• The key to getting beyond blame

    When behaviors such as blame, accusation and finger-pointing surface, improvement efforts are doomed. Instead, we need to look at the process that caused the undesirable result and help our teams to do the same. Consider the following questions:

    • When something doesn't work out well, do you first ask, “Who did it?” or do you ask, “What part of the process allowed this to happen?”
    • Do you immediately ask yourself, “How can I protect myself and save face?” or do you ask, “How can I learn from this?”
    • Do you view yourself as external to the problem, or do you consider, “What is my role in this?”
    • Do you tend to operate from a place of fear, or do you display courage and pursue growth and learning?

    A helpful tool for keeping the concept alive when emotions are strong is the “five whys” technique, which helps teams identify the root cause of an undesired outcome rather than automatically jumping to a blame-based conclusion:

    • Agree on a problem statement that defines what is happening in a neutral fashion.
    • Ask “Why is that true?” or “Why is that happening?”
    • To each answer, ask “why” again. Continue asking why at least five times to identify the root cause.

    Adapted from "Getting Beyond Blame in Your Practice."

    Posted on Jun 04, 2018 by FPM Editors


    Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. All comments are moderated and will be removed if they violate our Terms of Use.