Honesty and Transparency, Indispensable to the Clinical Mission-Part I: How Tiered Professionalism Interventions Support Teamwork and Prevent Adverse Events

Otolaryngol Clin North Am. 2022 Feb;55(1):43-61. doi: 10.1016/j.otc.2021.07.016.


At the foundation of clinical medicine is the relationship among patients, families, and health care professionals. Implicit to that social contract, professionals pledge to bring clinical excellence to advance their patients' wellness and healing-and to prevent harm. Patients trust that those privileged to deliver care will do so unwaveringly in service of patients' best interests; however, the incentives and infrastructure surrounding health care delivery can promote or undermine individual performance, teamwork, and patient safety. Modeling professionalism and identifying slips and lapses supports pursuit of high reliability. Part 1, Promoting Professionalism, introduces the first of 3 pillars of advancing the clinical mission.

Keywords: Business of medicine; High reliability; Malpractice risk; Patient safety; Professionalism; Quality improvement; Surgery; Teamwork.

Publication types

  • Review

MeSH terms

  • Delivery of Health Care
  • Humans
  • Patient Safety
  • Professionalism*
  • Reproducibility of Results
  • Trust*