TY - JOUR ID - 3134 TI - Whistle Blowing: A Message to Leaders and Managers; Comment on “Cultures of Silence and Cultures of Voice: The Role of Whistleblowing in Healthcare Organizations” JO - International Journal of Health Policy and Management JA - IJHPM LA - en SN - AU - Schein, Edgar H. AD - MIT Sloan School of Management, Massachusetts Institute of Technology, Cambridge, MA, USA Y1 - 2016 PY - 2016 VL - 5 IS - 4 SP - 265 EP - 266 KW - Whistleblowing KW - Safety KW - Upward Communication KW - Adaptive Moves DO - 10.15171/ijhpm.2015.207 N2 - This comment argues that instead of worrying about the pros and cons of whistleblowing one should focus on the more general problem of the failure of upward communication around safety and quality problems and consider what leaders and managers must do to stimulate subordinates to communicate and reward such communication. The article analyzes why safety failures occur and introduces the concept of practical drift and adaptive moves as necessary for systemic safety to be understood and better handled. It emphasizes the key role of senior leadership in creating a climate in which critical upward communication will become more likely. UR - https://www.ijhpm.com/article_3134.html L1 - https://www.ijhpm.com/article_3134_c6e42af0d86798d83f14775705a8fff3.pdf ER -