system as a whole, the doctor does raise a good question about patient responsibility. They fear being yelled at, being fired.” Most health care organizations, believes Toussaint, lack formal processes and managerial behaviors that foster accountability. Patient safety includes the elements of safe care, a just culture of patient safety, advocating for improvements in system processes for safe care, the role of the healthcare provider understanding the elements of negligence. In what ways could we incentivize patients to take some accountability and responsibility for their healthcare as well? An alignment of goals for the highest quality and most financially efficient care can help to ensure patients are never in a position to make a health decision against the advice of their physician. The person waits for a superior to tell him or her what to do. It also improves the value of patient care by increasing the use of reliable and approved medicine. Accountability in medicine, once assigned primarily to individual doctors, is today increasingly shared by groups of health-care providers. Research shows that when patient safety breaks down, it is usually caused by clinical processes and systems rather than individuals. Accountability encourages the employees to look forward to further learning and practice in their field (Brinkerhoff, 2003, p.1). Professor Robert Wachter explores the issue of personal accountability in healthcare and describes how accountability for performance is a key element for a safe system. That’s why we have so many quality problems in health care. Doing this right can lower healthcare costs by reducing hospital readmissions. People are fearful to try anything. If the decision-making process of the physician and patient are not fully aligned, then it is not reasonable to deploy a strategy focused solely on stimulating greater accountability in the patient. The work that lies ahead for the field is to develop a sophisticated understanding of the best methods for implementing appropriate accountability while not undermining the gains earned by the systems-based approach to patient safety.

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