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accountability culture, evidence-based medicine, health care stewardship, learning organization, performance management



  1. O'Hagan, Joshua MHA
  2. Persaud, David PhD


Health care providers are constantly striving to improve quality and efficiency by using performance management systems and quality improvement initiatives. Creating and maintaining a culture of accountability are important for achieving this end because accountability is the reason for measuring and improving performance. The keys to creating a culture of accountability will be explicated by examining the extant literature, and from this, 6 methods will be outlined for creating such a culture.