I was quite confuzzled by an editorial in today's Straits Times "S'pore health system 80% fine but fix the 20%" by Ms Chua Mui Hoong. In it, she highlights what is right about the local healthcare system but emphasises that we should not ignore what needs improvement. She gives as examples of the latter, cases in which miscommunication between patients & healthcare providers resulted in death of the patients.
"A punitive culture where everyone fears making decisions in case a mistake is made is paralysing and counter-productive."
A promising attitude, I thought.
Then she proceeds to say in following paragraphs:
"The system must be exacting enough, and the auditors or senior doctors stern enough, for those down the line to fear the consquences of making a mistake sufficiently to keep them on their toes."
A bit of a contradiction, eh what? Isn't she advocating a punitive culture here?
I wonder what message she is trying to bring across in this article.