If an organization has a culture of patient safety, which of the following is required?
a. A commitment to find the individual responsible for an adverse event
b. A focus on system issues that are implicated in an adverse event
c. The retention of a malpractice lawyer
d. The input of family members in planning new construction in the hospital
Answer: b. It is known that adverse events come about as the result of not only human error, but also system failures (for example, a nurse administers the wrong medication, but the wrong medication had been supplied to her).
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