Behavioral Barriers1. Being arrogant and proud2. Put personal interests before the interests of patients3. Perpetuate perfectionism; blaming and shaming people involved in mistakes4. Perpetuating silence about mistakes, denying mistakes, or believing that others do not need to know about your mistakes5. Allowing competition with peers prevents disclosure6. Believing that disclosure is an optional heroic act. Self-recognition of specific attitudes is the first step in overcoming them as obstacles. Physicians should carefully examine their attitudes toward full disclosure of medical errors to determine whether these specific “behavioral barriers” are present. Attitudes may be more difficult to manage or change than other identified barriers. Professional help may be needed to overcome behavioral barriers. Concerns related to lack of control1. Not knowing how to disclose2. Disagree with a supervisor or trainee about whether an error occurred3. Not knowing what errors should be disclosed4. Being uncertain about the cause of the adverse event. Barriers listed as “uncertainties” typically involve a lack of knowledge, the need for disclosure education, and/or further investigation of the incident. These obstacles can be overcome quite easily by first recognizing the obstacle, seeking out the knowledge or education that is lacking, and/or continuing to investigate the facts and circumstances surrounding the error. Fear and anxiety about lack of time to reveal errors1. Fearing legal or financial liability2. Fear of professional discipline, loss of reputation, loss of position or loss of advancement3. Fearing the possibility of “fallout” on colleagues4. Feeling a sense of personal failure, loss of self-esteem,...... middle of paper ......g unforeseen events with the patient and their families. We have found that this reassures both patients and staff, knowing that the hospital is aware that the incident occurred and that we are working as a team on a process to prevent it from happening again.5. Timely – Incidents are viewed, analyzed and reported in a timely manner to avoid any further risk to the patient or staff. During shift change, each unit has a safety group to discuss safety concerns regarding the unit. Each day, each department/unit reports to Safety Huddle administration to discuss all hospital incidents from the previous day. We use this time as an open forum, not to point fingers, but to learn from each other's experiences and come together to help solve problems.6. Reports – The final report focuses on the hospital system or service as a whole rather than the individuals involved..