Attitudinal barriers1. Be arrogant and proud2. Put personal interests before those of the patient3. Perpetuated perfectionism; blaming and humiliating those involved in the mistakes4. Perpetuating silence about mistakes, denying mistakes, or believing that others don't need to know your mistakes5. Allow peer competition to inhibit disclosure6. Believing that disclosure is an optional act of heroism. Self-recognition of specific attitudes is the first step to overcoming them as barriers. Physicians should carefully examine their attitudes toward full disclosure of medical errors to determine whether these specific “attitudinal barriers” are present. Attitudes may be more difficult to manage or change than other identified barriers. Professional assistance may be needed to overcome attitudinal barriers. Concerns about lack of control1. Being uncertain about how to disclose2. Disagree with a supervisor or intern that an error occurred3. Be uncertain about which errors should be reported4. Being Unsure About the Cause of the Adverse Event Barriers listed as “uncertainties” generally involve a lack of knowledge, the need for disclosure training, and/or further investigation of the incident. These barriers can be overcome quite easily by first recognizing the barrier, seeking the knowledge or education that is lacking, and/or continuing to investigate the facts and circumstances surrounding the error. Fear and anxiety of lack of time to reveal errors1. Fearing legal or financial liability2. Fear of professional discipline, loss of reputation, position, or advancement3. Fearing the possibility of "repercussions" on colleagues4. Feelings of personal failure, loss of self-esteem,...... middle of paper......g unexpected events with patient and families. We have found that this gives both patients and staff comfort knowing that the hospital is aware of the incident and 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 further risk to the patient or staff. During shift change each unit has a Safety Huddle to discuss safety issues on the unit. Each day each department/unit reports to Administration for Safety Huddle to discuss all hospital incidents from the previous day. Let us use this time as an open forum not to blame, but to learn from the experiences of others and to come together to help solve problems.6. Reports – The final report focuses on the hospital system or department as a whole rather than the individuals involved.